Abstract：Objective 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.
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.
 ZHANG S,SUN K,ZHENG R,et al.Cancer incidence and mortality in China,2015[J].J Nal Cancer Cent,2021,1(1):2-11.  WEI W Q,ZENG H M,ZHENG R S,et al.Cancer registration in China and its role in cancer prevention and control[J].Lancet Oncol,2020,21(7):e342-e349.  FLEARY S A,PAASCHE-ORLOW M K,JOSEPH P,et al.The relationship between health literacy,cancer prevention beliefs,and cancer prevention behaviors[J].J Cancer Educ,2019,34(5):958-965.  KIM K,HAN H R.The association between health literacy and breast and cervical cancer screening behaviors:findings from the behavioral risk factor surveillance system[J].Nurs Res,2019,68(3):177-188.  PAPADAKOS J K,HASAN S M,BARNSLEY J,et al.Health literacy and cancer self-management behaviors:a scoping review[J].Cancer,2018,124(21):4202-4210.  李英华,陈万青.健康素养:癌症防控新视角[J].中华预防医学杂志,2020,54(1):2-5.  中华人民共和国中央人民政府.健康中国行动(2019—2030年)[EB/OL].(2019-07-15)[2021-05-28].http://www.gov.cn/xinwen/2019-07/15/content_5409694.htm.  庞怡,鲍萍萍,顾凯,等.上海市居民恶性肿瘤防治核心知识知晓水平调查[J].预防医学,2020,32(11):1164-1166.  中华人民共和国国家卫生健康委员会.健康中国行动——癌症防治实施方案(2019—2022年)[J].中国肿瘤,2019,28(11):803-806.  省委省政府健康浙江建设领导小组办公室.健康浙江——癌症防治行动三年实施方案(2020—2022年)[J].肿瘤学杂志,2020,26(12):1009-1012.  孙惠昕,张茂祥,王婉莹,等.黑龙江省居民癌症防治核心知识知晓情况调查分析[J].肿瘤综合治疗电子杂志,2021(1):51-54.  佟爽,阎佳宁,尚德高,等.辽宁省城乡居民癌症防治核心知识知晓情况分析[J].中国慢性病预防与控制,2019,27(11):845-458.  王德征,王冲,张爽,等.天津市微信虚拟社区居民癌症防治知识知晓现状及影响因素的分类树分析[J].中国慢性病预防与控制,2018,26(12):910-915.  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):47-53.  王悠清,李辉章,龚巍巍,等.2015年浙江省肿瘤登记地区恶性肿瘤发病与死亡分析[J].中国肿瘤,2019,28(1):12-22.  SUNG H,SIEGEL R L,TORRE L A,et al.Global patterns in excess body weight and the associated cancer burden[J].CA Cancer J Clin,2019,69(2):88-112.  杜灵彬,王乐,陈明.推进癌症筛查助力健康浙江[J].中国肿瘤,2020,29(12):897-898.  王乐,李辉章,朱陈,等.浙江省2013—2018年城市居民结直肠癌筛查结果及成本效果分析[J].中华流行病学杂志,2020,41(12):2080-2086.  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):76-83.  彭慧,张一英,黄芳,等.健康素养、大肠癌筛查知信行与肠镜顺应性相关性[J].中国公共卫生,2019,35(5):594-598.