Compliance and Influencing Factors of Endoscopic Screening in High-Risk Population of Upper Gastroin-testinal Cancer in Chongqing
10.11735/j.issn.1004-0242.2024.12.A009
- VernacularTitle:重庆市上消化道癌高危人群内镜筛查依从性及影响因素分析
- Author:
Jia DU
1
;
Zhikai YU
;
Yan ZHANG
;
Qing GUO
;
Shenglin ZHAO
;
Xiu LIU
;
Hong ZHOU
;
Mei HE
Author Information
1. 重庆大学附属肿瘤医院/重庆市肿瘤研究所/重庆市肿瘤医院,重庆 400030
- Keywords:
upper gastrointestinal cancer;
endoscopic screening;
high-risk population;
complia-nce;
influencing factors;
Chongqing
- From:
China Cancer
2024;33(12):1019-1026
- CountryChina
- Language:Chinese
-
Abstract:
[Purpose]To analyze the compliance and influencing factors of endoscopic screening in high-risk population of upper gastrointestinal cancer(UGC)in Chongqing Municipality.[Methods]Risk assessment of UGC was conducted among residents aged 40～74 years old in the areas covered by the Chongqing Urban Cancer Early Diagnosis and Treatment Program from 2012 to 2019.The residents with high risk of UGC were advised to receive free endoscopic screening in designated hospitals.The compliance and influencing factors of endoscopic screening among high-risk sub-jects were analyzed.[Results]There were 266 611 residents who completed the questionnaires and UGC risk assessment,among whom 48 000(18.00％)were assessed as high risk.A total of 9 162 high-risk individuals received the following endoscopic screening with a compliance rate of 19.09％.Multivariate Logistic regression analysis showed that residents aged 45～64 years old,with high school or above education,divorced or widowed status,occupational exposure to haza-rdous substances,hot food preference,high fat diet,frequent consumption of pickled and dried food,exposure to kitchen fume,psychic trauma or depression,upper gastrointestinal disease his-tory and family history of UGC were likely to accept endoscopic screening;while those aged 70 years old and above,current smokers,and having regular physical exercise were likely to have low compliance.[Conclusion]Among high-risk residents of UGC in Chongqing,the compliance to endoscopic screening needs be improved,health education and management should be targeted to those likely to have low compliance.
