| 田 玲,叶延程,胡军国,等.甘肃省武威市居民肿瘤筛查需求和支付意愿调查分析[J].肿瘤学杂志,2026,32(7):553-559. |
| 甘肃省武威市居民肿瘤筛查需求和支付意愿调查分析 |
| Survey on Cancer Screening Demand and Willingness to Pay Among Urban Residents in Wuwei City， Gansu Province |
| 投稿时间：2026-02-24 |
| DOI：10.11735/j.issn.1671-170X.2026.07.B005 |
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| 中文关键词: 肿瘤筛查 需求 支付意愿 影响因素 甘肃 |
| 英文关键词:cancer screening demand willingness to pay influencing factors Gansu |
| 基金项目:武威市市级科技计划项目（WW25A01RQNK010） |
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| 中文摘要: |
| 摘 要：［目的］ 了解甘肃省武威市居民肿瘤筛查需求和支付意愿现状，为进一步完善和推广肿瘤筛查策略提供参考依据。［方法］ 采用分层抽样的方法选取武威市凉州区30~74岁常驻居民470人，采用面对面问卷调查方式调查肿瘤筛查需求、无肿瘤筛查需求的主要原因，以及愿意每年支付肿瘤筛查费用金额。采用Logistic回归方法筛选肿瘤筛查需求、支付意愿及支付额度的影响因素。［结果］ 研究共调查居民470人，其中有肿瘤筛查需求者312人（66.4%），愿意付费者164人（34.9%）。付费意愿方面，60人（36.6%）愿意支付金额≤430元，104人（63.4%）愿意支付金额＞430元。多因素Logistic回归分析显示：与30～39岁人群相比，60岁以上居民肿瘤筛查需求更低（OR=0.391，95%CI：0.212~0.719）；认为肿瘤筛查不重要者需求也更低（OR=0.111，95%CI：0.048~0.254）。已婚、职工医保、家庭人口较少、家庭年收入低、未曾接受过肿瘤筛查科普、本人曾患肿瘤、未曾参加过肿瘤筛查以及认为肿瘤筛查重要的居民更愿意付费。［结论］ 武威市居民肿瘤筛查需求较高，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肿瘤筛查工作，强化本地居民的肿瘤防控意识，从而提高肿瘤筛查参与率。 |
| 英文摘要: |
| Abstract： ［Objective］ To investigate the current status of cancer screening demand and willingness to pay (WTP) among residents in Wuwei City， Gansu Province， and to provide reference for further improving and promoting cancer screening strategies. ［Methods］ A stratified sampling method was used to select 470 permanent residents aged 30-74 years old in Liangzhou District， Wuwei City. Face-to-face questionnaire surveys were conducted to collect data on cancer screening demand， main reasons for no demand， and annual amount of WTP for cancer screening. Logistic regression was employed to identify factors influencing screening demand， WTP， and payment amount. ［Results］ Among the 470 respondents， 312(66.4%) expressed a need for cancer screening， and 164 (34.9%) were willing to pay for it. Of those willing to pay， 60 (36.6%) were willing to pay ≤430 yuan， while 104(63.4%) were willing to pay >430 yuan. Multivariate Logistic regression analysis showed that， compared with residents aged 30-39 years old， those over 60 years old had a lower demand for cancer screening (OR=0.391， 95%CI： 0.212-0.719)； residents who considered screening unimportant also had lower demand (OR=0.111， 95%CI： 0.048-0.254). Factors associated with higher WTP included being married， having employee medical insurance， smaller household size， lower annual household income， no prior exposure to cancer screening health education， personal history of cancer， no previous participation in screening， and perceiving screening as important. ［Conclusion］ Residents of Wuwei City show a high demand for cancer screening but relatively low WTP and payment capacity. Relevant institutions and the public should jointly promote cancer screening， enhance local awareness of cancer prevention and control， and thereby increase screening participation rates. |
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