| 赵蒙蒙,冯 祥,马祯凯,等.2024—2025年江苏省扬中市居民肺癌筛查依从性及其影响因素分析[J].中国肿瘤,2026,35(1):23-31. |
| 2024—2025年江苏省扬中市居民肺癌筛查依从性及其影响因素分析 |
| Analysis of Compliance and Influencing Factors of Lung Cancer Screening Among Residents in Yangzhong City， Jiangsu Province from 2024 to 2025 |
| 投稿时间：2025-07-28 |
| DOI：10.11735/j.issn.1004-0242.2026.01.A004 |
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| 中文关键词: 肺癌 筛查 医保类型 依从性 影响因素 江苏 |
| 英文关键词:lung cancer screening type of medical insurance compliance influencing factors Jiangsu |
| 基金项目:2025年度中西医结合老年病防治省高校重点实验室（扬州大学）开放课题（202531） |
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| 中文摘要: |
| 摘 要：［目的］ 分析2024年3月—2025年5月扬中市居民肺癌筛查依从性及其影响因素。 ［方法］ 采用整群抽样法，选取扬中市6个辖区40~74岁常住居民为研究对象，通过问卷调查收集信息并登记筛查，邀请符合条件者接受胸部低剂量螺旋CT（low-dose computed tomography，LDCT）检查。采用χ2检验比较不同特征人群的筛查依从性差异，通过多因素Logistic回归分析（Enter法）探索独立影响因素，并按医保类型分层分析。［结果］ 共15 764人被纳入分析，其中参加非职工基本医疗保险11 597人，参加职工基本医疗保险4 167人。总筛查依从性为75.86%（11 959/15 764），其中非职工基本医疗保险人群为79.81%（9 256/11 597）、职工基本医疗保险人群为64.87%（2 703/4 167）。多因素Logistic回归分析显示，总人群中职工基本医疗保险人群和男性筛查依从性较差（P均<0.05）；高龄、农村地区、家庭人口数4～7人、家庭平均年收入3.00万~6.99万元、有职业暴露史、每周摄入新鲜蔬菜水果、经常参加体育锻炼及有一级亲属肺癌家族史的人群依从性较好（P均<0.05）。分层分析显示，两类医保人群的影响因素存在部分差异，但除文化程度外，影响方向与总人群一致。［结论］ 扬中市居民肺癌筛查总体依从性良好，可通过设置灵活筛查时间、推广农村精准动员经验、制定低依从性群体个性化干预方案及优化筛查服务质量，进一步提升全人群筛查依从性及成效。 |
| 英文摘要: |
| Abstract： ［Purpose］ To analyze the compliance and influencing factors of lung cancer screening among residents in Yangzhong City of Jiangsu Province from March 2024 to May 2025. ［Methods］ Cluster sampling was used to select permanent residents aged 40~74 years old in 6 districts of Yangzhong City as the research objects. Information was collected through questionnaires and screening registration was conducted. Eligible participants were invited to undergo chest low-dose computed tomography (LDCT) examination. The screening compliance of different characteristic groups was compared using the χ2 test. Multivariate Logistic regression analysis (Enter method) was used to explore independent influencing factors， and stratified analysis was performed by type of medical insurance. ［Results］ A total of 15 764 people were included in the analysis， including 11 597 with non-employee basic medical insurance and 4 167 with employee basic medical insurance. The overall screening compliance rate was 75.86% (11 959/15 764)， 79.81% (9 256/11 597) in the non-employee basic medical insurance group， and 64.87% (2 703/4 167) in the employee basic medical insurance group. Multivariate Logistic regression analysis showed that in the total population， the employee basic medical insurance group and males had lower screening compliance(both P<0.05)； older age， rural residence， family size of 4~7 members， average annual household income of 30 000~69 900 yuan， history of occupational exposure， weekly intake of fresh vegetables and fruits， regular physical exercise， and family history of lung cancer in first-degree relatives were associated with higher compliance (all P<0.05). Stratified analysis showed that there were partial differences in influencing factors between the two medical insurance groups， but except for educational attainment， the direction of influence was consistent with the total population. ［Conclusion］ The overall compliance of lung cancer screening among residents in Yangzhong City is good. The compliance and effectiveness of screening in the general population can be further improved by setting flexible screening time， popularizing the experience of targeted mobilization in rural areas， formulating personalized intervention plans for groups with low compliance， and optimizing the quality of screening services. |
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