山西省阳城县食管癌筛查人群癌症防治知识水平及影响因素分析

目的了解山西省阳城县2006~2008年40~69岁食管癌筛查人群对癌症防治知识的知晓情况,并分析其影响因素。方法采用分阶段整群抽样的方法,确定山西省阳城县食管癌发病率较高的乡或村作为筛查人群,筛查现场采取一对一的方式进行问卷调查。结果筛查人群癌症防治知识总体知晓率不高;性别、家族史、家庭人均收入水平是影响癌症防治知识知晓率的主要因素。动员人群进行食管癌筛查存在一定难度,做胃镜难受是主要原因。结论应该有侧重的针对女性、家中无肿瘤患者人群进行癌症防治知识的宣传。总筛查人群的癌症防治知识知晓率并不高,应该利用更加有效的措施开展全面的健康教育,以提高当地高危人群的癌症防治知识知晓率及筛检参与率,有利于食管癌的早诊早治。

Analysis on esophageal cancer prevention and its factors in Yangcheng County,Shanxi Province

Objective To understand the prevention knowledge penetration among screened esophageal cancer group,aging from 40-69,from 2006 to 2008 and analyze its influential factors.Methods By stratified and cluster sampling,the villages with highest outbreak rate were selected,one-on-one interview was applied to investigate.Results The average penetration rate was low among screened group,which was influenced by the gender,family history,average family disposable income.It was difficult to persuade people to check-up,since gastroscopy was a very uncomfortable way to do that.Conclusion Female and families without any cancer patients should be knowledge promotion target,more effective education should be conducted to improve understanding rate of prevention and participate rate in check-up procedure,which is conducive to curb and cure the esophageal cancer at early stage.