Analysis of low-dose computed tomography compliance and related factors among high-risk population of lung cancer in three provinces participating in the cancer screening program in urban China
10.3760/cma.j.cn112150-20201015-01286
- VernacularTitle:中国3省城市癌症早诊早治项目地区肺癌高危人群的低剂量螺旋CT筛查依从性及相关因素分析
- Author:
Yan WEN
1
;
Lianzheng YU
;
Lingbin DU
;
Donghua WEI
;
Yunyong LIU
;
Zhuoyu YANG
;
Yadi ZHENG
;
Zheng WU
;
Xinyang YU
;
Liang ZHAO
;
Yiwen YU
;
Hongda CHEN
;
Jiansong REN
;
Chao QIN
;
Yongjie XU
;
Wei CAO
;
Fei WANG
;
Jiang LI
;
Fengwei TAN
;
Min DAI
;
Wanqing CHEN
;
Ni LI
;
Jie HE
Author Information
1. 国家癌症中心 国家肿瘤临床医学研究中心 中国医学科学院北京协和医学院肿瘤医院癌症早诊早治办公室，北京100021
- Keywords:
Lung neoplasms;
Early diagnosis;
Cross-sectional studies;
Low-dose computed tomography;
Compliance of screening
- From:
Chinese Journal of Preventive Medicine
2021;55(5):633-639
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the compliance and related factors of low-dose computed tomography (LDCT) screening among the high-risk population of lung cancer in three provinces participating in the cancer early diagnosis and early treatment program in urban areas of China.Methods:From October 2017 to October 2018, 17 983 people aged between 40 and 74 years old at high risk of lung cancer were recruited from Zhejiang, Anhui and Liaoning provinces. The basic demographic characteristics, living habits, history of the disease and family history of cancer were collected by using a cancer risk assessment questionnaire, and the data of participants examined by LDCT were obtained from the hospitals participating in the program. The screening compliance was quantified by the screening participation rate, and it was calculated as the proportion of participants completing LDCT scan among high-risk population. The related factors of LDCT screening compliance were analyzed by using a multivariate logistic regression model.Results:The age of 17 983 participants was (56.52±8.22) years old. Males accounted for 51.9% (N=9 332), and 69.5% (N=12 495) had ever smoked, including former smokers and current smokers. A total of 6 269 participants were screened by LDCT, and the screening participation rate was 34.86%. The results of multivariate logistic regression analysis showed that the age group of 50 to 69 years old, female, passive smokers, alcohol consumption, family history of lung cancer and history of chronic respiratory diseases were more likely to be screened by LDCT, while the compliance of LDCT screening in current smokers was low.Conclusions:The LDCT screening compliance of the high-risk population of lung cancer in urban areas of China still needs to be improved. Age, sex, smoking, drinking, family history of lung cancer and history of chronic respiratory disease are associated with screening compliance.
