[A comparative analysis of the distribution of the high-risk population of upper gastrointestinal cancer and endoscopic screening compliance in two urban areas and two rural areas in China].

医学 中国 环境卫生 逻辑回归 人口 农村地区 流行病学 人口学 地理 内科学 病理 社会学 考古
作者
H Li,Maomao Cao,D Q Sun,Shiping He,Xinxin Yan,Fangfang Yang,S L Zhang,Boliang Song,S P Yan,Ke-Yu Jiang,Chenwei Dai,W Q Chen
出处
期刊:PubMed 卷期号:44 (6): 531-539 被引量:3
标识
DOI:10.3760/cma.j.cn112152-20210916-00707
摘要

Objective: To analyze and compare the distribution of the high-risk population of upper gastrointestinal (UGI) cancer and the factors influencing the compliance rate of endoscopic screening in urban China and rural China. Methods: From 2015 to 2017, an epidemiological survey was conducted on residents aged 40-69 in two rural areas (Luoshan county of Henan province, Sheyang county of Jiangsu province) and two urban areas (Changsha city of Hunan province, Harbin city of Heilongjiang province). As a result, high-risk individuals were recommended for endoscopic screening. Chi-square χ(2) test was used to compare the high-risk rate of UGI cancer between urban and rural residents. In addition, the multivariate logistic regression model was used to analyze the factors influencing the compliance rate of endoscopic screening. Results: A total of 48, 310 residents aged 40-69 were enrolled in this study, including 22 870 (47.34%) residents from rural areas and 25 440 (52.66%) residents from urban areas. A total of 23 532 individuals were assessed with a high risk of UGI cancer, with an overall risk rate of 48.71%. A higher proportion of participants with high risk was observed in rural China (56.17%, 12 845/22 870) than in urban China (42.01%, 10 687/25 440). A total of 10 971 high-risk individuals with UGI cancer participated in endoscopic screening, with an overall compliance rate of 46.62% (10 971/23 532), 45.15% (5 799/12 845) in rural China, and 48.40% (5 172/10 687) in urban China. In rural population, the compliance rate of endoscopic screening was higher in those of females, aged 50-69 years, primary school education or above, high income, a family history of UGI cancer, history of gastric and duodenal ulcer, history of reflux esophagitis, and history of superficial gastritis, but lower in smokers (P<0.05). Among the urban population, the compliance rate of endoscopic screening was higher in those aged 40-49 years, uneducated, low income, family history of UGI cancer, history of reflux esophagitis, history of superficial gastritis, but lower in smokers (P<0.05). Conclusions: The proportion of participants with high risk of UGI cancer in rural areas is higher than that of urban areas. The compliance rates of endoscopic screening in urban and rural areas are low, and influencing factors of endoscopic screening exhibit some differences in rural China and urban China.目的: 分析城乡上消化道肿瘤高危人群的分布,探讨上消化道肿瘤影响内镜筛查依从情况的影响因素。 方法: 2015—2017年,以中国2个农村地区(河南省罗山县、江苏省射阳县)和2个城市地区(湖南省长沙市、黑龙江省哈尔滨市)为研究现场,以现场面对面访谈的方式对40~69岁居民开展流行病学调查及上消化道肿瘤风险评估,并对上消化道肿瘤高危人群开展内镜筛查。采用χ(2)检验比较农村和城市地区人群上消化道肿瘤高危者占比的差异,农村和城市地区人群上消化道肿瘤高危人群内镜筛查依从率的影响因素分析采用多因素logistic回归分析。 结果: 参与上消化道肿瘤筛查的40~69岁居民共48 310人,其中,农村地区人群占比为47.34%(22 870人),城市地区人群占比为52.66%(25 440人)。上消化道肿瘤高危人群占比为48.71%(23 532/48 310),农村地区高危人群占比(56.17%,12 845/22 870)高于城市地区(42.01%,10 687/25 440)。上消化道肿瘤高危人群参加内镜筛查依从率为46.62%(10 971/23 532),农村和城市地区高危人群内镜筛查依从率分别为45.15%(5 799/12 845)和48.40%(5 172/10 687)。多因素logistic回归分析结果显示,在农村地区人群中,女性、50~69岁、学历为小学及以上、高收入、有上消化道肿瘤家族史、有胃十二指肠溃疡史、有反流性食管炎史、有浅表性胃炎史的人群有更高的内镜筛查依从率,但有吸烟史人群的内镜筛查依从率较低(均P<0.05);城市地区人群中,40~49岁、未接受过学校教育、低收入、有上消化道肿瘤家族史、有反流性食管炎史、有浅表性胃炎史的人群内镜参筛查依从率较高,有吸烟史的人群内镜筛查依从率较低(均P<0.05)。 结论: 农村人群上消化道肿瘤高危者占比高于城市人群;城市和农村上消化道肿瘤高危人群内镜筛查依从率较低,且影响城乡人群内镜筛查依从的因素存在一定差异。.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
共享精神应助Volcano采纳,获得10
4秒前
4秒前
4秒前
ali完成签到,获得积分20
5秒前
han发布了新的文献求助10
6秒前
大个应助无限雨南采纳,获得10
7秒前
丘比特应助幽默尔蓝采纳,获得10
7秒前
EED发布了新的文献求助10
8秒前
8秒前
yy完成签到,获得积分10
9秒前
9秒前
9秒前
李爱国应助十三儿采纳,获得10
10秒前
ali发布了新的文献求助10
11秒前
11秒前
HOME发布了新的文献求助10
13秒前
熊大哥发布了新的文献求助10
15秒前
16秒前
科研马完成签到,获得积分10
17秒前
猫和老鼠发布了新的文献求助10
18秒前
18秒前
19秒前
发篇Sci不过分吧完成签到,获得积分20
19秒前
奥特超曼应助易槐采纳,获得10
21秒前
21秒前
上官若男应助Supreme采纳,获得10
21秒前
熊大哥完成签到,获得积分10
21秒前
21秒前
22秒前
小蘑菇应助威武的手链采纳,获得10
22秒前
可爱千兰完成签到,获得积分10
22秒前
十三儿完成签到,获得积分20
22秒前
23秒前
23秒前
木木发布了新的文献求助20
23秒前
重要鑫磊完成签到,获得积分10
25秒前
25秒前
ccc发布了新的文献求助10
26秒前
26秒前
26秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
‘Unruly’ Children: Historical Fieldnotes and Learning Morality in a Taiwan Village (New Departures in Anthropology) 400
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3988920
求助须知:如何正确求助?哪些是违规求助? 3531290
关于积分的说明 11253247
捐赠科研通 3269903
什么是DOI,文献DOI怎么找? 1804830
邀请新用户注册赠送积分活动 882027
科研通“疑难数据库(出版商)”最低求助积分说明 809052