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预防医学  2021, Vol. 33 Issue (8): 757-762    DOI: 10.19485/j.cnki.issn2096-5087.2021.08.001
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浙江省居民恶性肿瘤防治核心知识知晓水平及影响因素分析
王乐, 王悠清, 李辉章, 朱陈, 杜灵彬
中国科学院大学附属肿瘤医院(浙江省肿瘤医院)防治科,浙江 杭州 310022
Awareness of core knowledge about cancer prevention and its influencingfactors among residents in Zhejiang Province
WANG Le, WANG Youqing, LI Huizhang, ZHU Chen, DU Lingbin
Department of Cancer Prevention, The Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Hangzhou, Zhejiang 310022, China
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摘要 目的 了解浙江省居民恶性肿瘤防治核心知识知晓水平并分析影响因素,为制订浙江省恶性肿瘤防治健康教育策略提供依据。方法 于2019年11月—2020年10月采用多阶段分层抽样方法抽取浙江省18~74岁常住居民为调查对象,参考《癌症防治核心信息及知识要点》设计调查问卷,收集人口学信息、健康状况和恶性肿瘤防治核心知识知晓情况。采用多因素Logistic回归模型分析居民恶性肿瘤防治核心知识知晓水平的影响因素。结果 有效调查6 974人,男性3 139人,占45.01%;女性3 835人,占54.99%。恶性肿瘤防治核心知识知晓率为74.66%,其中恶性肿瘤基础知识、恶性肿瘤危险因素与一级预防、恶性肿瘤筛查与早诊早治以及恶性肿瘤治疗与康复4个维度的知晓率分别为79.08%、80.83%、76.08%和82.99%。多因素Logistic回归分析结果显示,农村(OR=0.659,95%CI:0.585~0.743)、年龄≥45岁(OR:0.794~0.801,95%CI:0.655~0.981)和肥胖(OR=0.531,95%CI:0.436~0.647)是居民知晓恶性肿瘤防治核心知识的阻碍因素;文化程度为初中/中专/高中及以上(OR:1.390~4.361,95%CI:1.208~5.600)、已婚(OR=1.414,95%CI:1.142~1.752)、行政管理/专业技术人员(OR=2.602,95%CI:2.005~3.377)、销售及服务性工作人员/私营业主(OR=1.368,95%CI:1.111~1.684)、退休(OR=1.345,95%CI:1.105~1.639)、其他职业(OR=1.542,95%CI:1.295~1.838)和有恶性肿瘤筛查或防癌体检经历(OR=1.267,95%CI:1.123~1.428)是居民知晓恶性肿瘤防治核心知识的促进因素。结论 浙江省居民恶性肿瘤防治核心知识知晓率为74.66%,应重点加强高龄、农村地区、文化程度低和肥胖人群的恶性肿瘤防治知识健康教育。
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王乐
王悠清
李辉章
朱陈
杜灵彬
关键词 恶性肿瘤知晓率浙江省健康教育    
AbstractObjective To investigate the current awareness of core knowledge about cancer prevention and its influencing factors among residents in Zhejiang Province, in order to provide a reference for formulating provincial health education strategies of cancer prevention. Methods From November 2019 to October 2020, the permanent residents aged 18-74 years in Zhejiang Province were selected using multi-stage stratified sampling method. A questionnaire was designed according to Core Information and Knowledge on Cancer Prevention to collect general information, health status, and awareness of core knowledge about cancer prevention. The multivariate logistic regression model was used to analyze the influencing factors. Results Among 6 974 valid respondents, 3 139 ( 45.01% ) were males and 3 835 ( 54.99% ) were females. The overall awareness rate of core knowledge about cancer prevention was 74.66%; the awareness rates of basic knowledge, risk factors and primary prevention, screening and early diagnosis as well as treatment and rehabilitation were 79.08%, 80.83%, 76.08% and 82.99%, respectively. The multivariate logistic regression analysis showed that the residents who were in rural areas ( OR=0.659, 95%CI: 0.585-0.743 ), ≥45 years old ( OR: 0.794-0.801, 95%CI: 0.655-0.981 ) and with obesity (OR=0.531, 95%CI: 0.436-0.647) had lower awareness rates, while the residents who were with an educational level of junior high school/technical school/senior high school or above ( OR: 1.390-4.361, 95%CI: 1.208-5.600 ), married (OR=1.414, 95%CI: 1.142-1.752), administrative/technical personnel ( OR=2.602, 95%CI: 2.005-3.377 ), service staff/private business owners ( OR=1.368, 95%CI: 1.111-1.684), retired ( OR=1.345, 95%CI: 1.105-1.639 ) and others ( OR=1.542, 95%CI: 1.295-1.838 ), and with experience of cancer screening or examination ( OR=1.267, 95%CI: 1.123-1.428 ) had higher awareness rates. Conclusion s The awareness rate of core knowledge about cancer prevention in Zhejiang Province is 74.66%. Health education for the residents aged ≥45 years, living in rural areas, having low educational levels, and having obesity should be strengthened.
Key wordscancer    awareness rate    Zhejiang Province    health education
收稿日期: 2021-04-01      出版日期: 2021-08-10
ZTFLH:  R73-31  
基金资助:浙江省卫生健康科技计划(2021KY586)
通信作者: 杜灵彬,E-mail:dulb@zjcc.org.cn   
作者简介: 王乐,博士,主管医师,主要从事肿瘤防控工作
引用本文:   
王乐, 王悠清, 李辉章, 朱陈, 杜灵彬. 浙江省居民恶性肿瘤防治核心知识知晓水平及影响因素分析[J]. 预防医学, 2021, 33(8): 757-762.
WANG Le, WANG Youqing, LI Huizhang, ZHU Chen, DU Lingbin. Awareness of core knowledge about cancer prevention and its influencingfactors among residents in Zhejiang Province. Preventive Medicine, 2021, 33(8): 757-762.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2021.08.001      或      http://www.zjyfyxzz.com/CN/Y2021/V33/I8/757
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