四川高海拔藏族居民癌症防治知识知晓率及参与筛查情况分析  

Analysis of awareness rate of cancer prevention knowledge and participation in screening among Tibetan residents at high altitude in Sichuan Province

作　　者：陈萍[1] 傅晓花 薛康 李昌林 CHEN Ping;FU Xiaohua;XUE Kang;LI Changlin(Department of Oncology,Chengdu Seventh People's Hospital(Affiliated Cancer Hospital of Chengdu Medical College),Sichuan Chengdu 610213,China;Cancer Prevention and Treatment Office,Chengdu Seventh People's Hospital(Affiliated Cancer Hospital of Chengdu Medical College),Sichuan Chengdu 610213,China;Medical Department,Baiyu County People's Hospital,Sichuan GarzêTibetan Autonomous Prefecture 627150,China)

机构地区：[1]成都市第七人民医院(成都医学院附属肿瘤医院)肿瘤科,四川成都610213 [2]成都市第七人民医院(成都医学院附属肿瘤医院)癌症防治办公室,四川成都610213 [3]白玉县人民医院医务科,四川甘孜藏族自治州627150

出　　处：《现代肿瘤医学》2024年第9期1709-1716,共8页Journal of Modern Oncology

基　　金：四川省医学会科研基金(编号:S20061);四川省成都市卫生健康委员会医学科研课题(编号:2023535);成都医学院—成都市第七人民医院联合科研基金(编号:2020LHJYZD-03)。

摘　　要：目的:了解四川高海拔藏族居民癌症防治知识知晓率及参与筛查情况,为进一步开展癌症防治宣传提供科学依据。方法:纳入四川高海拔藏族居民489名,自行设计问卷。收集居民的一般情况、癌症防治知识及参与筛查情况。应用描述性分析、卡方检验和多因素回归分析对影响因素进行分析。结果:居民癌症防治知识的总知晓率为61.3%,大于45岁者知晓率(63.7%)高于45岁及以下者(58.6%),大专及以上者(71.3%)高于高中及以下者(58.9%),医疗卫生行业(66.1%)高于非医疗卫生行业(60.3%),乡镇居民(62.4%)高于农村居民(60.1%),差异具有统计学意义(P<0.05)。82.4%的居民认可定期癌症筛查,86.3%的居民愿意听从和采纳医师的建议,但实际定期参加癌症筛查的居民为15.5%,筛查比例与年龄、文化程度、职业和居住地相关;主动获取癌症相关科普知识的居民为32.3%,与年龄、文化程度和职业相关(P<0.05)。多因素分析提示,年龄、文化程度和居民个人月收入是影响癌症防治知识知晓情况的独立影响因素;年龄、文化程度和职业是影响居民定期筛查和主动获取癌症相关科普知识的独立影响因素。结论:在四川省高海拔藏族居民中开展的癌症防治工作取得了一定的成绩,但整体癌症防治知识及参与筛查水平仍较低,应进一步加强癌症防治宣传。Objective:To assess cancer prevention and treatment knowledge and screening status among high-altitude Tibetan residents in Sichuan,and to provide scientific basis for further study.Methods:489 Tibetan residents were included.A self-designed questionnaire was used to collect the general information,cancer prevention and treatment knowledge,and screening status.Descriptive analysis,chi square test,and multivariate regression analysis were used to analyze the influencing factors.Results:The total awareness rate of cancer prevention and treatment knowledge was 61.3%.The awareness rate in people over 45 years old(63.7%)was higher than those 45 years old or below(58.6%),those with college or above(71.3%)was higher than those with high school or below(58.9%),the healthcare industry(66.1%)was higher than those of non-healthcare industry(60.3%),residents in township(62.4%)was higher than those in countryside(60.1%),all with significant differences(P<0.05).Residents agreed of regular cancer screening(82.4%)and were willing to adopt doctors'suggestions(86.3%),however,only 15.5%of them actually participated in regular cancer screening,which was related to age,education,occupation and residence.32.3%of the residents actively obtained cancer related knowledge which was related to age,education,and occupation(P<0.05).Multivariate analysis suggested that age,education,and monthly income were independent influencing factors on residents'awareness of cancer prevention and treatment knowledge.Age,education and occupation were independent influencing factors on residents'regular screening and active acquisition of cancer related knowledge.Conclusion:The cancer prevention and treatment work carried out among high-altitude Tibetan residents in Sichuan Province has achieved certain results,but the overall knowledge and screening level are still relatively low.Further efforts should be made to strengthen cancer prevention and treatment publicity.

关 键 词：高海拔 藏族居民 癌症防治 筛查 

分 类 号：R73-31[医药卫生—肿瘤]