| 邓 丽,季明芳,冯谦谨.1685名乙肝病毒携带者肝癌防治知识的问卷调查分析[J].中国肿瘤,2017,26(4):249-252. |
| 1685名乙肝病毒携带者肝癌防治知识的问卷调查分析 |
| An Analysis of Questionnaire Survey of Awareness of Liver Cancer Prevention and Control Among 1685 HBV Carriers |
| 投稿时间：2016-05-24 |
| DOI：10.11735/j.issn.1004-0242.2017.04.A002 |
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| 中文关键词: 肝癌防治 知晓率 筛查 影响因素 |
| 英文关键词:liver cancer prevention and control awareness screening affecting factor |
| 基金项目:中央补助地方卫生事业专项癌症早诊早治项目（鼻咽癌肝癌）专项资金 |
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| 中文摘要: |
| 摘 要：［目的］ 了解乙肝病毒携带者肝癌防治知识的知晓情况及其影响因素，为提高肝癌筛查参与率提供参考。［方法］ 2012年1~11月，在中山市小榄镇肝癌筛查乙肝表面抗原阳性人群中，对1750名乙肝病毒携带者进行现场一对一问卷调查。问卷主要内容包含肝癌的诊治方法、调查者对肝癌筛查的态度以及既往参加筛查的情况。［结果］ 共调查1750人，获得有效完整问卷1685份，有效问卷率为96.3%。调查人群知晓血清甲胎蛋白检查可用于诊断早期肝癌的占65.9%，知晓手术可治疗肝癌的占76.8%。96.8%的调查人群愿意经常参加健康体检。既往参加过免费抽血、免费B超的人群分别占调查人群的44.0%、9.4%。调查人群不参加筛查的原因主要是查出病有心理负担（53.4%）。多因素Logistic分析显示，年龄对肝癌的诊断认知有影响，性别、年龄对肝癌的治疗认知有影响。 ［结论］ 绝大多数调查者体检意愿较强，既往筛查参与率却不高。缓解目标人群的心理压力，可提高人群的筛查参与率。应加强女性、低年龄组人群的癌症健康教育。在肝癌高危人群中，将肝癌筛查与健康教育紧密结合，有利于肝癌综合防治工作的进行。 |
| 英文摘要: |
| Abstract：［Purpose］ To understand the awareness of liver cancer prevention and treatment knowledge among HBV carriers and the affecting factors，and to provide reference for enhancing participation rates of liver cancer screening programs. ［Methods］ There was 1750 subjects with HBV surface antigen positive from a liver cancer screening program implemented in Xiaolan，Zhongshan between January and November 2012 received surveys regarding knowledge of diagnosis and treatment of liver cancer，their attitudes toward liver cancer screening programs and previous cancer screening program attendance. ［Results］ A total of 1750 questionnaires were issued，with 1685 completed(response rate was 96.3%). 65.9% of subjects knew serum alpha-fetoprotein (AFP) test could be used to diagnose liver cancer at early stage. 76.8% of subjects knew surgery was one of the effective therapies for liver cancer. The participants who were willing to frequently take part in physical examination composed of 96.8%. The subjects who had took free blood test and B-ultrasound examination accounted for 44.0% and 9.4%，respectively. The main reason for subjects not to attend cancer screening programs was the psychological burden after diagnosis of cancer (53.4%). Results of multiple Logistic regression analysis showed that age was associated with knowledge on diagnosis of liver cancer. Gender and age were associated with knowledge on treatment of liver cancer. ［Conclusions］ The vast majority of the subjects express strong willingness in regular physical examination，but have low participation rates for screening previously. Relieving stress of the target population would increase screening participation rates. Health education for liver cancer should be especially implemented among females and younger people. It would be beneficial for the comprehensive prevention of liver cancer if we combine cancer screening programs with health education among high-risk populations. |
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