2016-2018年内蒙古自治区肝癌高危人群筛查依从性及影响因素分析
The Compliance of Liver Cancer Screening and Related Influencing Factors in Inner Mongolia from 2016 to 2018
投稿时间:2024-01-06  修订日期:2024-06-09
DOI:
中文关键词:  肝癌  筛查  依从性  内蒙古
英文关键词:Liver Cancer  Screening  Compliance  Inner Mongolia
基金项目:
作者单位邮编
石玥昕 包头医学院 014040
商娜 通辽市疾病预防控制中心 028000
乔丽颖 内蒙古综合疾病预防控制中心 010031
席云峰* 内蒙古综合疾病预防控制中心 010031
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中文摘要:
      [目的]:分析2016-2018年内蒙古自治区肝癌高危人群筛查依从性(筛查率)及影响因素。[方法]:选取内蒙古地区40-74岁常住居民进行癌症危险因素问卷调查和肝癌高危因素风险评估,对评估出的肝癌高危人群进行血清甲胎蛋白检测及腹部超声检查,计算肝癌高危人群筛查率及阳性病变检出率。采用卡方检验比较不同特征人群肝癌筛查率差异,采用多因素Logistic回归模型分析肝癌筛查率相关影响因素。[结果]:2016-2018年共70109位居民完成问卷调查和肝癌高危风险评估,评估出肝癌高危人群11211人,肝癌高危率为15.99%。共4998人参加了肝癌筛查,肝癌筛查率44.58%。临床筛查共检出AFP阳性125例(2.50%)、肝占位1268例(25.37%)、肝硬化6例(0.12%)、脂肪肝2303(46.08%)。多因素Logistic回归分析结果显示:女性、45~和50~年龄段、蒙古族和其他少数民族、每周蔬菜摄入量<2.5kg和≥2.5kg、饮食油脂较高、目前吸烟和曾经吸烟、目前饮酒、曾经饮茶、精神创伤史、近年承受巨大压力、肝胆系统疾病、慢性乙型肝炎的肝癌高危人群更易参加肝癌临床筛查(P<0.05)。[结论]:2016-2018年内蒙古自治区肝癌高危人群筛查依从性较低但阳性检出率较高,应进一步完善筛查机制,提高肝癌高危人群筛查依从性,提高筛查效果及防控水平。
英文摘要:
      [Objective]: anToalyze the compliance of liver cancer screening and related influencing factors in Inner Mongolia from 2016 to 2018. [Method]:A liver cancer screening program was conducted among permanent residents aged 40~74 in Inner Mongolia from 2016 to 2018. The risk factor assessment questionnaire was used for primary screening,and the identified high-risk subjects of liver cancer were subject to undergo clinical screening including ultrasound examination and serum AFP test.The screening rate of high-risk subjects and detection rate were calculated.Chi-square tests were used to compare the difference in the screening rate of liver cancer among different groups.Multivariate Logistic regression model was used to analyze influencing factors related to the screening rate of liver cancer. [Results]:A total of 70109 residents completed questionnaires risk assessments from 2016 to 2018; 11211 subjects were identified as high-risk of liver cancer,with the high-risk rate of 15.71%,among whom 4913 subjects underwent clinical screening with a screening rate of 44.58%.There were 125 cases of AFP positive (2.50%),1268 cases of occupying lesions in the liver (25.37%),6 cases of cirrhosis (0.12%),and 2303 cases of fatty liver(46.08%).The multivariate Logistic regression analysis showed that subjects with female sex,45~and 50~ age group,Mongolians and other ethnic minorities,vegetables intake <2.5kg /week and≥2.5kg /week,high-fat diet,former smoking,current smoking,current drinking and current tea-drinking, history of psychological trauma and stress in recent years,Diseases of hepatobiliary system,chronic hepatitis B,were more likely to participate in clinical screening(all P <0.05).[Conclusion]:The screening compliance of high-risk population for liver cancer is low but the detection rate is high in Inner Mongolia from 2016 to 2018.The program mechanism should be improved to increase the liver cancer screening compliance.
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