| Objective To assess the current status of satisfaction with the combined cancer screening program in Shanghai and analyze its related factors, providing objective evidence for optimizing program implementation. Methods A cross-sectional study was conducted in 2024 across 51 pilot communities in 16 districts of Shanghai. 2,397 residents aged 40-74 years who participated in the screening program were selected by stratified multi-stage cluster sampling method for questionnaire survey. Descriptive analysis was used to compare satisfaction differences among populations with different characteristics. Univariate and multivariate logistic regression analyses were conducted to identify factors associated with satisfaction， and Spearman correlation analysis was used to evaluate the association between various dimensions and overall satisfaction. Results The overall satisfaction rate of Shanghai community residents with the combined cancer screening program was 95.7%. Among the dimensions, sense of gain (83.9%), fairness (91.4%), and waiting time (91.9%) showed relatively lower satisfaction rates. Univariate analysis showed that educational level, retirement status, and household monthly income per capita were significantly associated with overall satisfaction (P<0.05). Multivariate analysis revealed that educational level and retirement status were the main factors significantly associated with overall satisfaction (P<0.05). All dimensions positively correlated with overall satisfaction (P<0.001), with service convenience (ρ=0.660), respect level (ρ=0.540), and service attitude (ρ=0.497) showing the strongest associations. 63.4% of participants were willing to recommend the screening program to others. Conclusion The overall satisfaction with Shanghai's combined cancer screening program is high, especially among populations with lower education levels and non-retirees. Optimizing service convenience, reducing waiting times, enhancing sense of gain and fairness and developing targeted service strategies for different populations are critical to improving service quality and residents' satisfaction. |
