摘要
目的探讨肺癌高危人群对癌症防治核心知识认知情况并对其影响因素进行分析。方法以2017年3月至2019年12月在上海市某医院胸外科完成肺癌高危人群筛查并判断为肺癌高危人群的居民为研究对象,开展癌症防治核心知识知晓情况调查,采用描述流行病学分析方法对癌症防治核心知识掌握情况进行分析,并采用单、多因素分析方法对知识掌握影响因素进行分析。结果共纳入肺癌高危人群416例,年龄40~72岁,男性269例,女性147例,分别占64.66%、35.34%。癌症防治核心知识知晓326例,知晓率为78.4%。知晓率最高的为"体检或癌症筛查有利于早期发现癌症"、"癌症无传染性;癌症早期可无明显症状;癌症检查价格并非越高效果越好"、"戒烟有利于预防肺癌",知晓率分别为92.79%、92.31%、90.38%。知晓率最低的为"适龄生育、母乳喂养、多进行身体活动、保持合适体重、少饮酒和定期体检有利于预防乳腺癌"、"肺癌早期筛查的有效方法"、"导致癌症发病的高风险因素",知晓率分别为50.24%、37.98%、34.86%。二分类Logistic回归分析结果显示,年龄60~72岁(OR=0.418)、文化程度为大专及以上(OR=2.309)、职业类型为医疗卫生行业(OR=4.121)是肺癌高危人群癌症防治核心知识知晓的影响因素。结论肺癌高危人群防癌认知的总体知晓情况较好,但还应针对年龄较大、文化程度较低及非医疗卫生行业人群进一步加强癌症防治宣传,不断提高广大居民群众的防癌知识认知水平。
Objective To explorethe awareness of core knowledge on cancer prevention and treatment in highrisk population of lung cancer,and analyze its influencing factors. Methods A survey was carried out on the core knowledge of cancer prevention and treatment among residents who were screened and identified as high-risk lung cancer group after physical examination in a thoracic surgery of a hospital in Shanghai from March 2017 to December 2019.Descriptive epidemiological analysis was used to analyze the core knowledge mastery of cancer prevention and treatment,and univariate and multivariate analysis methods were used to analyze the factors affecting knowledge mastery. Results A total of416 cases with high risk of lung cancer aged 40-72 years were included,including 269 males and 147 females,accounting for 64.66% and 35.34%,respectively. The core knowledge of cancer prevention and treatment was known in 326 cases,and the awareness rate was 78.4%.The highest awareness rates were 92.79%,92.31%,90.38%,respectively,on the following three topics:"Physical examination or cancer screening is conducive to early detection of cancer","Cancer is not infectious;The early stage of cancer may have no obvious symptoms;Cancer examination is not the higher the price,the better the effect ","Smoking cessation is conducive to the prevention of lung cancer". The lowest awareness rates were50.24%,37.98% and 34.86%,respectively,on the following three topics:"Give birth at proper age,breastfeeding,more physical activity,proper weight,less alcohol consumption and regular physical examination are beneficial to the prevention of breast cancer","Effective methods for early screening of lung cancer"and"High risk factors leading to the development of cancer". Binary Logistic regression analysis showed that aged 60-72 years(OR=0.418),education level of junior college or above(OR=2.309),occupation type of health care industry(OR=4.121)werethe influencing factors of core knowledge of cancer prevention and treatmentin high-risk population of lung cancer
作者
刘琳琳
姜春叶
陈佳燕
LIU Lin-lin;JIANG Chun-ye;CHEN Jia-yan(Shanghai Changhai Hospital(The First Affiliated Hospital of Naval Military Medical University),Shanghai 200433,China;North Hospital of Huashan Hospital,Fudan University)
出处
《华南预防医学》
2021年第3期315-318,共4页
South China Journal of Preventive Medicine
关键词
肺癌
高危人群
癌症防治
知晓率
控烟
Lung cancer
High-risk population
Cancer prevention and treatment
Awareness rate
Tobacco control
