|
| 深圳市结直肠癌高危人群筛查接受度与支付意愿分析 |
| Analysis of Colorectal Cancer Screening Acceptance and Willingness-to-Pay among High-Risk Population in Shenzhen, China |
| 投稿时间：2025-12-19 修订日期：2026-04-08 |
| DOI： |
|
 |
| 中文关键词: 结直肠癌筛查 接受度 支付意愿 深圳市 |
| 英文关键词:colorectal cancer screening acceptance willingness to pay Shenzhen City |
| 基金项目:癌症、心脑血管、呼吸和代谢性疾病防治研究国家科技重大专项项目（2024ZD0524800，2024ZD0524806），深圳医学重点学科建设经费资助（No.SZXK065） |
|
| 摘要点击次数: 55 |
| 全文下载次数: 0 |
| 中文摘要: |
| 摘 要：[目的] 分析深圳市结直肠癌高危人群筛查接受度与支付意愿及其影响因素，为优化结直肠癌筛查策略提供数据支持。[方法] 2024年9月—2025年2月采用分层随机抽样的方法，通过电子问卷调查来自深圳市宝安区、龙岗区以及福田区3个调查点2021—2022年参与深圳市社区居民结直肠癌筛查项目被评估为高危且完成肠镜检查的人群。采用χ2检验和多因素Logistic回归分析结直肠癌筛查接受度与支付意愿的影响因素。[结果] 在573名调查对象中，年龄中位数61（55, 69）岁，以男性、高中/中专文化程度者、已婚者、在业、个人年收入10万元及以上者为主。80.98%调查对象对用问卷风险评估+粪便潜血检测（fecal immunochemical test, FIT）作为初筛手段表示可以接受，对FIT和结肠镜检查的接受度分别为94.77%和88.30%。58.12%的调查对象表示愿意支付结直肠癌筛查（问卷+FIT+结肠镜）的自费费用。多因素Logistic回归分析结果提示，性别、筛查接受度对支付意愿的影响有统计学意义，女性（OR=0.65，95%CI: 0.46~0.93）、对筛查表示较难接受者（OR=0.60，95%CI: 0.39~0.92）支付意愿较低。[结论] 深圳市结直肠癌高危人群对于结直肠癌筛查的接受度较高，但支付意愿偏低，支付意愿受性别、筛查接受度影响。提示应针对不同人群及筛查方法加强结直肠癌知识及筛查重要性的健康科普，建议政府和社会加大投入，构建结直肠癌筛查合理付费机制，以提高居民结直肠癌筛查意识和参与度。 |
| 英文摘要: |
| Abstract: [Purpose] Analyze the acceptance and willingness-to-pay (WTP) for colorectal cancer screening among high-risk population in Shenzhen, along with their influencing factors, and to provide data support for optimizing colorectal cancer screening strategies. [Methods] From September 2024 to February 2025, a stratified random sampling method was employed to administer an electronic questionnaire survey among individuals who had been assessed as high-risk and completed colonoscopy between 2021 and 2022 in the Shenzhen Community-based Colorectal Cancer Screening Program . Participants were recruited from three survey sites located in Baoan, Longgang and Futian districts of Shenzhen City. Factors infulencing the acceptance of and WTP for colorectal cancer screening were analyzed using the Chi-square test and multivariate logistic regression. [Results] Among the 573 respondents, the median age was 61 (55, 69) years old, and they were predominantly male, high school/secondary educated, married, employed, and had an annual personal income of 100,000 RMB and above. 80.98% of the respondents accepted the use of the questionnaire risk assessment + fecal immunochemical test (FIT) as a means of initial screening. The acceptability of FIT and colonoscopy was 94.77% and 88.30%, respectively. 58.12% of the respondents were willing to self-pay for colorectal cancer screening, with questionnaire, FIT, and colonoscopy. Multivariate logistic regression analysis indicated that gender and screening acceptance were statistically significant factors influencing WTP. Specifically, females (OR=0.65, 95%CI: 0.46~0.93) and those who reported greater reluctance toward screening (OR=0.60, 95%CI: 0.39~0.92) were associated with a lower WTP. [Conclusion] The high-risk population for colorectal cancer in Shenzhen demonstrated a relatively high acceptance of screening, yet a relatively low WTP. These findings suggest the need to strengthen health education on colorectal cancer knowledge and the importance of screening, tailored to different population groups and screening methods. It is recommended that the government and society increase investment to establish a reasonable payment mechanism for coloreactal cancer screening, thereby enhancing public awareness and participation in such screening programs. |
|
在线阅读
查看/发表评论 下载PDF阅读器 |
|
|
|