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| 扬中市低社会经济地位人群胃肠镜检查利用及筛查需求分析 |
| Analysis of gastrointestinal endoscopy utilisation and screening demand of low socioeconomic status groups in Yangzhong City, China |
| 投稿时间：2025-09-10 修订日期：2025-11-01 |
| DOI： |
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| 中文关键词: 低社会经济地位 胃肠镜检查 利用 需求 影响因素 |
| 英文关键词:Low socioeconomic status Gastrointestinal endoscopy Utilisation Demand Influencing factors |
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| 中文摘要: |
| 摘要：[目的] 分析扬中市45~75岁低社会经济地位人群过去5年胃肠镜检查利用和近3年免费胃肠镜筛查需求现状及其影响因素和潜在障碍，为该人群消化道疾病的防治工作提供参考。[方法] 于2024年9月4日—2024年10月17日，对市内低保、特困、计划生育困难家庭中所有45~75岁的居民进行面访调查。采用多因素logistic回归分析探讨低社会经济地位人群过去5年胃肠镜检查利用及近3年免费胃肠镜筛查需求的影响因素。[结果] 最终纳入分析471人，其中胃肠镜检查利用率为20.17%（95/471），免费胃肠镜筛查需求率为77.92%（367/471）。多因素logistic回归分析结果显示，有癌症史（OR=2.389, 95% CI=1.008~5.662）、上消化道系统疾病史（OR=4.685, 95% CI=2.438~9.004）、肠道疾病史（OR=8.630, 95% CI=3.068~24.276）的人群，过去5年更可能参与胃肠镜检查。有癌症史者（OR=0.300, 95% CI=0.148~0.608）近3年更不可能有免费胃肠镜筛查需求。怕麻烦、觉得自己很健康，没必要和恐惧、害怕不适感是无免费筛查需求的主要原因。[结论] 扬中市低社会经济地位人群过去5年胃肠镜检查利用率较低，但对近3年免费胃肠镜筛查的需求较为强烈。为提升低社会经济地位人群的消化道健康水平，一方面，亟须强化针对该人群的健康教育工作；另一方面，可以通过推广免费检查项目，或者将该人群优先纳入现有筛查项目并提供必要的筛查支持，来提高胃肠镜检查的可及性。 |
| 英文摘要: |
| Abstract: [Objective]? This study examines the utilisation of gastrointestinal endoscopy in the past 5 years and the demand for free gastrointestinal endoscopy screening within 3 years among adults aged 45–75 with low socioeconomic status in Yangzhong City. It also explores the influencing factors and potential barriers, aiming to provide a reference for the prevention and management of digestive tract diseases in this population.?[Methods] From 4 September 2024 to 17 October 2024, face-to-face interviews were conducted with all residents aged 45–75 from households receiving subsistence allowances, households with special difficulties, and households facing family planning challenges in the city. Multivariate logistic regression analysis was employed to identify factors influencing the utilisation of gastrointestinal endoscopy in the past 5 years and the demand for free gastrointestinal endoscopy screening within 3 years among this low-socioeconomic-status group.?[Results]??A total of 471 people were finally included in the analysis, among whom the utilisation rate of gastrointestinal endoscopy was 20.17% (95/471), and the demand rate for free gastrointestinal endoscopy screening was 77.92% (367/471). The results of multivariate logistic regression analysis showed that people with a history of cancer (OR=2.389, 95% CI=1.008-5.662), a history of upper digestive system diseases (OR=4.685, 95% CI=2.438-9.004), and a history of intestinal diseases (OR=8.630, 95% CI=3.068-24.276) were more likely to have undergone gastrointestinal endoscopy in the past 5 years. Those with a history of cancer (OR=0.300, 95% CI=0.148-0.608) were less likely to have a demand for free gastrointestinal endoscopy screening within 3 years. The main reasons for not seeking free screening were fear of trouble, feeling healthy and thus deeming it unnecessary, and fear of discomfort. [Conclusions]?In Yangzhong City, the utilisation rate of gastrointestinal endoscopy among people with low socioeconomic status in the past 5 years is relatively low. However, their demand for free gastrointestinal endoscopy screening within 3 years is relatively strong. To improve the digestive tract health of people with low socioeconomic status, on the one hand, it is urgent to strengthen health education for this group; on the other hand, the accessibility of gastrointestinal endoscopy can be enhanced by promoting free examination programs, or giving priority to including this group in existing screening programs and providing necessary screening support. |
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