Determinants of gastric cancer screening attendance in Southeastern China: a cross-sectional study.
Determinants of gastric cancer screening attendance in Southeastern China: a cross-sectional study.
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DOI：
10.1136/bmjopen-2023-073925
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发表时间：
2023-07-20
期刊：
影响因子：
2.9
通讯作者：
中科院分区：
文献类型：
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本研究旨在确定中国胃癌高发地区40岁以上人群胃癌筛查参与的决定因素。于2021年10月至2022年3月期间进行了匿名横断面调查。在中国东南部的福建省进行了一项自填式在线调查。居住在福建省五个选定城市的40岁以上无癌症史的人。胃癌筛查出勤率是通过“您过去是否接受过胃癌筛查”这一问题来衡量的。共收到2547份完整回复。受访者的平均年龄为47.72 ± 7.20岁，59.8%为男性。共有42.6%的参与者报告他们接受了胃癌筛查。多因素Logistic回归分析结果显示，一级亲属患胃癌（OR = 2.02，95%CI：1.58~2.59）和高胃癌易感性（OR = 2.03，95%CI：1.58~2.59）是参与筛查的最强促进因素。与筛查出席率呈正相关的其他因素是年龄51 - 60岁（OR = 1.69，95%CI：1.31 - 2.18），居住在城市地区（OR = 1.27，95%CI：1.05~1.55），朋友/邻居/同事胃癌（OR = 1.30，95%CI：1.07~1.58），有慢性胃病史（OR = 1.90，95% CI：1.57~2.30）、自认为费用高（OR = 1.28，95% CI：1.01~1.61）和医生推荐（OR = 1.71，95% CI：1.36~2.16）。另一方面，与筛查出席率呈负相关的因素包括感知障碍，即只有在出现症状时才需要筛查（OR = 0.71，95%CI：0.58至0.87）和感知预约胃镜筛查困难且耗时（OR = 0.75，95%CI：0.60至0.94）。知识水平和参与筛查之间没有显着的关联。这项研究强调了胃癌筛查的重要个人因素和障碍。针对筛查不足的人群和消除患者认为的胃癌筛查障碍的策略至关重要。
This study aimed to identify the determinants of gastric cancer screening attendance among individuals aged 40 years in a region with high gastric cancer in China. An anonymous, cross-sectional survey was conducted between October 2021 and March 2022. A self-administered online survey was conducted in Fujian Province in Southeastern China. People aged 40 years living in five selected cities in Fujian Province with no history of cancer. Gastric cancer screening attendance was measured with the question ‘Have you ever been screened for gastric cancer in the past’. In total, 2547 complete responses were obtained. The mean age of respondents was 47.72±7.20 years, and 59.8% were men. A total of 42.6% of participants reported that they had undergone gastric cancer screening. The result of multivariable logistic regression analysis showed that participants with a first-degree relative affected with gastric cancer (OR=2.02, 95% CI: 1.58 to 2.59) and high perceived susceptibility of gastric cancer (OR=2.03, 95% CI: 1.58 to 2.59) were the strongest facilitators for screening attendance. Other factors positively associated with screening attendance were age 51–60 years (OR=1.69, 95% CI: 1.31 to 2.18), living in urban regions (OR=1.27, 95% CI: 1.05 to 1.55), friends/neighbours/colleagues with gastric cancer (OR=1.30, 95% CI: 1.07 to 1.58), history of chronic gastric disease (OR=1.90, 95% CI: 1.57 to 2.30), perceived high cost (OR=1.28, 95% CI: 1.01 to 1.61) and physician recommendation (OR=1.71, 95% CI: 1.36 to 2.16). On the other hand, factors negatively associated with screening attendance included perceived barriers, namely screening is only necessary when symptoms present (OR=0.71, 95% CI: 0.58 to 0.87) and perceived appointment for gastroscopy screening is difficult and time-consuming (OR=0.75, 95% CI: 0.60 to 0.94). No significant association was found between knowledge level and participation in screening. This study highlights important individual-level factors and barriers to gastric cancer screening. Strategies targeting under-screened populations and eliminating patient-perceived barriers to gastric cancer screening are essential.
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DOI：
10.21147/j.issn.1000-9604.2021.02.05
发表时间：
2021-04-30
期刊：
Chinese journal of cancer research = Chung-kuo yen cheng yen chiu
影响因子：
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2.8
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2.4
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