广西城市居民肿瘤防治健康素养现状和影响因素
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摘要
目的了解广西城市居民肿瘤防治健康素养现状和影响因素。方法采用国家城市癌症早诊早治项目提供的肿瘤防治健康素养调查表作为调查问卷,由调查人员采用多阶段分层整群随机抽样的方法从广西城市居民选取调查对象,以面对面的形式进行问卷调查。结果广西城市居民肿瘤防治健康素养率为7.5%,单因素分析表明性别、年龄、文化程度、职业、家庭收入都是肿瘤健康素养水平影响因素(均有P<0.05),其中女性高于男性,40～岁组最高,≥60岁组最低,企事业单位人员/公务员高于其它各职业人员,家庭收入大于8万高于其它各收入组,文化程度越高则健康素养水平越高;肿瘤预防意识和早发现、早诊断、早治疗两个维度的肿瘤防治健康素养水平分别为57.2%和17%;多因素Logistic分析结果显示,性别、家庭收入和职业是肿瘤健康素养的独立影响因素(均有P<0.05)。结论广西城市居民肿瘤防治健康素养水平较低,肿瘤预防意识和早发现早诊断早治疗意识发展不平衡,性别、家庭收入和职业是肿瘤健康素养的独立影响因素。
Objective To investigate health literacy and its influencing factors about the cancer prevention and control among urban residents in Guangxi. Methods Guangxi urban residents were selected by using multi-stage hierarchical cluster random sampling. Health Literacy resident cancer prevention and health literacy questionnaire, which was provided by National Urban Cancer Early Diagnosis and Treatment Project, were used for the face-to-face interview among participants. Results Among all the residents included in this study, 7.5 % had health literacy. Univariate analysis showed that gender, age, education, occupation, family income were influencing factors of health literacy(all P<0.05). The level of health literacy of female was higher than that of male. People aged 40-59 years old had the highest health literacy levels, while people aged 60 years old and above had the lowest health literacy levels. Business personnel and civil servant had higher health literacy levels than other professional staffs. The level of health literacy of residents with annual household income more than 8 ten thousand yuan was higher than that of other residents. Those with higher educational levels had better health literacy levels. Cancer prevention awareness and early detection, early diagnosis, early treatment awareness, two dimensions of cancer prevention and health literacy, was 57.2% and 17%, respectively. Logistic regression analysis indicated that gender, household income and occupation were independent factors influencing cancer prevention and health literacy in Guangxi urban residents. Conclusion The cancer prevention and health literacy levels of Guangxi urban residents are low and the development of cancer prevention awareness and early detection, early diagnosis, early treatment awareness is unbalanced. Gender, household income and profession are three independent factors influencing cancer prevention and health literacy.
Objective To investigate health literacy and its influencing factors about the cancer prevention and control among urban residents in Guangxi. Methods Guangxi urban residents were selected by using multi-stage hierarchical cluster random sampling. Health Literacy resident cancer prevention and health literacy questionnaire, which was provided by National Urban Cancer Early Diagnosis and Treatment Project, were used for the face-to-face interview among participants. Results Among all the residents included in this study, 7.5 % had health literacy. Univariate analysis showed that gender, age, education, occupation, family income were influencing factors of health literacy(all P<0.05). The level of health literacy of female was higher than that of male. People aged 40-59 years old had the highest health literacy levels, while people aged 60 years old and above had the lowest health literacy levels. Business personnel and civil servant had higher health literacy levels than other professional staffs. The level of health literacy of residents with annual household income more than 8 ten thousand yuan was higher than that of other residents. Those with higher educational levels had better health literacy levels. Cancer prevention awareness and early detection, early diagnosis, early treatment awareness, two dimensions of cancer prevention and health literacy, was 57.2% and 17%, respectively. Logistic regression analysis indicated that gender, household income and occupation were independent factors influencing cancer prevention and health literacy in Guangxi urban residents. Conclusion The cancer prevention and health literacy levels of Guangxi urban residents are low and the development of cancer prevention awareness and early detection, early diagnosis, early treatment awareness is unbalanced. Gender, household income and profession are three independent factors influencing cancer prevention and health literacy.
