2015-2017年中国城市居民肿瘤防治健康素养现况及相关因素分析
Analysis on the health literacy of the cancer prevention and treatment and its related factors among urban residents in China from 2015 to 2017
查看参考文献38篇
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文摘
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目的了解我国城市居民肿瘤防治健康素养现况,并探讨其相关因素。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32 257名研究对象,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15 524、8016、2 289、6 428名。对肿瘤预防、早发现、早诊断、早治疗、防治知识需求等态度和意识方面的健康素养情况进行分析;比较不同人群健康素养水平;采用多因素logistic回归模型分析居民肿瘤防治健康素养的影响因素。结果我国城市居民的肿瘤防治健康素养水平为56.97%;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的肿瘤防治健康素养水平分别为55.01%、59.08%、61.99%、57.31%(P<0.00l)。与≤39岁人群、事业单位人员/公务员、已婚、东部地区、自评无患癌风险人群相比,50~69岁、其他职业、非在婚、中西部地区、患癌风险自评不清楚者肿瘤防治健康素养水平较低(P<0.05);与男性、小学及以下文化程度的人群及社区居民相比,女性、高中/中专以上文化程度人群、癌症风险评估/筛查干预人群、现患癌症患者和职业人群的肿瘤防治健康素养水平均较高(P< 0.05)。结论我国城市居民肿瘤防治意识角度的健康素养水平较高,但仍有可提升空间;性别、年龄、文化程度、职业、地区、婚姻状况、患癌风险自评、人群分类等是肿瘤防治健康素养的主要影响因素;男性、50~69岁、低文化程度、中西部地区、不清楚患癌风险、无特定环境接触肿瘤防治知识及相关危险因素的人群是肿瘤防治健康素养应重点干预的人群。 |
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其他语种文摘
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Objective To understand the health literacy of the cancer prevention and treatment among urban residents of China, and explore the related 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 32 257 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 15 524 community residents, 8 016 cancer risk assessment / screening population, 2 289 cancer patients and 6 428 occupational population, respectively. The health literacy of the cancer prevention, early discovery, early diagnosis, early treatment and the demands of cancer prevention and treatment knowledge was analyzed. The level of health literacy among different groups were calculated and compared. The binary logistic regression model was used to analyze the influencing factors of the health literacy of the cancer prevention and treatment. Results The level of health literacy of the cancer prevention and treatment was 56.97% among all study population; in each group it was 55.01% for community residents, 59.08% for cancer risk assessment/screening population, 61.99% for cancer patients and 57.31% for occupational population, respectively (P<0.001). The level of health literacy of the cancer prevention and treatment of residents aged 50 to 69 years old, other occupational groups, unmarried, the central and western region residents and the group with unclear self-assessment of cancer risk was significantly lower than that of residents younger than 40 years old, personnel of public institutions/civil servants, married, the eastern region residents and the group whose self-assessment without cancer risk (P < 0.05). The level of health literacy of cancer prevention and treatment of females, people who went to high school or over, cancer risk assessment/screening population, cancer patients and occupational population was significantly higher than that of males, people who had an education level of primary school or below and community residents (P < 0.05). Conclusion The health literacy of the cancer prevention and treatment of urban residents in China was relatively high, but there was still room for improvement. Gender, age, educational level, occupation, region, marital status, self-assessment of cancer risk, and type of respondents were the key influencing factors of the health literacy of the cancer prevention and treatment. Male, 50-69 years old, lower educational level, central and western regions, unclear cancer risk self-assessment, and without specific environmental exposure to cancer prevention and treatment knowledge or related risk factors were the characteristics of the key intervention group of the health literacy of the cancer prevention and treatment. |
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来源
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中华预防医学杂志
,2020,54(1):76-83 【核心库】
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DOI
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10.3760/cma.j.issn.0253-9624.2020.01.015
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关键词
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肿瘤
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健康素养
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横断面研究
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因素分析,统计学
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地址
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中国医学科学院医学信息研究所公共卫生战略情报研究室, 北京, 100020
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国家癌症中心中国医学科学院北京协和医学院肿瘤医院癌症早诊早治办公室, 国家肿瘤临床医学研究中心, 北京, 100021
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国家癌症中心中国医学科学院北京协和医学院肿瘤医院药物临床试验研究中心, 国家肿瘤临床医学研究中心, 北京, 100021
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安徽医科大学卫生管理学院, 合肥, 230032
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哈尔滨医科大学公共卫生学院, 150081
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湖南省肿瘤医院肿瘤防治办公室, 长沙, 410006
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兰州大学公共卫生学院, 730000
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山东大学医药卫生管理学院, 济南, 250012
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广西医科大学公共卫生学院, 南宁, 530021
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安徽省肿瘤医院防癌科, 合肥, 230032
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哈尔滨医科大学附属肿瘤医院肿瘤防治办公室, 150081
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重庆大学附属肿瘤医院重庆市肿瘤研究所重庆市肿瘤医院肿瘤防治办公室, 400030
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甘肃省肿瘤医院肿瘤流行病研究中心, 兰州, 730050
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山西省肿瘤医院流行病室, 太原, 030013
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云南省疾病预防控制中心慢性非传染性疾病防制所, 昆明, 650118
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江苏省疾病预防控制中心慢性非传染性疾病防制所, 南京, 210009
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山东省肿瘤医院肿瘤防治办公室, 济南, 250117
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辽宁省疾病预防控制中心慢性非传染性疾病防制所, 沈阳, 110005
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辽宁省肿瘤医院肿瘤防治办公室, 沈阳, 110042
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新疆医科大学附属肿瘤医院肿瘤防治研究所, 乌鲁木齐, 830011
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郑州大学附属肿瘤医院河南省肿瘤医院肿瘤防治研究办公室, 450008
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中国科学院大学附属肿瘤医院浙江省肿瘤医院肿瘤防治科, 杭州, 310022
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河北医科大学第四医院肿瘤研究所肿瘤防治办公室, 石家庄, 050011
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徐州市疾病预防控制中心慢性非传染性疾病防制所, 221006
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南通市疾病预防控制中心健康教育与慢性病防制所, 226000
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宁波市第二医院内分泌科, 315010
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开滦总医院心血管内科, 唐山, 063000
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唐山市人民医院癌症早诊早治办公室, 063001
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国家癌症中心中国医学科学院北京协和医学院肿瘤医院防癌科, 国家肿瘤临床医学研究中心, 北京, 100021
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语种
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中文 |
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文献类型
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研究性论文 |
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ISSN
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0253-9624 |
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学科
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医药、卫生 |
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基金
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国家重大公共卫生服务项目城市癌症早诊早治项目
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国家重点研发计划
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中国医学科学院医学与健康科技创新工程项目
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北京城市癌症早诊早治项目卫生经济学评价
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文献收藏号
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CSCD:6650706
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