| 黄 维,冯 祥,姚 磊,等.2024年江苏省扬中市低社会经济地位人群胃肠镜检查利用及筛查需求分析[J].中国肿瘤,2026,35(1):32-40. |
| 2024年江苏省扬中市低社会经济地位人群胃肠镜检查利用及筛查需求分析 |
| Analysis of Gastrointestinal Endoscopy Utilisation and Screening Demand of Low Socioeconomic Status Groups in Yangzhong City， Jiangsu Province in 2024 |
| 投稿时间：2025-09-10 |
| DOI：10.11735/j.issn.1004-0242.2026.01.A005 |
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| 中文关键词: 消化道疾病 低社会经济地位 胃肠镜检查 影响因素 江苏 |
| 英文关键词:digestive tract disease low socioeconomic status gastrointestinal endoscopy influencing factors Jiangsu |
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| 中文摘要: |
| 摘 要：［目的］ 分析江苏省扬中市45~75岁低社会经济地位人群过去5年胃肠镜检查利用现状、近3年免费胃肠镜筛查需求及影响因素，为该人群消化道疾病的防治工作提供参考。［方法］ 于2024年9月4日—2024年10月17日，对市内低保、特困、计划生育困难家庭中所有45~75岁的居民进行面访调查。运用χ2检验或Fisher-Freeman-Halton精确检验分析不同特征人群胃肠镜检查利用及筛查需求的分布差异，采用多因素Logistic回归分析探讨低社会经济地位人群过去5年（2019—2024年）胃肠镜检查利用及近3年（2024—2026年）免费胃肠镜筛查需求的影响因素。［结果］ 最终纳入471名调查对象，其中胃肠镜检查利用率为20.17%（95/471），免费胃肠镜筛查需求率为77.92%（367/471）。多因素Logistic回归分析显示，有癌症史（OR=2.389，95%CI：1.008~5.662）、上消化道系统疾病史（OR=4.685，95%CI：2.438~9.004）、肠道疾病史（OR=8.630，95%CI：3.068~24.276）是过去5年胃肠镜检查利用的独立促进因素；有癌症史（OR=0.300，95%CI：0.148~0.608）是近3年免费筛查需求的独立抑制因素。无免费筛查需求的主要原因依次为怕麻烦（30.77%）、觉得自己很健康，没必要（29.81%）、恐惧检查不适感（28.85%）。［结论］ 扬中市低社会经济地位人群胃肠镜检查利用率偏低但免费筛查需求强烈，检查利用与筛查需求的影响因素均呈“疾病导向”特征。需通过强化健康教育、优化筛查支持服务、扩大免费筛查覆盖面等措施，提升该人群胃肠镜检查可及性与参与积极性。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the utilisation of gastrointestinal endoscopy in the past 5 years， the demand for free gastrointestinal endoscopy screening within 3 years， and their influencing factors among adults aged 45~75 with low socioeconomic status in Yangzhong City， so as to provide reference for the precise prevention and treatment of digestive tract diseases in this population. ［Methods］ From September 4th to October 17th， 2024， a census-based face-to-face survey was conducted among all residents aged 45~75 from households receiving subsistence allowances， households with special difficulties， and households facing family planning challenges in Yangzhong City. Chi-square test or Fisher-Freeman-Halton exact test was used to analyze the distribution differences of gastrointestinal endoscopy utilisation and screening demand among populations with different characteristics. Multivariate Logistic regression analysis was employed to identify factors influencing the utilisation of gastrointestinal endoscopy in the past 5 years(2019—2024) and the demand for free gastrointestinal endoscopy screening within 3 years(2024—2026) among this low-socioeconomic-status group. ［Results］ A total of 471 respondents were finally included. The utilisation rate of gastrointestinal endoscopy was 20.17% (95/471)， and the demand rate for free gastrointestinal endoscopy screening was 77.92% (367/471). Multivariate Logistic regression analysis showed that history of cancer (OR=2.389， 95%CI： 1.008~5.662)， history of upper gastrointestinal diseases (OR=4.685， 95%CI： 2.438~9.004)， and history of intestinal diseases (OR=8.630，95%CI： 3.068~24.276) were independent promoting factors for gastrointestinal endoscopy utilisation in the past 5 years. History of cancer (OR=0.300， 95%CI： 0.148~0.608) was an independent inhibiting factor for the demand for free screening within 3 years. The main reasons for not demanding free screening were fear of inconvenience (30.77%)， perception of being healthy and unnecessary for screening (29.81%)， and fear of examination discomfort (28.85%). ［Conclusion］ The utili-sation rate of gastrointestinal endoscopy is relatively low among low socioeconomic status groups in Yangzhong City， but their demand for free screening is strong. Both the influencing factors of examination utilisation and screening demand show “disease-oriented” characteristics. It is necessary to improve the accessibility and participation enthusiasm of gastrointestinal endoscopy in this population by strengthening health education， optimizing screening support services， and expanding the coverage of free screening. |
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