摘要
目的了解广东省深圳市居民癌症防治核心知识知晓情况及影响因素,为制定癌症防治健康策略提供科学依据。方法2021—2024年采用多阶段分层抽样的方法抽取10个区15~69岁常住居民作为调查对象,通过问卷星电子问卷获取社会人口学特征、癌症家族史、癌症核心知识知晓情况等问卷资料,计算各维度知识知晓率和人群总体知晓率,应用χ^(2)检验和多因素Logistic回归分析知晓率的影响因素。结果2021—2024年深圳市癌症防治核心知识人群知晓率为68.84%,各年度知晓率分别为65.57%、68.06%、70.60%和72.49%(Z=-6.839,P<0.001);“癌症管理素养”维度知识平均知晓率最高(79.20%),“癌症康复素养”维度知识平均知晓率最低(55.81%)。多因素Logistic回归分析显示,相对于女性、体质指数正常者、过去1年健康状况自觉一般者,男性、肥胖者、过去1年自觉健康状况好/较好者的癌症防治核心知识不达标的可能性较高,OR值分别为1.147(95%CI:1.057~1.245)、1.514(95%CI:1.345~1.705)、1.257(95%CI:1.152~1.372)。相对于医务工作者,农业劳动人员、专业技术人员、公务员及事业单位工作人员、商业零售或服务人员、在校学生、离退休人员、其他职业人员的癌症防治核心知识不达标的可能性较高,OR值分别为3.928(95%CI:3.241~4.759)、1.880(95%CI:1.625~2.176)、3.128(95%CI:2.700~3.623)、2.634(95%CI:2.265~3.062)、1.738(95%CI:1.410~2.143)、2.778(95%CI:2.174~3.549)、2.473(95%CI:2.112~2.894)。结论2021—2024年深圳市癌症防治核心知识人群知晓率逐年上升,不同维度的知晓率存在较大差异,应继续加强重点人群以及薄弱维度的健康宣教,提升深圳市居民癌症防治知识水平。
Objective To investigate the awareness of core knowledge of cancer prevention and treatment and its influencing factors among residents in Shenzhen City,Guangdong Province.Methods From 2021 to 2024,a multistage stratified sampling method was used to select permanent residents aged 15-69 years from 10 districts.Data on socio-demo-graphic characteristics,family history of cancer and core cancer knowledge were obtained through the"Wenjuanxing"elec-tronic questionnaire.The awareness of core knowledge of cancer prevention and treatment was calculated,and its influencing factors were analyzed using the Chi-square test and multivariate logistic regression.Results From 2021 to 2024,the overall awareness rate of the core knowledge of cancer prevention and treatment in Shenzhen City was 68.84%,with annual rates of 65.57%,68.06%,70.60%and 72.49%,respectively(Z=-6.839,P<0.001).The dimension of"Cancer Man-agement Literacy"exhibited the highest awareness rate(79.20%),while"Cancer Rehabilitation Literacy"was lowest(55.81%).Multivariate logistic regression analysis indicated that the residents who were males,obesity,or rated their health status as good/better over the past year had higher likelihood of not meeting the core knowledge standards for cancer prevention and control with OR values of 1.147(95%CI:1.057-1.245),1.514(95%CI:1.345-1.705),and 1.257(95%CI:1.152-1.372),respectively.Compared to medical workers,the residents who were agricultural labor-ers,professional and technical personnel,civil servants and staffs of public institutions,commercial retail or service per-sonnel,students,retirees,and other occupational groups had higher likelihood of not meeting the core knowledge standards for cancer prevention and control with OR values of 3.928(95%CI:3.241-4.759),1.880(95%CI:1.625-2.176),3.128(95%CI:2.700-3.623),2.634(95%CI:2.265-3.062),1.738(95%CI:1.410-2.143),2.778(95%CI:2.174-3.549),and 2.473(95%CI:2.112-2.894),respectively.Conclusion From 2021 to 2024,the awareness rate of core knowledge of cancer prevention and treatment in Shenzhen City increased with significantly variations across different dimensions.Targeted health education and publicity efforts should be intensified for key populations and weaker dimensions to further enhance the overall level of cancer prevention and treatment knowledge among residents in Shenzhen City.
作者
林铠浩
刘芳江
蔡伟聪
王一茸
雷林
赵志广
LIN Kai-hao;LIU Fang-jiang;CAI Wei-cong;WANG Yi-rong;LEI Lin;ZHAO Zhi-guang(Shenzhen Center for Chronic Disease Control,Shenzhen 518020,China)
出处
《中国健康教育》
北大核心
2025年第8期741-746,共6页
Chinese Journal of Health Education
基金
癌症、心脑血管、呼吸和代谢性疾病防治研究国家科技重大专项项目(2024ZD0524800,2024ZD0524806)
深圳市科技计划项目(KCXFZ20211020172542002)
深圳医学重点学科建设经费资助(No.SZXK065)。
关键词
居民
癌症防治
知晓率
核心知识
深圳市
Resident
Cancer prevention and control
Awareness
Core knowledge
Shenzhen City