引文
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[14] 陆一鸣,朱泽善,文建强,等.2015年甘肃省15～69岁居民健康素养水平及影响因素研究 [J].中华疾病控制杂志,2018,22(3):235-239.DOI:10.16462/j.cnki.zhjbkz.2018.03.006.Lu YM,Zhu ZS,Wen JQ,et al.Health literacy and associated factors among residents aged 15-69 years in Gansu,2015 [J].Chin J Dis Control Prev,2018,22(3):235-239.DOI:10.16462/j.cnki.zhjbkz.2018.03.006.
[15] 何子健,罗林峰,许信红,等.2015年广州市居民健康素养水平及影响因素研究 [J].华南预防医学,2018,44(3):231-237.DOI:10.13217/j.scjpm.2018.0231.He ZJ,Luo LF,Xu XH,et al.Level of health literacy and influencing factors among residents in Guangzhou,2015 [J].South China J Prev Med,2018,44(3):231-237.DOI:10.13217/j.scjpm.2018.0231.
[16] 梁绍伶,周荣军,姚美,等.2015年广西居民健康素养监测结果分析 [J].应用预防医学,2017,23(6):445-450.DOI:10.3969/j.issn.1673-758X.2017.06.002.Liang SL,Zhou RJ,Yao M,et al.Analysis of the residents' health literacy surveillance in Guangxi in 2015 [J].J Applied Prev Med,2015,23(6):445-450.DOI:10.3969/j.issn.1673-758X.2017.06.002.
[17] 黄丽,彭山玲.癌症患者健康素养现状及其影响因素 [J].解放军护理杂志,2016,33(2):17-20.DOI:10.3969/j.issn.1008-9993.2016.02.005.Huang L,Peng SL.The Status and Influencing Factors of Health Literacy among Cancer Patients[J].Nurs J Chin PLA,2016,33(2):17-25.DOI:10.3969/j.issn.1008-9993.2016.02.005.
[2] Chen W,Sun K,Zheng R,et al.Cancer incidence and mortality in China,2014 [J].Chin J Cancer Res,2018,30(1):1-12.DOI:10.21147/j.issn.1000-9604.2018.01.01.
[3] Berkman ND,Davis TC,Mccormack L.Health literacy:what is it?[J].Health Comm,2010,152(PII 926926618):9-19.DOI:10.1080/10810730.2010.499985.
[4] Berkman ND,Sheridan SL,Donahue KE,et al.Low health literacy and health outcomes:an updated systematic review [J].Ann Intern Med,2011,155(2):97.DOI:10.7326/0003-4819-155-2-201107190-00005.
[5] Smith SG,O'Conor R,Curtis LM,et al.Low health literacy predicts decline in physical function among older adults:findings from the LitCog cohort study [J].J Epidemiol Community Health,2015,69(5):474-480.DOI:10.1136/jech-2014-204915.
[6] Oldach BR,Katz ML.Health literacy and cancer screening:a systematic review [J].Patient Educ Couns,2014,94(2):149-157.DOI:10.1016/j.pec.2013.10.001.
[7] Halverson JL,Martinez-Donate AP,Palta M,et al.Health literacy and health-related quality of life among a population-based sample of cancer patients [J].J Health Commun,2015,20(11):1320-1329.DOI:10.1080/10810730.2015.1018638.
[8] 杨丽,陈娜萦,黄开勇,等.2008-2013年广西居民恶性肿瘤疾病负担的研究 [J].中华疾病控制杂志,2016,20(05):500-503.DOI:10.16462/j.cnki.zhjbkz.2016.05.017.Yang L,Chen NY,Huang KY,et al.Burden of cancer in Guangxi Province 2008-2013 [J].Chin J Dis Control Prev,2016,20(5):500-503.DOI:10.16462/j.cnki.zhjbkz.2016.05.017.
