| 韩亚蓉,楚 楚,韩颖颖,等.2014—2024年江苏省南通市城市居民结直肠癌筛查结果与结肠镜筛查依从率影响因素分析[J].中国肿瘤,2026,35(9):679-685. |
| 2014—2024年江苏省南通市城市居民结直肠癌筛查结果与结肠镜筛查依从率影响因素分析 |
| Analysis of Colorectal Cancer Screening Results and Factors Associated with Colonoscopy Screening Compliance Among Urban Residents in Nantong City of Jiangsu Province， 2014—2024 |
| 投稿时间：2026-04-22 |
| DOI：10.11735/j.issn.1004-0242.2026.09.A004 |
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| 中文关键词: 结直肠癌 筛查 结肠镜 依从率 影响因素 江苏 |
| 英文关键词:colorectal cancer screening colonoscopy compliance influencing factors Jiangsu |
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| 中文摘要: |
| 摘 要：［目的］ 分析2014—2024年江苏省南通市城市居民结直肠癌筛查结果，探讨结肠镜筛查依从率相关影响因素。［方法］ 基于2014—2024年南通市城市癌症早诊早治项目，采用整群抽样方法累积招募196 103名40～74岁常住居民作为研究对象。采用统一问卷收集研究对象的人口学特征、饮食习惯、吸烟与饮酒史、既往疾病史及精神状况等信息；利用癌症高危风险评估系统进行评估，动员评估出的结直肠癌高危人群至定点医院接受结肠镜筛查。采用χ2检验比较不同特征人群高危率与筛查依从率差异，采用多因素Logistic回归模型分析其影响因素。［结果］ 共有196 103名南通市城市居民参与调查，其中32 228人被评估为结直肠癌高风险人群，高危率为16.43%。有3 869人接受了结肠镜筛查，总体筛查依从率为12.01%。多因素Logistic回归分析显示，45~69岁人群、文化程度较高、已婚、既往饮酒、存在有害职业暴露史和不良饮食习惯（偏好烫热、干性及腌制食品）以及伴有精神创伤或抑郁史、下消化道疾病史及慢性病史的人群，其参与筛查的依从率更高。女性、偏好高盐饮食及当前吸烟者的筛查依从率相对较低。［结论］ 南通市结直肠癌高危人群的结肠镜筛查依从率较低。年龄、文化程度、行为和饮食习惯、既往病史和精神状况是结肠镜筛查依从率相关的重要因素。 |
| 英文摘要: |
| Abstract：［Purpose］ To analyze the results of colorectal cancer screening among urban residents in Nantong City， Jiangsu Province from 2014 to 2024， and to explore the adherence to colonoscopy screening and its influencing factors. ［Methods］ Based on the Urban Cancer Early Diagnosis and Treatment Project in Nantong City from 2014 to 2024， a total of 196 103 permanent residents aged 40-74 years old were recruited as study subjects using cluster sampling. A standardized questionnaire was used to collect information on demographic characteristics， dietary habits， smoking and drinking history， past medical history， and mental health status. The cancer risk assessment system was used to identify cancer risk populations， and individuals assessed as high-risk for colorectal cancer were mobilized to designated hospitals for colonoscopy screening. Chi-square test was used to compare differences in high-risk rates and screening compliance rates among subgroups， and multivariate Logistic regression was used to analyze influencing factors. ［Results］ A total of 196 103 urban residents of Nantong participated in the survey， among whom 32 228 were assessed as high-risk for colorectal cancer， yielding a high-risk rate of 16.43%. A total of 3 869 individuals underwent colonoscopy screening， resulting in an overall screening adherence rate of 12.01%. Multivariate Logistic regression analysis showed that 45-69 years old， higher education levels， married individuals， those with a history of alcohol consumption， those with a history of hazardous occupational exposure， those with unhealthy dietary habits (preference for hot， dry， and pickled foods)， as well as those with mental trauma or depression， a history of lower digestive tract diseases， or chronic diseases， had higher compliance with screening. Women， individuals with a preference for a high-salt diet， and current smokers had relatively lower screening compliance. ［Conclusion］ Compliance with colonoscopy screening among the high-risk population for colorectal cancer in Nantong City is low. Age， education level， behavioral and dietary habits， past medical history， and mental health status are important factors associated with compliance with colonoscopy screening. |
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