Compliance rate and impact factor analysis of liver cancer screening in urban areas of Henan Province
10.3760/cma.j.cn112152-20200331-00286
- VernacularTitle:河南省城市地区肝癌筛查依从性及其影响因素分析
- Author:
Lanwei GUO
1
;
Shaokai ZHANG
;
Shuzheng LIU
;
Liyang ZHENG
;
Qiong CHEN
;
Xiaoqin CAO
;
Xibin SUN
;
Jiangong ZHANG
Author Information
1. 郑州大学附属肿瘤医院 河南省肿瘤医院 河南省肿瘤防治研究办公室 450008
- Keywords:
Liver neoplasms;
Screening;
Compliance;
Urban areas
- From:
Chinese Journal of Oncology
2021;43(2):233-237
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the compliance rate and its impact factors of liver cancer screening for high-risk groups in urban areas of Henan Province from 2013 to 2019.Methods:Residents of 40-74 years old in 8 cities of Henan province were selected to investigate the risk factors and liver cancer risk assessment. Subjects with high risk of liver cancer received AFP combined ultrasonography for screening. Chi-square tests were used to compare the differences in liver cancer screening participation rates between groups. Multivariate logistic regression models were applied to explore the potential factors correlating to the compliance of liver cancer screening.Results:Overall, 3 6781 participants who met the inclusion criteria were included in this analysis, and 17 241 of them took the following liver cancer screening, yielding a participation rate of 46.87%. The participation rate varied greatly across cities, ranging from 62.50% to 38.59%. Moreover, the participation rate varied greatly across periods, ranging from 52.77% in 2014-2015 to 38.14% in 2013-2014. The multivariate Logistic regression analyses showed that: female, older, high education degree, cigarette and alcohol intake, infrequent physical exercise, chronic hepatitis B, chronic hepatitis C, fatty liver, gallstones and a family history of liver cancer were inclined to accept liver cancer screening ( P<0.05). Conclusions:The overall participation rate of liver cancer screening among high-risk population is less than 50% in urban areas of Henan Province. Implement of effective interventions targeting the specific high-risk populations might improve the overall compliance rate of liver cancer screening in the future.
