摘要目的 调查2018年四川省上消化道癌筛查地区居民癌症防治核心知识知晓水平及相关因素.方法 于2018年4—5月,以广元朝天区、巴中恩阳区、巴中南江县、广元苍溪县、遂宁射洪县、南充仪陇县、南充西充县、达州宣汉县为研究地区,招募1 386名研究对象.采用调查问卷收集基本人口学特征、癌症防治核心知识等信息,分析研究对象对问卷条目的知晓情况,并采用多元线性回归模型分析癌症防治核心知识知晓情况的相关因素.结果 研究对象年龄为25~64岁者占80.9% (1 120名),男性占48.0%(665名).回答的条目数共计18 018条,其中知晓的条目数为12 147条,总体知晓率为67.42%.女性[70.11%(6 571/9 373)]、≥65岁[69.23%(387/559)]、大专及以上学历[76.05%(6 327/8 320)]、在机关事业单位工作者[77.09%(5 602/7 267)]的知晓率较高(P<0.05).多元线性回归模型分析结果显示,年龄越大[β=0.871(95%CI :0.623~1.119)]、文化程度越高者[β=0.741 (95%CI :0.540~0.943)]知晓的条目数越多;与在机关事业单位工作者相比,企业商业人员[β=-2.913 (95%CI :-3.499~-2.327)]、农作劳动者[β=-0.635(95 %CI :-1.175~-0.095)]及其他职业人员[β=-1.126(95%CI :-1.663~-0.589)]知晓的条目数较少.结论 2018年四川省上消化道癌筛查地区居民癌症防治核心知识知晓率较高,年龄、文化程度与职业与知晓情况有关联.

abstractsObjective To investigate the level of the core knowledge and related factors of cancer prevention and treatment among residents in the upper gastrointestinal cancer screening areas of Sichuan Province in 2018. Methods From April to May 2018, a total of 1 386 residents from Chaotian District of Guangyuan, Enyang District of Bazhong, Nanjiang County of Bazhong, Cangxi County of Guangyuan, Shehong County of Suining, Yilong County of Nanchong, Xichong County of Nanchong and Xuanhan County of Dazhou were recruited in this study. A questionnaire survey was conducted to collect basic demographic characteristics and the knowledge of cancer prevention and treatment. The level of the core knowledge of cancer prevention and treatment of different population was analyzed. A multivariate linear regression model was performed to analyze the related factors. Results In total, 80.9% (1 120) of all subjects was 25-64 years old and 48.0% (665) were male. The total number of questions answered by the subjects was 18 018, of which 12 147 were known, and the overall awareness rate among the respondents was 67.42%. The female respondents, respondentsaged 65 years old and over, with junior college education or above, and worked in government institutions had a good performance of the core knowledge (P<0.05), about 70.11% (6 571/9 373), 69.23% (387/559), 76.05% (6 327/8 320), and 77.09% (5 602/7 267) respectively. The results of multivariate linear regression showed that the older the age [β=0.871 (95%CI:0.623-1.119) ], the higher the educational level [β=0.741 (95%CI : 0.540-0.943) ], the more questions respondents could know; compared with the workers in government organization and institution, workers in enterprise [β=-2.913 (95%CI :-3.499--2.327) ], farming workers [β=-0.635 (95%CI :-1.175--0.095) ] and other occupation people [β=-1.126 (95%CI: -1.663- -0.589) ] could know fewer questions. Conclusion In 2018, the level of the core knowledge of cancer prevention and treatment among residents in upper gastrointestinal cancer screening areas of Sichuan Province was relatively high. Age, education level and occupation were relevant factors.