宜昌市城区居民癌症防治核心知识知晓现状和影响因素  

Analysis of the Awareness Rate and Influencing Factors of the Core Knowledge about Cancer Prevention and Treatment among Urban Residents in Yichang City

作　　者：余佳琪 杨佳娟[2] 朱婕 Yu Jiaqi;Yang Jiajuan;Zhu Jie(School of Public Health,Guilin Medical University,Guilin 541199,China;Yichang Center for Disease Control and Prevention,Yichang 443000,China)

机构地区：[1]桂林医学院公共卫生学院,广西桂林541199 [2]宜昌市疾病预防控制中心,湖北宜昌443000

出　　处：《巴楚医学》2022年第2期82-86,共5页Bachu Medical Journal

基　　金：国家重点研发计划“重大慢性非传染性疾病防控研究”专项“重大慢性病疾病负担及防控策略研究”课题(No:2018YFC1315305)。

摘　　要：目的:了解宜昌市城区居民癌症防治核心知识知晓水平,为制订宜昌市癌症防治健康教育策略提供依据。方法:使用多阶段分层抽样方法,按照KISH表抽取宜昌市城区15~74岁常住居民为调查对象,参考《癌症防治核心知识与要点》设计调查问卷。采用多因素Logistic回归模型分析居民癌症防治核心知识知晓水平的影响因素。结果:有效调查1 099人,癌症防治核心知识知晓率为66.42%。多因素Logistic回归分析显示,非中心城区(OR=0.350,95%CI:0.234~0.522)、年龄≥45岁或≥60岁(OR=0.597,95%CI:0.398~0.896;OR=0.367,95%CI:0.220~0.612)、小学毕业(OR=0.400,95%CI:0.240~0.667)是宜昌市城区居民知晓癌症防治核心知识的阻碍因素;医务工作者(OR=3.702,95%CI:1.575~8.700),不是每天吸烟和现在不吸烟(OR=3.723,95%CI:1.194~11.603;OR=2.201,95%CI:1.160~4.200)是居民知晓癌症防治核心知识的促进因素。结论:宜昌市城区居民癌症防治核心知识知晓情况未达到国家目标值,在全国范围内仍处于中等水平,应重点加强高龄、非中心城区、低文化程度人群的癌症防治知识健康教育。Objective: To understand the awareness rate of core knowledge on cancer prevention and treatment among urban residents in Yichang, and provide basis for formulation health education strategy of cancer prevention and treatment. Methods: The multi-stage stratified sampling method was used. Urban residents aged 15 to 74 were recruited using KISH table. A questionnaire was designed according to the core knowledge and key points of cancer prevention and treatment. Multivariate Logistic regression model was used to analyze the influencing factors of residents’ awareness rate of core knowledge on cancer prevention and treatment. Results: A total of 1 099 valid questionnaires were recalled. The awareness rate of core knowledge on cancer prevention and treatment was 66.42%. Multivariate Logistic regression analysis indicated that non-central urban areas(OR=0.350, 95%CI: 0.234-0.522), age over 45 or 60 years(OR=0.597, 95%CI: 0.398-0.896;OR=0.367, 95%CI: 0.220-0.612), primary school graduation(OR=0.400, 95%CI: 0.240-0.667) were the hindrance factors for residents to know the core knowledge of cancer prevention and treatment. Medical worker(OR=3.702, 95%CI: 1.575-8.700), and not smoking every day or not smoking now(OR=3.723, 95%CI: 1.194-11.603;OR=2.201, 95%CI: 1.160-4.200) were promoting factors for residents to know the core knowledge of cancer prevention and treatment. Conclusion: The awareness of the core knowledge on cancer prevention and control among urban residents in Yichang City has not reached the national target value, which is still at a moderate level nationwide. It is necessary to focus on strengthening the health education of cancer prevention and control for the elderly, non-central urban areas, and low education level.

关 键 词：癌症 知晓率 宜昌市 健康教育 

分 类 号：R730.1[医药卫生—肿瘤]