张 楠,苏明珠,顾建华.济南市社区居民癌症健康素养现状及其对相关行为的影响[J].中国肿瘤,2019,28(7):494-498.
济南市社区居民癌症健康素养现状及其对相关行为的影响
Cancer Health Literacy Status and Its Effect on Cancer-related Behaviors Among Residents in Jinan Communities
投稿时间:2019-01-10  
DOI:10.11735/j.issn.1004-0242.2019.07.A003
中文关键词:  社区居民  癌症健康素养  癌症相关行为  山东
英文关键词:community residents  cancer health literacy  cancer-related behavior  Shandong
基金项目:国家重点研发计划项目 ( 2016YFC1302800,2016YFC0901400);山东省医药卫生科技发展计划项目(2017WS710);山东省医学科学院院级科技计划项目(2016-40)
作者单位
张 楠 山东大学附属山东省肿瘤医院 
苏明珠 山东大学医药卫生管理学院 国家卫生健康委员会卫生经济与政策研究重点实验室 
顾建华 山东大学公共卫生学院 
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中文摘要:
      摘 要:[目的]分析济南市社区居民癌症健康素养现状并探讨其对癌症相关行为的影响。[方法]在济南市3个区随机选择5家社区,采用随机数字表法抽取社区内18~69岁居民进行问卷调查;利用描述性分析、χ2检验分析居民癌症健康素养状况;采用Logistic回归模型分析癌症健康素养的影响因素及其对癌症相关行为的影响。[结果]共收回有效问卷310份,济南市社区居民癌症健康素养水平为 62.9%;文化程度、职业、是否参加过癌症相关健康教育是癌症健康素养水平的影响因素;癌症健康素养越高,越倾向于不吸烟、多吃新鲜水果蔬菜、注意饮用水健康、在患病或有症状时及时就医、参加针对癌症的体检或筛查,OR值分别为1.019(95%CI:1.003~1.036) 、1.017(95%CI:1.004~1.030)、1.019 (95%CI:1.005~1.033)、1.017(95%CI:1.002~1.032) 、1.019(95%CI:1.001~1.037)。[结论] 居民癌症健康素养受多种因素影响,高癌症健康素养人群更倾向于选择健康的行为生活方式,应制定和实施综合性的干预策略,逐步提升社区居民癌症健康素养水平。
英文摘要:
      Abstract:[Purpose] To investigate the status quo of cancer health literacy and its effect on cancer-related behaviors among residents in Jinan communities. [Methods] Five communities in 3 districts of Jinan City were randomly selected,and the residents aged 18~69 years old in these communities were randomly extracted for questionnaire survey. Descriptive analysis and χ2 test were used to analyze the health literacy status. Logistic regression model was used to analyze the influencing factors of cancer health literacy and its impact on cancer-related behaviors. [Results] A total of 310 valid questionnaires were collected. The overall level of cancer health literacy among participants was 62.9%. Educational level,occupation,participation in a cancer prevention program were the influencing factors of cancer health literacy. People with higher cancer health literacy tended to not smoke,eat more fresh fruit and vegetables,pay attention to drinking water,seek medical attention when have symptoms,participate in the screening for cancer,and the OR values were 1.019(95%CI:1.003~1.036),1.017(95%CI:1.004~1.030),1.019(95%CI:1.005~1.033),1.017(95%CI:1.002~1.032),1.019(95%CI:1.001~1.037),respectively. [Conclusion] Cancer health literacy is affected by many factors. People having high cancer health literacy are more inclined to choose healthy behavioral lifestyles. Comprehensive intervention strategies should be developed and implemented to improve the health literacy level of community residents.
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