High-risk population's knowledge of risk factors and warning symptoms and their intention toward gastric cancer screening in Southeastern China.
High-risk population's knowledge of risk factors and warning symptoms and their intention toward gastric cancer screening in Southeastern China.
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DOI：
10.3389/fpubh.2022.974923
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发表时间：
2022
影响因子：
5.2
通讯作者：
Lin, Yulan
中科院分区：
文献类型：
--
作者：
Huang, Zhiwen;Liu, Wei;Marzo, Roy Rillera;Hu, Zhijian;Wong, Li Ping;Lin, Yulan
随着胃癌（GC）的发病率在40岁以上的成年人中急剧增加，对这一高危人群进行筛查非常重要。本研究旨在了解我国40岁及以上人群对胃癌相关危险因素和症状的认知水平，并探讨胃癌筛查意向的影响因素。一项基于网络的横断面调查于2021年10月至2022年3月在中国东南部40岁及以上的人群中进行。通过一系列关于危险因素（24项量表）和警告症状（14项量表）的问题评估参与者的知识。共收到2547份完整答复。平均年龄47.72（±7.20）岁，男性占60%。受访者对GC的危险因素和警告症状有中等程度的了解。总平均知识得分为23.9（±9.8），可能得分为38。大多数（80%）的受访者表示打算在未来5年内进行GC筛查。对筛检意愿影响最大的预测因子为收入水平（OR = 2.13，95%CI：1.36-3.32），感知获益（OR = 1.99，95% CI：1.33-2.73），感知严重程度（OR = 1.68，95%CI：1.20-2.34），曾做过GC筛查（OR = 1.63，95% CI：1.28-2.08）、自认为总体健康状况差（OR = 1.59，95% CI：1.19-2.11）和自认为障碍（OR = 1.56，95% CI：1.17-2.09）。其他重要因素包括曾被诊断患有慢性胃病、总知识得分和行动提示。不愿意接受筛查的主要原因是“内镜检查不舒服”（29.6%）、“担心筛查结果”（23.6%）和“没有症状”（21.3%）。40岁及以上高危人群对胃癌筛查的意愿较高。在中国的高危人群中，需要进行干预以改善健康促进并减少GC筛查的障碍。
As the incidence of gastric cancer (GC) increases sharply in adults aged over 40 years, screening of this high-risk population is important. This study aimed to explore knowledge level of GC related risk factors and symptoms, and to identify influencing factors associated with intention toward GC screening among people aged 40 years old and above in China. A cross-sectional, web-based survey was conducted among people aged 40 years old and above between October 2021 and March 2022 in Southeastern China. The participants' knowledge was assessed by a series of questions about risk factors (24-item scale) and warning symptoms (14-item scale). A total of 2547 complete responses were received. The mean age was 47.72 (±7.20) years and near 60% were male. Respondents had a moderate level of knowledge about risk factors and warning symptoms of GC. The total mean knowledge score was 23.9 (±9.8) out of a possible score of 38. Majority (80%) of respondents reported intention to be screened for GC in the next 5 years. The most influential predictors of screening intention were income level (OR = 2.13, 95% CI: 1.36–3.32), perceived benefits (OR = 1.99, 95% CI: 1.33–2.73), perceived severity (OR = 1.68, 95% CI: 1.20–2.34), ever took GC screening (OR = 1.63, 95% CI: 1.28–2.08), perceived poor overall health (OR = 1.59, 95% CI: 1.19–2.11), and perceived barriers (OR = 1.56, 95% CI: 1.17–2.09). Other significant factors were ever diagnosed with chronic gastric diseases, total knowledge score, and cues-to-action. The major reasons for not willing to take screening were “endoscopy is uncomfortable” (29.6%), “worry about screening results” (23.6%), and “have no symptoms” (21.3%). High-risk population aged 40 years and above expressed high intention to receive GC screening. Intervention to improve health promotion and reduce the barriers to uptake of GC screening among high-risk populations in China is warranted.
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影响因子：
12.6
作者：
Dan, Yock Young;So, J. B. Y.;Yeoh, Khay Guan
通讯作者：
Yeoh, Khay Guan
影响因子：
7.4
作者：
Isobe, Yoh;Nashimoto, Atsushi;Akazawa, Kohei;Oda, Ichiro;Hayashi, Kenichi;Miyashiro, Isao;Katai, Hitoshi;Tsujitani, Shunichi;Kodera, Yasuhiro;Seto, Yasuyuki;Kaminishi, Michio
通讯作者：
Kaminishi, Michio
DOI：
10.1177/0272989x15572827
发表时间：
2015-05
期刊：
Medical decision making : an international journal of the Society for Medical Decision Making
影响因子：
--
作者：
Hay JL;Orom H;Kiviniemi MT;Waters EA
通讯作者：
Waters EA
影响因子：
2.4
作者：
Di L;Wu H;Zhu R;Li Y;Wu X;Xie R;Li H;Wang H;Zhang H;Xiao H;Chen H;Zhen H;Zhao K;Yang X;Xie M;Tuo B
通讯作者：
Tuo B
影响因子：
3.8
作者：
Hahm, Myung-Il;Choi, Kui Son;Hwang, Seung Sik
通讯作者：
Hwang, Seung Sik