2023年浙江省居民癌症防治核心知识知晓水平及其影响因素分析  

Awareness of core knowledge about cancer prevention and control among residents in Zhejiang Province and its influencing factors in 2023

作　　者：陶欢青 王乐 姚丁铭[3] 任婉婷 徐越[3] 杜灵彬[1] TAO Huanqing;WANG Le;YAO Dingming;REN Wanting;XU Yue;DU Lingbin(Department of Cancer Prevention,Zhejiang Cancer Hospital,Zhejiang Provincial Office for Cancer Prevention and Control,Hangzhou,Zhejiang 310022,China;School of Public Health,Nanjing Medical University,Nanjing,Jiangsu 211166,China;Department of Health Education,Zhejiang Provincial Center for Disease Control and Prevention,HHaannggzzhhoouu,Zhejiang 310051,China)

机构地区：[1]浙江省肿瘤医院防治科,浙江省肿瘤防治办公室,浙江杭州310022 [2]南京医科大学公共卫生学院,江苏南京211166 [3]浙江省疾病预防控制中心健康教育所,浙江杭州310051

出　　处：《中华肿瘤防治杂志》2025年第1期10-17,共8页Chinese Journal of Cancer Prevention and Treatment

基　　金：浙江省科技厅软科学研究计划(2023C35082)。

摘　　要：目的 了解浙江省居民癌症防治核心知识知晓现状及其影响因素,为制定癌症防控措施提供参考依据。方法 采用多阶段分层整群抽样方法,2023-05-01-2023-09-30随机选取浙江省11个地市中6个城市监测点(富阳区、临安区、奉化区、龙湾区、南浔区、莲都区)和6个农村监测点(海宁市、诸暨市、兰溪市、龙游县、岱山县、玉环市)15~69岁的城乡常住居民为调查对象。开展面对面癌症防治核心知识问卷调查,统计人口学信息和癌症防治核心知识加权知晓率,采用单因素和多因素logistic回归模型分析知晓率的影响因素。结果 纳入受试者2 895名,经加权后居民癌症防治核心知识总体知晓率为71.33%,其中癌症认知、癌症预防、早诊早治、癌症管理和癌症康复素养知晓率分别为66.32%、67.61%、73.47%、84.35%和64.30%。多因素分析结果显示,年龄越大(60~69岁:OR=0.53,95%CI为0.40~0.70,P<0.001)、职业为第二产业(OR=0.61,95%CI为0.46~0.81,P<0.001)、肥胖(OR=0.73,95%CI为0.53~1.00,P=0.047)人群癌症防治知识知晓率更低;文化程度越高(初中:OR=1.69,95%CI:1.36~2.11,P<0.001;高中:OR=3.58,95%CI为2.72~4.71,P<0.001;大专/大学及以上:OR=8.93,95%CI为6.20~12.85,P<0.001)和家庭成员有癌症患者(OR=1.36,95%CI为1.13~1.64,P<0.001),家庭年收入越高(OR=1.52,95%CI为1.18~1.97,P<0.001)居民癌症防治知识知晓率更高。结论 《浙江省居民癌症防治核心知识知晓率高于健康中国行动(2019-2030年)》提出的2022年癌症防治核心知识预期知晓率,但存在人群差异性。未来应进一步针对老年、文化程度较低、从事第二产业工作、农业户口等重点人群开展癌症防治相关健康教育和科普工作。Objective To assess the current level of awareness regarding core knowledge about cancer prevention and control among residents of Zhejiang Province and to identify influencing factors, thereby providing a reference for formulating cancer prevention and control measures. Methods By using a multi-stage stratified cluster sampling method, from May 2023 to September 2023, 6 urban monitoring points(Fuyang District, Lin'an District, Fenghua District, Longwan District, Nanxun District, Liandu District) and 6 rural monitoring points(Haining City, Zhuji City, Lanxi City, Longyou County, Daishan County, Yuhuan City) aged 15-69 were randomly selected from 11 cities in Zhejiang Province as the survey subjects.A questionnaire survey about core knowledge of face-to-face cancer prevention and treatment was conducted,demographic information and weighted awareness rate of core knowledge about cancer prevention were calculated,and univariate and multivariable logistic regression models were used to analyze the influencing factors of awareness rate.Results A total of 2 895 subjects were included.The overall weighting awareness rate of core knowledge about cancer prevention among residents was 71.33%.Awareness rates of cancer knowledge,cancer prevention,early diagnosis and treatment,cancer management and cancer rehabilitation were 66.32%,67.61%,73.47%,84.35% and 64.30%,respectively.Multivariable analysis revealed that older age(60-69 years old:OR=0.53,95%CI:0.40-0.70,P<0.001),employment in the secondary industry(OR=0.61,95%CI:0.46-0.81,P<0.001),and obesity(OR=0.73,95%CI:0.53-1.00,P=0.047)were associated with lower awareness of core knowledge about cancer prevention.Higher educational level(junior high school:OR=1.69,95%CI:1.36-2.11,P<0.001;high school:OR=3.58,95%CI:2.72-4.71,P<0.001;college/university and above:OR=8.93,95%CI:6.20-12.85,P<0.001),having a family member with cancer(OR=1.36,95%CI:1.13-1.64,P<0.001),and higher household income(OR=1.52,95%CI:1.18-1.97,P<0.001)were associated with higher awareness.Conclusions The awarenes

关 键 词：癌症防治核心知识知晓率 年龄 职业 文化程度 家庭年收入 浙江省 

分 类 号：R730.1[医药卫生—肿瘤]