2015—2017年中国城市居民肿瘤早治疗意识现况及相关因素分析

目的分析中国城市居民肿瘤早治疗意识及其人口学、社会学等影响因素。方法采用横断面调查的方法,于2015—2017年以2015年度"城市癌症早诊早治项目"覆盖的16个项目省份为研究现场,采用整群及方便抽样的方法,将年龄≥18岁、能够理解调查程序的居民纳入研究。共纳入32257名研究对象,其中社区居民、癌症风险评估/筛查干预人群、现患癌症患者及职业人群分别有15524、8016、2289、6428名。调查问卷收集个人信息、肿瘤早治疗态度及影响其态度的原因等信息。比较不同组别早治疗态度构成比的差异;采用多因素logistic回归模型分析肿瘤早治疗态度的影响因素。结果假设本人被确诊为癌前病变/癌症,社区居民、癌症风险评估/筛查干预人群、现患癌症患者和职业人群选择积极治疗者分别占89.97%、91.84%、93.00%和91.52%(P<0.001);假设直系亲属被确诊为癌前病变/癌症,4组人群选择鼓励亲属早期治疗者分别占91.96%、91.94%、92.44%、91.55%(P<0.001)。公司职员、家庭年收入4万元及以上者、其他3个亚组人群选择积极治疗意愿相对较高(P<0.05);男性、丧偶、无业人员、中西部地区的受访者积极治疗的意愿较低(P<0.05)。结论2015—2017年中国城市居民肿瘤早治疗意识较高;婚姻状况、职业、家庭年收入、区域是居民肿瘤早治疗意识的影响因素。

Analysis on the consciousness of the early cancer treatment and its influencing factors among urban residents in China from 2015 to 2017

Objective To understand the consciousness of the cancer early treatment and its demographic and socioeconomic factors.Methods A cross-sectional survey was conducted in 16 provinces covered by the Cancer Screening Program in Urban China(CanSPUC)from 2015 to 2017.A total of 32257 local residents aged≥18 years old who could understand the investigation procedure were included in the study by using the cluster sampling method and convenient sampling method.All local residents were categorized into four groups,which contained 15524 community residents,8016 cancer risk assessment/screening population,2289 cancer patients and 6428 occupational population,respectively.The questionnaire collected personal information,the consciousness of the cancer early treatment and relevant factors.The Chi square test was used to compare the difference between the consciousness of the cancer early treatment and relevant factors among the four groups.The logistic regression model was used to analyze the influencing factors related to the consciousness of the cancer early treatment.Results With the assumption of being diagnosed as precancer or cancer,89.97%of community residents,91.84%of cancer risk assessment/screening population,93.00%of cancer patients and 91.52%of occupational population would accept active treatments(P<0.001).If the immediate family members were diagnosed as precancer or cancer,people who would encourage their family members to receive early treatment in the four groups accounted for 91.96%,91.94%,92.44%and 91.55%,respectively(P<0.001).The company employees,annual household income with 40000 yuan and more and other three groups had a relatively better consciousness of the cancer early treatment(P<0.05).Male,widowed,unemployed and from the central and western regions had a relatively worse consciousness of the cancer early treatment(P<0.05).Conclusion Residents in urban China participants had a good consciousness of the cancer early treatment.The marital status,occupation,annual household income and residential regions were major factors related to the consciousness of the cancer early treatment.