天津市肿瘤筛查人群的癌症防治核心知识及健康素养调查分析  

Investigation and analysis of cancer prevention and treatment core knowledge awareness and health literacy among the tumor screening population in Tianjin

作　　者：司国金 吕章艳 李文轩 邢梦博 吉雨婷 黄育北 宋方方 宋丰举 SI Guojin;LYU Zhangyan;LI Wenxuan;XING Mengbo;JI Yuting;HUANG Yubei;SONG Fangfang;SONG Fengju(Department of Epidemiology and Biostatistics,Key Laboratory of Molecular Cancer Epidemiology,Key Laboratory of Prevention and Control of Human Major Diseases,Ministry of Education,State Key Laboratory of Druggability Evaluation and Systematic Translational Medicine,National Clinical Research Center for Cancer,Tianjin Clinical Research Center for Cancer,Tianjin Medical University Cancer Institute and Hospital,Tianjin Medical University,Tianjin,300060,China)

机构地区：[1]天津医科大学肿瘤医院流行病学与生物统计学系,天津市分子肿瘤流行病学重点实验室,人群重大疾病防控教育部重点实验室,药物成药性评价与系统转化全国重点实验室,国家恶性肿瘤临床医学研究中心,天津市恶性肿瘤临床医学研究中心,天津300060

出　　处：《中华肿瘤防治杂志》2025年第1期1-9,共9页Chinese Journal of Cancer Prevention and Treatment

基　　金：天津市津门医学英才项目(TJSJMYXYC-D2-038);国家自然科学基金(82204121);天津市自然科学基金(23JCQNJC00800);中国博士后科学基金(2023M742617);天津市医学重点学科(TJYXZDXK-009A)。

摘　　要：目的 了解天津市常见恶性肿瘤(肺癌、乳腺癌、胃癌、肝癌和结直肠癌)筛查人群的癌症防治核心知识知晓及癌症防治健康素养现状,并探讨其影响因素,为制定防癌健康教育和癌症筛查策略提供参考依据。方法 以参加天津市2023-06-08-2024-03-31常见恶性肿瘤联合筛查试验的40~74岁居民作为研究对象,共收集9 489份问卷。采用描述性分析确定参与人群的基本特征;χ2检验比较不同特征人群的癌症防治核心知识知晓率及癌症防治健康素养水平的差异;单因素和多因素logistic回归分析识别癌症防治核心知识知晓率及癌症防治健康素养水平的影响因素。结果 实际回收8 705份(91.74%)有效问卷。筛查居民对于癌症早期信号、癌症治疗、癌症预后和早诊早治等知识的掌握程度不足。癌症防治核心知识知晓率为41.72%(3 632/8 705);癌症防治健康素养具备率为57.99%(5 048/8 705)。多因素logistic回归分析显示,离退休人员(OR=0.74,95%CI为0.59~0.93,P=0.009)、文化程度较低(高中/中专/技校:OR=0.84,95%CI为0.76~0.93,P=0.001;初中及以下:OR=0.75,95%CI为0.65~0.85,P<0.001)、平均每周饮酒≥1次(OR=0.84,95%CI为0.75~0.95,P=0.004)、缺乏规律体育锻炼(OR=0.84,95%CI为0.75~0.95,P=0.005)、没有健康体型(OR=0.90,95%CI为0.82~0.98,P=0.015)、饮食不具备多样化(OR=0.65,95%CI为0.57~0.73,P<0.001)人群的癌症防治核心知识知晓水平更低。男性(OR=1.14,95%CI为1.02~1.27,P=0.018)、56~65岁年龄组(OR=0.86,95%CI为0.75~0.99,P=0.038)、文化程度较低(高中/中专/技校:OR=0.85,95%CI为0.77~0.94,P=0.002;初中及以下:OR=0.75,95%CI为0.66~0.86,P<0.001)、目前吸烟(OR=0.78,95%CI为0.69~0.90,P<0.001)、缺乏规律体育锻炼(OR=0.83,95%CI为0.74~0.94,P=0.004)、没有健康体型(OR=0.87,95%CI为0.80~0.95,P=0.002)、饮食不具备多样化(OR=0.68,95%CI为0.60~0.77,P<0.001)人群的癌症防治健康素养水平更低。结论 天津市肿瘤筛查居民的癌症防治�Objective To understand the current status of cancer prevention and treatment core knowledge awareness and health literacy of cancer prevention and treatment among the common tumors(lung cancer,breast cancer,gastric cancer,liver cancer,and colorectal cancer)screening population in Tianjin,and to explore the influencing factors,in order to provide a reference basis for the development of cancer prevention health education and cancer screening strategies.Methods From June 8th,2023 to March 31st,2024,residents aged 40-74 years who participated in the Chinese colorectal,breast,lung,liver,and stomach cancer screening trial in Tianjin were selected as the research subjects,and a total of 9 489 questionnaires were collected.Descriptive analysis was used to determine the basic characteristics of the participating population;χ~2 test was used to compare the differences in the level of cancer prevention and treatment core knowledge awareness rate and health literacy levels of cancer prevention and treatment among different characteristic populations;and univariable and multivariable logistic regression analyses were used to identify the influencing factors for cancer prevention and treatment core knowledge awareness rate and health literacy levels of cancer prevention and treatment.Results Totally 8 705(91.74%)valid questionnaires were actually collected.The level of knowledge of the screening residents about early signals of cancer,cancer treatment,cancer prognosis,and early diagnosis and early treatment was insufficient.The awareness rate of cancer prevention and treatment core knowledge was 41.72%(3 632/8 705);the health literacy rate of cancer prevention and treatment was 57.99%(5 048/8 705).Multivariable logistic regression analysis showed that individuals who were retired(OR=0.74,95%CI:0.59-0.93,P=0.009),had a lower level of education(senior high/secondary vocational/technical school:OR=0.84,95%CI:0.76-0.93,P=0.001;junior high school and below:OR=0.75,95%CI:0.65-0.85,P<0.001),consumed alcohol at least once weekly(OR

关 键 词：癌症筛查 癌症防治核心知识知晓率 癌症防治健康素养 健康教育 文化程度 吸烟 

分 类 号：R73-31[医药卫生—肿瘤]