| 邵 英,杨永芳,秦明芳.云南省成年妇女乳腺癌与宫颈癌筛查率及影响因素分析[J].中国肿瘤,2019,28(11):821-826. |
| 云南省成年妇女乳腺癌与宫颈癌筛查率及影响因素分析 |
| Breast and Cervical Cancer Screening Rates and Influencing Factors Among Adult Women in Yunnan Province |
| 投稿时间：2019-01-29 |
| DOI：10.11735/j.issn.1004-0242.2019.11.A004 |
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| 中文关键词: 乳腺癌 宫颈癌 筛查率 影响因素 云南 |
| 英文关键词:breast cancer cervical cancers screening rate influence factors Yunnan |
| 基金项目:国家重大公共卫生服务项目—中国成人慢性病与营养监测 |
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| 中文摘要: |
| 摘 要：［目的］ 分析云南省妇女乳腺癌及宫颈癌的筛查率及影响因素。［方法］ 利用2015年中国成人慢性病与营养监测云南省调查数据，分析3428名女性调查对象乳腺癌及宫颈癌筛查率，采用基于复杂抽样的统计分析方法对筛查率及其95%CI进行加权估计，通过多因素Logistic回归模型分析影响筛查率的主要因素。［结果］ 云南省成年妇女乳腺癌筛查率为16.7%（95%CI：13.7%～20.1%），其中40～69岁妇女乳腺癌筛查率为19.4%（95%CI：17.4%～21.4%）；成年妇女宫颈癌筛查率为21.4%（95%CI：19.4%～23.6%），其中35～64岁妇女筛查率为24.8%（95%CI：22.1%～27.7%）。多因素分析结果显示，年龄是两癌筛查率的影响因素，35～59岁者乳腺癌筛查率较高，≥70岁者筛查率较低，35～49岁妇女宫颈癌筛查率较高，≥65岁者筛查率较低（P＜0.05）；其他少数民族与汉族相比，乳腺癌筛查率较低（P＜0.05）；文化程度越高的人群、已婚/同居者、城市妇女的两癌筛查率较高（P＜0.05）。［结论］ 云南省妇女两癌筛查率低于全国平均水平，扩展两癌筛查老年人群的年龄覆盖范围、扩大筛查项目覆盖面是目前提高云南省妇女两癌筛查率的主要途径。 |
| 英文摘要: |
| Abstract：［Purpose］ To survey the screening rates and influencing factors of breast and cervical cancers among women in Yunnan province. ［Methods］ The screening rates of breast and cervical cancer were analyzed among 3428 females aged above 18 years who were selected by stratified cluster random sampling method，based on the survey data of China Adult Chronic Diseases and Nutrition Surveillance in Yunnan province in 2015. Multivariate Logistic regression model was used to analyze the influencing factor of screening rate. ［Results］ The breast cancer screening rate of adult women in Yunnan province was 16.7%(95%CI：13.7%～20.1%)，and it was 19.4%(95%CI：17.4%～21.4%) for women aged 40～69. The screening rate of cervical cancer in adult women was 21.4%(95%CI：19.4%～23.6%)，and it was 24.8%(95%CI：22.1%～27.7%) for women aged 35～64. Multivariate analysis showed that age was the influencing factor of the screening rate. The screening rate of breast cancer was higher in women aged 35～59 years，and lower in those aged ≥70 years old. The screening rate of cervical cancer was higher in women aged 35～49 years old and lower in those aged ≥65 years old(P<0.05). Compared with Han nationality，the screening rate of breast cancer was lower in other minority nationalities(P<0.05). The screening rates of two cancers were higher among people with higher education level，married/cohabitants and urban women(P<0.05). ［Conclusion］ The screening rates of breast and cervical cancers in Yunnan province are lower than the national average level. Expanding the age coverage of the elderly population and expanding the coverage of screening programs may improve the screening rate in Yunnan province. |
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