我们的网站为什么显示成这样?

可能因为您的浏览器不支持样式,您可以更新您的浏览器到最新版本,以获取对此功能的支持,访问下面的网站,获取关于浏览器的信息:

|本期目录/Table of Contents|

西宁市居民的肿瘤防治健康素养现况调查(PDF)

《现代预防医学》[ISSN:1003-8507/CN:51-1365/R]

期数:
2022年09期
页码:
1647-1652
栏目:
健康与社会行为
出版日期:
2022-05-15

文章信息/Info

Title:
Investigation on the health literacy of the cancer prevention and treatment among residents in Xining
作者:
易芳1闫国福2赵思佳2王青青1杨中华1武文博1张铃林3容丽楼1万绍平1
1.肿瘤预防研究中心,四川省肿瘤医院·研究所,四川省癌症防治中心,电子科技大学医学院,四川 成都 610041;
2.青海省第五人民医院(青海省肿瘤医院),健康管理中心;
3.成都中医药大学,公共卫生学院
Author(s):
YI Fang* YAN Guo-fu ZHAO Si-jia WANG Qing-qing YANG Zhong-hua WU Wen-bo ZHANG Ling-lin RONG Li-lou WAN Shao-ping
*Center for Cancer Prevention Research, Sichuan Cancer Hospital&Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan 610041, China
关键词:
肿瘤 健康素养 预防 早发现 早诊治
Keywords:
Neoplasms Health literacy Prevention Early discovery Early diagnosis and treatment
分类号:
R193
DOI:
-
文献标识码:
A
摘要:
目的 了解西宁市居民肿瘤防治健康素养现况,为当地制定肿瘤防控策略及措施提供科学依据。方法 2021年6至8月,通过整群方便抽样在西宁市5个社区对1 036名居民进行肿瘤防治健康素养问卷调查,采用χ2、Fisher精确检验比较不同特征的居民肿瘤防治健康素养水平差异。结果 西宁市居民肿瘤防治健康素养水平为63.3%。各维度分析显示,肿瘤预防意识相关问题的正确回答率范围为43.0%~94.0%,其中,饮食及锻炼因素等问题的正确回答率最高,超88%,女性针对雌激素会增加患乳腺癌风险的预防意识最低,仅43.0%; 早发现意识中,34%的居民自评有患癌风险,有风险人群考虑肿瘤筛查者占83.8%,近五年参加体检者占79.3%,但体检项目包含肿瘤筛查的比例为46.2%; 早诊断意识中,90.7%的居民发现异常结果后会选择进一步检查; 早治疗意识中,88.4%的居民若被确诊为癌前病变或癌症时会选择积极治疗; 居民对肿瘤防治知识的需求度为79.0%。不同年龄、性别、文化程度、职业及自评患癌风险者的健康素养水平有差异。结论 西宁市居民肿瘤防治健康素养达到一定水平,但仍有较大提升空间。居民肿瘤预防意识、早发现意识有待提升,早诊早治意识水平较高,对肿瘤防治知识、筛查的需求度大,需加大肿瘤防治知识普及及相关防控措施落实的力度。
Abstract:
Objective To understand the health literacy of the cancer prevention and treatment among Xining residents, and to provide a scientific basis for local government to formulate cancer prevention and control strategies and measures. Methods From June to August 2021, a questionnaire survey on the health literacy of the cancer prevention and treatment was conducted among 1036 residents in 5 communities of Xining City by using the cluster sampling method and convenient sampling method. The χ2 and Fisher’s exact test were used to compare the level of health literacy among residents with different characteristics. Results The health literacy level of the cancer prevention and treatment among Xining residents was 63.3%. Analysis of various dimensions showed that the correct answer rates of questions related to the cancer prevention consciousness ranged from 43.0% to 94.0%. Among them, the correct answer rate for questions such as dietary and exercise factors was the highest, exceeding 88%, and women’s prevention awareness of estrogen increasing the risk of breast cancer was the lowest, only 43.0%. About early discovery awareness, there were 34% of total study population with self-reported cancer risk. Among population with cancer risk, 83.8% considered cancer screening. In the past five years, 79.3% of residents participated in physical examination. Among them, 46.2% participated in cancer screening. About early diagnosis awareness, as for residents with abnormal result from the physical examination, 90.7% of residents would choose to seek medical treatment for further diagnosis. About early treatment awareness, with the assumption of being diagnosed as pre-cancer or cancer, 88.4% of residents would accept active treatment; The proportion of residents who need the cancer prevention and treatment knowledge was 79.0%. There were differences in the health literacy levels of people with different age, gender, educational level, occupation and self-assessed cancer risk. Conclusion The health literacy of the cancer prevention and treatment of Xining residents has reached a certain level, but there is still room for improvement. The consciousness of the cancer prevention and early discovery should be improved and the consciousness of the early diagnosis and treatment was relatively high. There was a high demand for the cancer prevention and treatment knowledge and cancer screening among residents in Xining. It is necessary to strengthen the popularization of cancer knowledge and the implementation of related prevention and control measures.