[9] 王庆生.肿瘤主要危险因素的预防控制策略 [J].中国肿瘤,2011,20(1):10-13.Wang QS.Strategies of Prevention and Control for Main Risk Factors of Cancer [J].China Cancer,2011,20(1):10-13.
[10] 刘月玲,宫舒萍,张军,等.济南市居民肿瘤防治健康素养及影响因素分析 [J].中国公共卫生管理,2018,34(1):127-130.DOI:10.19568/j.cnki.23-1318.2018.01.038.Liu YL,Gong SP,Zhang J,et al.Survey on health literacy and its influence factors about cancer prevention and control among residents in Jinan [J].Chin J of PHM,2018,34(1):127-130.DOI:10.19568/j.cnki.23-1318.2018.01.038.
[11] 林玲,黄红玫,蔡波,等.南通市居民肿瘤防治健康意识调查研究 [J].海峡预防医学杂志,2018,24(2):30-32.Lin L,Huang HM,Cai B,et al.Investigation and research on cancer prevention and treatment health consciousness of residents in nantong city [J].Strait J Prev Med,2018,24(2):30-32.
[12] 左晶晶,陈晨,曾曼丽,等.吸烟与癌症相关性的研究进展 [J].现代生物医学进展,2017,17(16):3180-3183.DOI:10.13241/j.cnki.pmb.2017.16.045.Zuo JJ,Chen C,Zeng ML,et al.Advances of Studies on the Occurrence,Development and Prognosis of Tumors Correlative with Gene-polymorphisms and Cigarette Smoking [J].Progress in Modern Biomedicine,2017,17(16):3180-3183.DOI:10.13241/j.cnki.pmb.2017.16.045.
[13] Lee YC,Hashibe M.Tobacco,alcohol,and cancer in low and high income countries [J].Ann Glob Health,2014,80(5):378-383.DOI:10.1016/j.aogh.2014.09.010.
[14] 陆一鸣,朱泽善,文建强,等.2015年甘肃省15～69岁居民健康素养水平及影响因素研究 [J].中华疾病控制杂志,2018,22(3):235-239.DOI:10.16462/j.cnki.zhjbkz.2018.03.006.Lu YM,Zhu ZS,Wen JQ,et al.Health literacy and associated factors among residents aged 15-69 years in Gansu,2015 [J].Chin J Dis Control Prev,2018,22(3):235-239.DOI:10.16462/j.cnki.zhjbkz.2018.03.006.
[15] 何子健,罗林峰,许信红,等.2015年广州市居民健康素养水平及影响因素研究 [J].华南预防医学,2018,44(3):231-237.DOI:10.13217/j.scjpm.2018.0231.He ZJ,Luo LF,Xu XH,et al.Level of health literacy and influencing factors among residents in Guangzhou,2015 [J].South China J Prev Med,2018,44(3):231-237.DOI:10.13217/j.scjpm.2018.0231.
[16] 梁绍伶,周荣军,姚美,等.2015年广西居民健康素养监测结果分析 [J].应用预防医学,2017,23(6):445-450.DOI:10.3969/j.issn.1673-758X.2017.06.002.Liang SL,Zhou RJ,Yao M,et al.Analysis of the residents' health literacy surveillance in Guangxi in 2015 [J].J Applied Prev Med,2015,23(6):445-450.DOI:10.3969/j.issn.1673-758X.2017.06.002.
[17] 黄丽,彭山玲.癌症患者健康素养现状及其影响因素 [J].解放军护理杂志,2016,33(2):17-20.DOI:10.3969/j.issn.1008-9993.2016.02.005.Huang L,Peng SL.The Status and Influencing Factors of Health Literacy among Cancer Patients[J].Nurs J Chin PLA,2016,33(2):17-25.DOI:10.3969/j.issn.1008-9993.2016.02.005.