城市居民癌症筛查服务需求和支付意愿分析
Analysis of the Demand and Willingness to Pay for Cancer Screening Services among Urban Residents
投稿时间:2026-02-24  修订日期:2026-05-21
DOI:
中文关键词:  武威  癌症筛查  需求  支付意愿  影响因素
英文关键词:Wuwei  cancer screening  Demand  Willingness to pay  Influencing factors
基金项目:武威市市级科技计划项目(WW25A01RQNK010)
作者单位邮编
田玲 甘肃省武威肿瘤医院 733000
叶延程(通讯作者)* 甘肃省武威肿瘤医院 733000
胡军国 甘肃省武威肿瘤医院公共卫生科 
孙倩 甘肃省武威肿瘤医院公共卫生科 
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中文摘要:
      目的? 了解武威市城市居民癌症筛查服务需求和支付意愿现状,为进一步完善和推广癌症筛查策略提供参考依据。方法? 采用分层抽样的方法选取调查对象480人,最终纳入分析的样本量为470人。首先通过单因素分析描述各变量在癌症筛查服务需求及支付意愿方面的分布,而后通过二分类非条件logistic回归的方法筛选癌症筛查的参与意愿、支付意愿及支付额度的影响因素。结果? 最终纳入调查的城市居民470人,有筛查服务需求的312人,占比66.4%;166(35.3%)人愿意在癌症筛查服务方面支付费用;在癌症筛查服务方面支付费用的均数为430元,愿意支付费用的数字小于等于430元的311人(66.2%),高于430元的159人(33.8%)。多因素分析结果显示,和30-39岁年龄段居民相比,60岁以上人群癌症筛查服务需求更低(OR=0.391,95%CI 0.212~0.719);觉得癌症筛查不重要的居民癌症筛查服务需求更低(OR=0.111,95%CI 0.048~0.254)。在婚(OR=0.218,95%CI 0.064~0.742)、职工医保(OR=1.629,95%CI 1.049~2.529)、家庭人口数更少(OR=0.829,95%CI 0.712~0.965)、家庭年收入更低(OR=0.466,95%CI 0.288~0.756)、没有接受过癌症筛查科普宣传(OR=1.597,95%CI 1.055~2.419)、本人得过癌症(OR=0.084,95%CI 0.016~0.439)、未参加过癌症筛查体检(OR=1.909,95%CI 1.210~3.010)、觉得癌症筛查重要(OR=0.194,95%CI 0.070~0.536)的城市居民更愿意支付癌症筛查费用。家庭人口数更少(OR=0.889,95%CI 0.758~1.044)、未接受过癌症筛查的科普宣传(OR=0.405,95%CI 0.194~0.843)和参加过癌症筛查体检(OR=2.880,95%CI 1.363~6.085)的居民癌症筛查支付额度更高。结论? 武威市城市居民癌症筛查服务需求较高,但支付意愿和支付额度较低。相关机构和全体居民应该共同努力推动癌症筛查工作,强化本地居民的癌症防控意识,从而提高癌症筛查参与率。
英文摘要:
      Objective ?To understand the current situation of cancer screening service demands and payment intentions among urban residents in Wuwei City, and to provide a reference basis for further improving and promoting cancer screening strategies. Method ?A stratified sampling method was adopted to select 480 survey subjects, and the final sample size included in the analysis was 470. Firstly, the distribution of each variable in terms of the demand for cancer screening services and the willingness to pay was described through univariate analysis. Then, the influencing factors of the willingness to participate in cancer screening, the willingness to pay and the payment amount were screened through the binary unconditional logistic regression method. Results? A total of 470 urban residents were finally included in the survey, among whom 312 had the need for screening services, accounting for 66.4%. 166 (35.3%) people are willing to pay for cancer screening services; The average amount paid for cancer screening services was 430 yuan. 311 people (66.2%) were willing to pay less than or equal to 430 yuan, and 159 people (33.8%) were willing to pay more than 430 yuan. The results of multivariate analysis showed that compared with residents aged 30-39, the demand for cancer screening services among people over 60 years old was lower (OR=0.391, 95%CI 0.212-0.719). Residents who consider cancer screening unimportant have a lower demand for cancer screening services (OR=0.111, 95%CI 0.048-0.254). Married (OR=0.218, 95%CI 0.064-0.742), employee medical insurance (OR=1.629, 95%CI 1.049-2.529), smaller family size (OR=0.829, 95%CI 0.712-0.965), lower annual family income (OR=0.466, 95%CI 0.288-0.756), no cancer screening popular science publicity (OR=1.597, 95%CI 1.055-2.419), had cancer personally (OR=0.084, 95%CI 0.016-0.439), no cancer screening physical examination (OR=1.909) Urban residents who consider cancer screening important (OR=0.194, 95%CI 0.070-0.536) are more willing to pay for cancer screening. (95%CI 1.210-3.010) Smaller family size (OR=0.889, 95%CI 0.758-1.044), no popular science publicity for cancer screening (OR=0.405, 95%CI 0.194-0.843), and participation in cancer screening physical examinations (OR=2.880) Residents with a 95%CI of 1.363 to 6.085 have a higher payment amount for cancer screening. Conclusion ?The demand for cancer screening services among urban residents in Wuwei City is relatively high, but the willingness to pay and the payment amount are relatively low. Relevant institutions and all residents should work together to promote cancer screening, enhance local residents" awareness of cancer prevention and control, and thereby increase the participation rate of cancer screening.
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