2021年辽宁省居民癌症防治核心知识知晓率现状及影响因素分析  

Analysis on the status quo of the awareness rate of core knowledge of cancer prevention and treatment and its influencing factors among residents in Liaoning Province in 2021

作　　者：李梦丹 倪萍 于慧会 于志福 孙继绪 白明宇[3] 白杉[4] 安晓霞[5] 史艳红 刘运泳 Li Mengdan;Ni Ping;Yu Huihui;Yu Zhifu;Sun Jixu;Bai Mingyu;Bai Shan;An Xiaoxia;Shi Yanhong;Liu Yunyong(Department of Liaoning Office for Cancer Prevention and Control,Cancer Hospital of China Medical University,Liaoning Cancer Hospital&Institute,Shenyang 110042,China;Department of Chronic Disease Prevention and Control,Dandong Cencer for Disease Control and Prevention,Dandong 118000,China;Department of Chronic Disease Prevention and Control,Yingkou Cencer for Disease Control and Prevention,Yingkou 115000,China;Department of Chronic Disease Prevention and Control,Shenyang Cencer for Disease Control and Prevention,Shenyang 110031,China;Department of Chronic Disease Prevention and Control,Benxi Cencer for Disease Control and Prevention,Benxi 117000,China;Department of Chronic Disease Prevention and Control,Tieling Cencer for Disease Control and Prevention,Tieling 112099,China)

机构地区：[1]中国医科大学肿瘤医院辽宁省肿瘤医院辽宁省肿瘤防治办公室,沈阳110042 [2]丹东市疾病预防控制中心慢病科,丹东118000 [3]营口市疾病预防控制中心慢病科,营口115000 [4]沈阳市疾病预防控制中心慢病所,沈阳110031 [5]本溪市疾病预防控制中心慢病科,本溪117000 [6]铁岭市疾病预防控制中心慢病科,铁岭112099

出　　处：《中华预防医学杂志》2023年第1期22-28,共7页Chinese Journal of Preventive Medicine

基　　金：沈阳市中青年科技创新人才支持计划项目(RC200437)。

摘　　要：目的分析2021年辽宁省居民癌症防治核心知识知晓现状及相关影响因素。方法于2021年8—11月,采用网络方便抽样的方法,招募辽宁省内15~69岁17474名常住居民为研究对象。利用微信公众号开展问卷调查,收集人口学特征、癌症防治核心知识等信息。采用χ^(2)检验比较不同特征研究对象癌症防治核心知识知晓率的差异,采用多因素logistic回归模型分析居民癌症防治核心知识知晓率的相关影响因素。结果17474名研究对象中,男性占43.1%(7528名),城镇居民占58.7%(10262名),总体人群知晓率为72.3%,其中癌症认知、预防、早诊早治、治疗和康复5个维度的知晓率分别为71.4%、67.6%、72.7%、83.4%和63.5%。多因素logistic回归分析结果显示,男性(OR:0.850,95%CI:0.781~0.925)、农村(OR:0.753,95%CI:0.694~0.817)、年龄55~59岁(OR:0.851,95%CI:0.751~0.963)、曾吸烟(OR:0.721,95%CI:0.640~0.813)或现吸烟(OR:0.724,95%CI:0.654~0.801)是居民知晓癌症防治核心知识的阻碍因素;年龄35~54岁(OR:1.312,95%CI:1.202~1.432)、初中/高中/大专及以上文化(OR:1.834~5.130,95%CI:1.575~6.047)、专业技术(OR:1.592,95%CI:1.367~1.854)、公务员/事业单位(OR:1.282,95%CI:1.094~1.503)、企业/商业/服务人员(OR:1.218,95%CI:1.071~1.385)、离退休者(OR:1.324,95%CI:1.114~1.573)和有肿瘤家族史(OR:1.369,95%CI:1.266~1.481)是居民知晓癌症防治核心知识的促进因素。结论辽宁省居民癌症防治核心知识知晓水平基本达到健康中国行动目标要求;地区、性别、文化程度、年龄、肿瘤家族史和吸烟情况与知晓情况有关联。Objective To analyze the status quo of the knowledge and related factors of cancer prevention and treatment among residents in Liaoning Province in 2021.Methods From August to November 2021,through network sampling method,17474 permanent residents aged 15-69 years in Liaoning Province were surveyed.The WeChat public account was used to collect information such as demographic characteristics and core knowledge of cancer prevention and treatment.The Chi-square test was used to compare the difference of the level of the cancer prevention and treatment knowledge among different groups.The multivariate logistic regression model was used to analyze the related factors.Results Among the 17474 subjects,43.1%(7528)were male and 58.7%(10262)were urban residents.The overall awareness rate was 72.3%,and the awareness rate of cancer cognition,prevention,early diagnosis and treatment,cancer management and rehabilitation were 71.4%,67.6%,72.7%,83.4%and 63.5%,respectively.The multivariate logistic regression model showed that the residents who were man(OR:0.850,95%CI:0.781-0.925),in rural areas(OR:0.753,95%CI:0.694-0.817),55-59 years old(OR:0.851,95%CI:0.751-0.963),quitters(OR:0.721,95%CI:0.640-0.813)and smoker(OR:0.724,95%CI:0.654-0.801)had lower awareness rates,while the residents who were 35-54 years old(OR:1.312,95%CI:1.202-1.432),with an educational level of junior high school/senior high school/college degree or above(OR:1.834-5.130,95%CI:1.575-6.047),technical personnel(OR:1.592,95%CI:1.367-1.854),civil servant/institution staff(OR:1.282,95%CI:1.094-1.503),enterprise/business/service staff(OR:1.218,95%CI:1.071-1.385),retired(OR:1.324,95%CI:1.114-1.573)and with family history of cancer(OR:1.369,95%CI:1.266-1.481)had higher awareness rates.Conclusion The level of the awareness of core knowledge of cancer prevention and treatment among residents in Liaoning Province has met the requirements of the Healthy China Action.Region,gender,education level,age,family history of cancer and smoking are relevant factors.

关 键 词：肿瘤 知识 横断面研究 健康教育 

分 类 号：R730.1[医药卫生—肿瘤]