摘要
目的了解广东省妇女参加宫颈癌和乳腺癌筛查的情况及其影响因素,为肿瘤防治工作提供参考依据。方法采用多阶段分层整群抽样方法抽取全省21个监测县(区、市)15～69岁的常住女性居民(在调查地区居住6个月以上)为调查对象。采用面对面问卷调查方式,收集被调查者社会经济状况、健康相关行为、宫颈癌及乳腺癌筛查等方面的内容。采用logistic回归分析方法分析影响两癌筛查率的因素。结果共调查广东省15～69岁女性居民3 488人,其宫颈癌、乳腺癌的筛查率分别为15.5%(536/3 457)、15.1%(525/3 477),其中城市分别25.1%(352/1 405)、28.1%(398/1 415),农村分别为9.0%(184/2 052)、6.2%(127/2 062),城市均高于农村(P<0.01)。25～34、35～44岁年龄组女性两癌筛查率明显高于其他年龄组(P<0.01)。多因素logistic回归分析结果表明,婚姻状况(OR=0.248～0.339)、城乡(OR=4.678)、家庭人均年收入(OR=0.338～0.511)、文化程度(OR=0.353～0.584)是参加两癌筛查的影响因素。结论广东省15～69岁女性参加宫颈癌和乳腺癌筛查率较低,文化程度低、家庭收入低、农村女性宫颈癌及乳腺癌筛查率更低,建议今后加强对该群体的两癌筛查工作。
Objective To understand screening rates of cervical and breast cancer and their influential factors in Guangdong Province, and provide evidence for prevention and control. Methods Female permanent residents （residing more than 6 months in the survey area） aged 15 -69 years were selected from 21 counties （districts, cities） of the province by multi-stage stratified random sampling method. By face-to-face interview, a questionnaire was used to collect data about cervical and breast cancer screening and related risk factors. Logistic regression analysis was used to analyze factors influencing the cancer screening rates. Results A total of 3 488 females aged 15 - 69 years were surveyed. The screening rates for cervical cancer and breast cancer were 15.5% （536/3 457）and 15.1% （525/3 477）, respectively; 25.1% （352/1 405） and 28. 1% （398/1 415） were in urban regions, and 9. 0% （184/2 052） and 6. 2% （ 127/2 062） in rural regions （P 〈 0. 01 ）. Cervical cancer and breast cancer screening rates were higher in 25 - 34 and 35 - 44 age groups than that in other age groups （ P 〈 0. 01 ）. Multiple logistics regressions analysis showed that family income （ OR = 0. 338 - 0. 551 ）, education level （ OR = 0. 355 - 0. 584）, marital status （OR = 0. 248 -0. 339）and region （OR = 4. 678 ）were influential factors of cancer screening. Conclusion The females aged 15 -69 years and living in rural regions with low education level and low family income had lower screening rates for cervical cancer and breast cancer in Guangdong Province. It is recommended to strengthen the two cancer screening for this group in the future.
出处
《华南预防医学》
2010年第2期8-10,14,共4页
South China Journal of Preventive Medicine
关键词
宫颈肿瘤
乳腺肿瘤
筛查率
因素分析
统计学
Cervix neoplasms
Breast neoplasms
Screening rate
Factor analysis, statistical