参考文献/References

[1] World Health Organization. National cancer control programmes: Policies and managerial guidelines[EB/OL]. [2022-03-07]. https://apps.who.int/iris/bitstream/handle/10665/37815/%209241544740.pdf; %20jsessionid=9C70C98044CF 083D66E695B8848E65D9?sequence=1.
[2] Cho YI, Lee SY, Arozullah AM, et al. Effects of health literacy on health status and health service utilization amongst the elderly[J]. Social Science & Medicine(1982), 2008, 66(8): 1809-1816.
[3] Yates C. Exploring variation in the ways of experiencing health information literacy: A phenomenographic study[J]. Library & Information Science Research, 2015, 37(3): 220-227.
[4] 石菊芳,毛阿燕,刘成成,等.2015—2017年中国城市居民肿瘤防治健康素养调查专题设计方案[J].中华预防医学杂志,2020,54(1):108-109.
[5] 周敏茹,许志华,马福昌,等.2020年青海省肿瘤登记地区恶性肿瘤死亡特征及1975-2020年变化分析[J].中国肿瘤,2021,30(11):834-840.
[6] 董佩,石菊芳,邱五七,等.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[J].中华预防医学杂志,2020,54(1):76-77.
[7] 张先慧,王旭峰,刘蔚,等.2020年济南市18岁以上居民癌症防治健康素养现状及相关因素分析[J].预防医学论坛,2021,27(10):766-769.
[8] 吴妮,黄开勇,杨莉.广西城市居民肿瘤防治健康素养现状和影响因素[J].中华疾病控制杂志,2019,23(6):711-716.
[9] 徐志荣,张慧萍,王晓君,等.昆明市官渡区居民肿瘤防治健康素养现状调查[J].中国卫生产业,2017,14(24):170-172.
[10] 刘成成,石春雷,石菊芳,等.2015—2017年中国城市居民肿瘤预防意识健康素养及相关因素分析[J].中华预防医学杂志,2020,54(1):47-48.
[11] 张万岱,胡伏莲,萧树东,等.中国自然人群幽门螺杆菌感染的流行病学调查[J].现代消化及介入诊疗,2010,15(5):265-270.
[12] 毛阿燕,石菊芳,邱五七,等.2015—2017年中国城市居民肿瘤早发现意识现况及相关因素分析[J].中华预防医学杂志,2020,54(1):54-55.
[13] 程萱,董佩,石菊芳,等.2015—2017年中国城市居民早诊断意识现况及相关因素分析[J].中华预防医学杂志,2020,54(1):62-63.
[14] 李慧超,王坤,袁延楠,等.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[J].中华预防医学杂志,2020,54(1):69-70.
[15] 万绍平,易芳,王青青,等.中国肿瘤健康教育现状与对策分析[J].肿瘤预防与治疗,2019,32(11):955-961.
[16] 王坤,刘成成,毛阿燕,等.2015—2017年中国城市居民对肿瘤防治知识的需求、获取途径及相关因素分析[J].中华预防医学杂志,2020,54(1):84-85.

备注/Memo

备注/Memo:
基金项目:四川省科技厅项目(2021YFQ0032)
作者简介:易芳(1993—),女,硕士,研究实习员,研究方向:肿瘤健康管理、流行病学
通讯作者:万绍平; E-mail:wsp65@vip.163.com
更新日期/Last Update: 2022-05-13