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[目的]了解乙肝病毒携带者肝癌防治知识的知晓情况及其影响因素,为提高肝癌筛查参与率提供参考。[方法]2012年1~11月,在中山市小榄镇肝癌筛查乙肝表面抗原阳性人群中,对1750名乙肝病毒携带者进行现场一对一问卷调查。问卷主要内容包含肝癌的诊治方法、调查者对肝癌筛查的态度以及既往参加筛查的情况。[结果]共调查1750人,获得有效完整问卷1685份,有效问卷率为96.3%。调查人群知晓血清甲胎蛋白检查可用于诊断早期肝癌的占65.9%,知晓手术可治疗肝癌的占76.8%。96.8%的调查人群愿意经常参加健康体检。既往参加过免费抽血、免费B超的人群分别占调查人群的44.0%、9.4%。调查人群不参加筛查的原因主要是查出病有心理负担(53.4%)。多因素Logistic分析显示,年龄对肝癌的诊断认知有影响,性别、年龄对肝癌的治疗认知有影响。[结论]绝大多数调查者体检意愿较强,既往筛查参与率却不高。缓解目标人群的心理压力,可提高人群的筛查参与率。应加强女性、低年龄组人群的癌症健康教育。在肝癌高危人群中,将肝癌筛查与健康教育紧密结合,有利于肝癌综合防治工作的进行。
[Objective] To understand the status of knowledge of prevention and treatment of hepatocellular carcinoma in hepatitis B virus carriers and its influencing factors, and to provide reference for improving the screening rate of liver cancer. [Methods] From January to November 2012, 1750 hepatitis B virus carriers were surveyed on site by one-to-one questionnaires in a positive population of hepatitis B surface antigen (HBsAg) positive patients screened for liver cancer in Xiaolan Town, Zhongshan City. The main content of the questionnaire includes the diagnosis and treatment of liver cancer, the attitude of the investigators on the screening of liver cancer and the previous participation in the screening. [Results] A total of 1750 people were surveyed, 1685 valid and complete questionnaires were obtained, and the effective questionnaire rate was 96.3%. Survey population knowledge of serum alpha-fetoprotein tests can be used to diagnose early liver cancer accounted for 65.9%, knowing that surgery can treat liver cancer accounted for 76.8%. 96.8% of the respondents are willing to participate in regular physical examination. Previously participated in the free blood draw, free B-crowd accounted for 44.0% of the survey population, 9.4%. The main reason why the surveyed population did not participate in the screening was to find out the psychological burden (53.4%). Multivariate logistic analysis showed that age had an impact on the diagnosis and recognition of HCC, while gender and age had an impact on the treatment of HCC. [Conclusion] The vast majority of investigators have strong medical examination intention, while the previous screening participation rate is not high. To alleviate the psychological pressure of the target population, can improve the crowd’s screening participation rate. Should strengthen the female, low age group cancer health education. In high-risk groups of liver cancer, the close combination of screening and health education of liver cancer is conducive to the comprehensive prevention and treatment of liver cancer.