盐亭县食管癌高发区危险因素聚集性的相关分析  

Clustering analysis of risk factors in high-incidence areas of esophageal cancer in Yanting county

作　　者：罗瑞武 黄桁 程豪 倪思语 付思怡 钱钦春 杨俊杰 陈鑫龙 黄涵禹 宗正东 赵玉娟 秦宇鹤 何城诚 吴野 文红英[4] 田东 LUO Ruiwu;HUANG Heng;CHENG Hao;NI Siyu;FU Siyi;QIAN Qinchun;YANG Junjie;CHEN Xinlong;HUANG Hanyu;ZONG Zhengdong;ZHAO Yujuan;QIN Yuhe;HE Chengcheng;WU Ye;WEN Hongying;TIAN Dong(Department of Thoracic Surgery,West China Hospital,Sichuan University,Chengdu,610041,P.R.China;Department of Clinical Medicine,North Sichuan Medical College,Nanchong,637000,Sichuan,P.R.China;School of Nursing,North Sichuan Medical College,Nanchong,637000,Sichuan,P.R.China;Department of Cardiothoracic Surgery,Affiliated Hospital of North Sichuan Medical College,Nanchong,637000,Sichuan,P.R.China)

机构地区：[1]四川大学华西医院胸外科,成都610041 [2]川北医学院临床医学系,四川南充637000 [3]川北医学院护理学院,四川南充637000 [4]川北医学院附属医院心胸外科,四川南充637000

出　　处：《中国胸心血管外科临床杂志》2024年第3期385-391,共7页Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

基　　金：南充市市校合作科研基金(20SXZRKX0001);国家级大学生创新创业训练计划(20211063414)。

摘　　要：目的基于对食管癌高发区饮食模式现状的调查,探究与高发特征相关的危险因素聚集性及其影响因素。方法2021年7—8月采用特制结构式问卷对四川省盐亭县农村居民饮食模式开展入户调查,单因素和多因素logistic回归模型用于分析食管癌危险因素聚集的影响因素。结果共有838份有效问卷纳入分析,使用自来水等清洁水的农村居民共占90.8%。近1年,对水果蔬菜、豆制品和葱蒜食用频率高的农村居民分别占69.5%、32.8%和74.5%;对泡菜、腌菜、酸菜、烧烤、烫热食物和霉变食物食用频率较低的农村居民分别占59.2%、79.6%、68.2%、90.3%、80.9%和90.3%。73.3%居民存在食管癌危险因素聚集,同时具有2种危险因素的聚集模式最常见(28.2%),其中肿瘤史+腌制食品是主要的聚集模式(4.6%)。Logistic回归模型显示,性别、年龄、婚姻状况和职业是食管癌危险因素聚集的影响因素(P<0.05)。结论大部分盐亭县食管癌高发区农村居民具有较好的饮食习惯,但仍存在高水平的危险因素聚集性,性别、年龄、婚姻状况和职业是食管癌危险因素聚集的影响因素。Objective To investigate the dietary patterns of rural residents in the high-incidence areas of esophageal cancer(EC),and to explore the clustering and influencing factors of risk factors associated with high-incidence characteristics.Methods A special structured questionnaire was applied to conduct a face-to-face survey on the dietary patterns of rural residents in Yanting county of Sichuan Province from July to August 2021.Univariate and multivariate logistic regression models were used to analyze the influencing factors of risk factor clustering for EC.Results There were 838 valid questionnaires in this study.A total of 90.8%of rural residents used clean water such as tap water.In the past one year,the people who ate fruits and vegetables,soybean products,onions and garlic in high frequency accounted for 69.5%,32.8%and 74.5%,respectively;the people who ate kimchi,pickled vegetables,sauerkraut,barbecue,hot food and mildew food in low frequency accounted for 59.2%,79.6%,68.2%,90.3%,80.9%and 90.3%,respectively.The clustering of risk factors for EC was found in 73.3%of residents,and the aggregation of two risk factors was the most common mode(28.2%),among which tumor history and preserved food was the main clustering pattern(4.6%).The logistic regression model revealed that the gender,age,marital status and occupation were independent influencing factors for the risk factors clustering of EC(P<0.05).Conclusion A majority of rural residents in high-incidence areas of EC in Yanting county have good eating habits,but the clustering of some risk factors is still at a high level.Gender,age,marital status,and occupation are influencing factors of the risk factors clustering of EC.

关 键 词：食管癌 高发区 饮食习惯 危险因素 聚集性 

分 类 号：R735.1[医药卫生—肿瘤]