摘要
目的分析江西省南昌市某三甲医院目标人群早期胃癌筛查意愿的影响因素,为开展早期胃癌防治健康宣教工作提供指导作用。方法2021年11月至2022年1月于南昌市某三甲医院健康管理中心纳入符合《中国早期胃癌筛查流程专家共识意见》中的146名早期胃癌筛查目标人群进行筛查意愿调查,分析筛查意愿水平及其影响因素。结果纳入调查的146名人员中,完成早期胃癌筛查90人,未完成筛查56人。筛查信念各维度总得分情况为:行为态度(16.63±2.55)分、主观规范(8.32±1.38)分、知觉行为控制(11.92±1.94)分:各维度条目均分由高到低为:主观规范(4.16±0.77)分、行为态度(4.16±0.70)分、知觉行为控制(3.97±0.83)分。单因素分析结果显示,文化程度(χ^(2)=13.977,P=0.005)、幽门螺杆菌感染史(χ^(2)=9.999,P=0.002)、胃癌家族史(χ^(2)=10.905,P=0.001)、胃部相关疾病史(χ^(2)=23.393,P<0.001)、行为态度(Z=4.460,P<0.001)、主观规范(Z=5.138,P<0.001)、知觉行为控制(Z=4.191,P<0.001)均与目标人群早期胃癌筛查行为有关联。多因素Logistic回归分析结果显示,胃部相关疾病史(OR=0.021,95%CI 0.004~0.114,P<0.001)、胃癌家族史(OR=0.019,95%CI 0.001~0.282,P=0.004)、主观规范(OR=1.701,95%CI 1.077~2.686,P=0.023)、知觉行为控制(OR=1.573,95%CI 1.048~2.361,P=0.029)是目标人群早期胃癌筛查行为的影响因素。结论目标人群的早期胃癌筛查行为受到胃部相关疾病史、主观规范和知觉行为控制的影响,可针对性地加强早期胃癌防治知识宣教工作,不断提高目标人群胃癌防治知识水平和自主筛查意识,从而提高目标人群早期胃癌筛查率,降低胃癌发病率。
Objective To analyze the factors influencing the willingness of early gastric cancer screening among the target population of a classⅢgradeⅠhospital in Nanchang city,Jiangxi province,and to provide guidance for health education of early gastric cancer prevention and treatment.Methods From November 2021 to January 2022,146 target subjects for early gastric cancer screening who were in accordance with the“Expert Consensus Opinions on Early Gastric Cancer Screening Process in China”were included for screening willingness survey in the health management center of a classⅢgradeⅠhospital in Nanchang city.The level and influencing factors of screening willingness were analyzed.Results Among the 146 subjects,90 completed early gastric cancer screening,and 56 did not.The score of screening belief was 16.63±2.55 for behavioral attitude,8.32±1.38 for subjective norm,and 11.92±1.94 for perceived behavioral control.The average score of each dimension item from high to low was subjective norm(4.16±0.77),behavioral attitude(4.16±0.70),and perceptual behavior control(3.97±0.83).Univariate analysis showed that educational level(χ^(2)=13.977,P=0.005),history of Helicobacter pylori infection(χ^(2)=9.999,P=0.002),family history of gastric cancer(χ^(2)=10.905,P=0.001),history of stomach-related diseases(χ^(2)=23.393,P<0.001),behavioral attitude(Z=4.460,P<0.001),subjective norm(Z=5.138,P<0.001),and perceived behavioral control(Z=4.191,P<0.001)were associated with early gastric cancer screening behavior in the target population.Multivariate logistic regression analysis showed that the history of stomach-related diseases(OR=0.021,95%CI:0.004-0.114,P<0.001),family history of gastric cancer(OR=0.019,95%CI:0.001-0.282,P=0.004),subjective norm(OR=1.701,95%CI:1.077-2.686,P=0.023),and perceived behavioral control(OR=1.573,95%CI:1.048-2.361,P=0.029)were the factors influencing early gastric cancer screening behaviors in the target population.Conclusion The early gastric cancer screening behavior of the target population i
作者
任世广
李雪芹
刘莹悦
何乐剑
黄文蕾
王丹丹
何朝珠
REN Shi-guang;LI Xue-qin;LIU Ying-yue;HE Le-jian;HUANG Wen-lei;WANG Dan-dan;HE Chao-zhu(Department of Gastroenterology,the Second Affiliated Hospital,Nanchang University,Nanchang 330006,China;School of Nursing,Nanchang University,Nanchang 330006,China)
出处
《实用临床医学（江西）》
CAS
2023年第1期92-98,101,共8页
Practical Clinical Medicine
基金
江西省科技厅重点研发计划项目(20202BBGL73071)
江西省卫健委科技计划项目(202210562)
江西省教育厅一般项目(GJJ200173)。
关键词
早期胃癌
目标人群
筛查
影响因素
early gastric cancer
target population
screening
influencing factors
