摘要
【目的】了解企业职业人群的大肠癌筛查行为及相关因素,为提高职业人群大肠癌筛查参与率提出相应干预策略。【方法】于2016年采用自行设计的问卷,对上海市黄浦区某企业203名40~60岁职业人群的大肠癌筛查行为及其相关因素进行横断面调查。使用单因素和二元非条件logistic回归模型进行统计学分析。【结果】职业人群便隐血检测(FOBT)参与率为8.4%,直肠指检参与率为50.2%。多因素分析显示,文化程度较高(OR=4.27,95%CI为2.13~8.56)、正常体重及低体重(BMI<24)(OR=1.93,95%CI为1.03~3.62)、大肠癌知识水平较高(OR=3.27,95%CI为1.76~6.09)是促使职业人群进行直肠指检的相关因素。【结论】职业人群FOBT、直肠指检参与率较低,企业应针对重点人群开展职工健康教育和促进活动,进一步提高大肠癌筛查的参与率。
[Objective]To investigate the screening behaviors and identify the relation factors for colorectal cancer（ CRC） in an enterprise＇s occupational population,and to propose strategies for targeted interventions to increase CRC screening rate in these population. [Methods] A cross-sectional investigation was conducted among occupational population aged 40-60 in an enterprise in 2016. Data on CRC screening behaviors and potential relation factors were collected. A group of 203 participants fulfilled the self-reported questionnaires. Univariate analysis and multiple logistic regression analysis were conducted. [Results]The participation rate was 8. 4% for fecal occult blood test（ FOBT） and 50. 2% for digital rectal examination（ DRE） in occupational population. In the multiple logistic regression analysis,participants with higher educational level（ OR = 4. 27,95% CI： 2. 13-8. 56）,normal weight and underweight（ BMI 24）（ OR =1. 93,95%CI： 1. 03-3. 62）,higher knowledge level about CRC（ OR = 3. 27,95% CI： 1. 76-6. 09）were more likely to undergo DRE. [Conclusion]The participation rate of FOBT and DRE are low in occupational population. Considerable efforts have to be made to target certain groups with effective ways of health education campaign,so as to further increase the CRC screening rate.
作者
何丽华
高淑娜
李为翊
杜娟
陈铭灵
纪云芳
王烨菁
HE Li-hua, GAO Shu-na, LI Wei-yi, DU Juan, CHEN Ming-ling, JI Yun-fang, WANG Ye-jing(Huangpu District Center for Diseases Control and Prevention, Shanghai 200023, Chin)
出处
《上海预防医学》
CAS
2018年第7期591-596,共6页
Shanghai Journal of Preventive Medicine
基金
上海市黄浦区科委课题(HKW201353)
上海市黄浦区优秀青年人才项目(HPYQ-01)
上海市黄浦区优秀学科带头人项目(HPXD-05)
关键词
大肠癌
筛查
职业人群
相关因素
colorectal cancer
screening
occupational population
related factor
