摘要
目的了解上海市嘉定区肝癌高风险人群接受肝癌筛查的意愿,分析影响接受度的相关因素,为完善重点人群筛查策略提供科学依据。方法2024年7—12月,采用分层随机整群抽样方法,对上海市嘉定区13个社区卫生服务中心的肝癌高风险人群进行调查。问卷内容包括基本人口学信息、疾病史、家族史、肝癌筛查意愿及健康行为等。采用χ^(2)检验、多因素logistic回归模型分析筛查意愿相关因素。结果共计调查肝癌高风险人群1091名,肝癌筛查意愿参与率为83.59%。多因素logistic回归分析结果显示,低年龄组(<50岁:OR=2.064,95%CI:1.035~4.116;50~<60岁:OR=1.956,95%CI:1.187~3.223)、有肝癌家族史(OR=2.416,95%CI:1.091~5.351)和既往有癌症筛查经历(OR=2.200,95%CI:1.474~3.283)的居民更愿意参与肝癌筛查。自我判断无患癌风险、感觉筛查过程繁琐、担心费用问题是研究对象拒绝肝癌筛查的主要原因。结论上海市嘉定区肝癌高风险人群的筛查意愿较高。为提高肝癌筛查参与率,建议提高筛查的便利性、可及性与可负担性,并加强筛查项目的宣传,尤其是高龄老人的知识传递与行为引导。
Objective To investigate the willingness of high-risk populations to participate in Liver Cancer screening in Jiading District,Shanghai,identify factors influencing screening engagement,and provide evidence-based recommendations for optimizing targeted screening strategies.Methods A cluster random sampling method was utilized to survey Liver Cancer high-risk individuals across 13 community health centers from July to December 2024.A structured questionnaire was used to collect data on demographic characteristics,medical history,family history,screening willingness and health behaviors.Chi-square tests and multivariate logistic regression analyses were performed to identify associated factors.Results The overall willingness rate for Liver Cancer screening was 83.59%(912/1091).The younger age groups(age<50 years:0R=2.064,95%CI:1.035-4.116;age 50-<60 years:0R=1.956,95%CI;1.187-3.223),individuals with a family history of Liver Cancer(OR=2.416,95%CI:1.091-5.351)and those with prior cancer screening experience were more likelyto participate(OR=2.200,95%CI:1.4743.283)in liver cancer screening programme.The majority barriers to screening participant were self-perceived low susceptibility to cancer,time and procedural associated with participation and financial constraints.Conclusions Willingness for Liver Cancer screening is relatively high among high-risk populations in Jiading District,Shanghai.To enhance Liver Cancer screening participation rates,multilevel strategies should be conduct to improve the convenience,accessibility and affordability of liver cancer screening programme.Meanwhile,health education initiatives should be strengthened,with particular emphasis on elderly population.
作者
王世乐
路明
王娜
于宏杰
王亚伟
陈惠怡
赵琦
殷方兰
付朝伟
WANG Shile;LU Ming;WANG Na;YU Hongjie;WANG Yawei;CHEN Huiyi;ZHAO Qi;YIN Fanglan;FU Chaowei(School of Public Health,Fudan University,NHC Key Laboratory of Health Technology Assessment(Fudan University),Shanghai 200032,China;Jiading Center for Disease Control and Prevention,Shanghai 201899,China)
出处
《中华疾病控制杂志》
北大核心
2025年第10期1149-1154,共6页
Chinese Journal of Disease Control & Prevention
基金
上海市嘉定区公共卫生高质量发展重点学科项目(GWGZLXK-2023-02)。
关键词
肝癌筛查
筛查意愿
健康信念
公共卫生服务
Liver cancer screening
Screening willingness
Health belief
Public health services
