Study on the health literacy and related factors of the cancer prevention consciousness among urban residents in China from 2015 to 2017

Chengcheng Liu; Chunlei Shi; Jufang Shi; Ayan Mao; Huiyao Huang; Pei Dong; Fangzhou Bai; Yunsi Chen; Debin Wang; Guoxiang Liu; Xianzhen Liao; Yana Bai; Xiaojie Sun; Jiansong Ren; Li Yang; Donghua Wei; Bingbing Song; Haike Lei; Yuqin Liu; Yongzhen Zhang; Siying Ren; Jinyi Zhou; Jialin Wang; Jiyong Gong; Lianzheng YU; Yunyong Liu; Lin Zhu; Lanwei Guo; Youging Wang; Yutong HE; Peian Lou; Bo Cai; Xiaohua Sun; Shouling WU; Xiao QI; Kai Zhang; Ni LI; Wanghong XU; Wuqi Qiu; Min Dai; Wanqing Chen

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Study on the health literacy and related factors of the cancer prevention consciousness among urban residents in China from 2015 to 2017

VernacularTitle: 2015—2017年中国城市居民肿瘤预防意识健康素养及相关因素分析
Author: Chengcheng LIU ¹ ; Chunlei SHI ² ; Jufang SHI ¹ ; Ayan MAO ³ ; Huiyao HUANG ⁴ ; Pei DONG ³ ; Fangzhou BAI ¹ ; Yunsi CHEN ¹ ; Debin WANG ⁵ ; Guoxiang LIU ⁶ ; Xianzhen LIAO ⁷ ; Yana BAI ⁸ ; Xiaojie SUN ⁹ ; Jiansong REN ¹ ; Li YANG ¹⁰ ; Donghua WEI ¹¹ ; Bingbing SONG ¹² ; Haike LEI ¹³ ; Yuqin LIU ¹⁴ ; Yongzhen ZHANG ¹⁵ ; Siying REN ¹⁶ ; Jinyi ZHOU ¹⁷ ; Jialin WANG ¹⁸ ; Jiyong GONG ¹⁸ ; Lianzheng YU ¹⁹ ; Yunyong LIU ²⁰ ; Lin ZHU ²¹ ; Lanwei GUO ²² ; Youging WANG ²³ ; Yutong HE ²⁴ ; Peian LOU ²⁵ ; Bo CAI ²⁶ ; Xiaohua SUN ²⁷ ; Shouling WU ²⁸ ; Xiao QI ²⁹ ; Kai ZHANG ³⁰ ; Ni LI ¹ ; Wanghong XU ³¹ ; Wuqi QIU ³ ; Min DAI ¹ ; Wanqing CHEN ¹
Author Information

1. Office of Cancer Screening, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
2. Department of Disease Control and Prevention, Xuzhou Center for Disease Control and Prevention, Xuzhou 221006, China
3. Department of Public Health Strategy Research, Institute of Medical Information, Chinese Academy of Medical Sciences, Beijing 100020, China
4. Clinical Trials Center, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100020, China
5. Health Management College, Anhui Medical University, Hefei 230032, China
6. School of Public Health, Harbin Medical University, Harbin 150081, China
7. The Department of Cancer Prevention and Control, Hunan Provincial Cancer Hospital, Changsha 410006, China
8. School of Public Health, Lanzhou University, Lanzhou 730000, China
9. Scholl of Health Care Management, Shandong University, Jinan 250012, China
10. School of Public Health, Guangxi Medical University, Nanning 530021, China
11. Department of Medical Examination for Cancer Prevention, Anhui Provincial Cancer Hospital, Hefei 230032, China
12. The department of Cancer Prevention and Control, Affiliated Cancer Hospital of Harbin Medical University, Harbin 150081, China
13. Department of Cancer Research and Control, Chongqing University Cancer Hospital/Chongqing Cancer Institute/Chongqing Cancer Hospital, Chongqing 400030, China
14. Department of Cancer Epidemiology, Gansu Provincial Cancer Hospital, Lanzhou 730050, China
15. Department of Epidemiology, Shanxi Provincial Center Hospital, Taiyuan 030013, China
16. Institute for Chronic and Non-communicable Disease Prevention and Control, Yunnan Center for Disease Prevention and Control, Kunming 650118, China
17. Department of Chronic Disease Control, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China
18. The Department of Cancer Prevention and Control, Shandong Tumor Hospital, Jinan 250117, China
19. Institute for Chronic and Non-communicable Disease Prevention and Control, Liaoning Provincial Center for Disease Control and Prevention, Shenyang 110005, China
20. The Department of Cancer Prevention and Control, Liaoning Cancer Hospital/Institute, Shenyang 110042, China
21. Cancer Research Institute, Affiliated Cancer Hospital of Xinjiang Medical University, Urumqi 830011, China
22. Office for Cancer Control and Research, Henan Cancer Hospital/The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou 450008, China
23. Department of Cancer Prevention, Cancer hospital of University of Chinese Academy of Sciences/Zhejiang Cancer Hospital, Hangzhou 310022, China
24. The Department of Cancer Prevention and Control, Cancer Institute, The Fourth Affiliated Hospital of Hebei Medical University, Shijiazhuang 050011, China
25. Department of Control and Prevention of Chronic Non-communicable Diseases, Xuzhou Center for Disease Control and Prevention, Xuzhou221006, China
26. Department of Health Education and Chronic Disease Control, Nantong Center for Disease Control and Prevention, Nantong 226000, China
27. Endocrine Department, Ningbo NO.2 Hospital, Ningbo 315010, China
28. Department of Cardiovascular Diseases, Kailuan General Hospital, Tangshan 063000, China
29. Office of Cancer Screening, Tangshan People′s Hospital, Tangshan 063001, China
30. Department of Medical Examination for Cancer Prevention, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
31. Key Lab of Health Technology Assessment of Ministry of Health, School of Public Health, Fudan University, Shanghai 200032, China
Publication Type:Journal Article
Keywords: Neoplasms; Health literacy; Cross-sectional; Cancer prevention consciousness; Urban population
From: Chinese Journal of Preventive Medicine 2020;54(1):47-53
CountryChina
Language:Chinese
Abstract: Objective:To understand the health literacy and relevant factors of cancer prevention consciousness in Chinese urban residents from 2015 to 2017.
Methods:A cross-sectional survey was conducted in 16 provinces covered by the Cancer Screening Program in Urban China from 2015 to 2017. A total of 32 257 local residents aged ≥18 years old who could understand the investigation procedure were included in the study by using the cluster sampling method and convenient sampling method. All local residents were categorized into four groups, which contained 15 524 community residents, 8 016 cancer risk assessment/screening population, 2 289 cancer patients and 6 428 occupational population, respectively. The self-designed questionnaire was used to collect the information of demographic characteristics and cancer prevention consciousness focusing on nine common risk factors, including smoking, alcohol, fiber food, food in hot temperature or pickled food, chewing betel nut, helicobacter pylori, moldy food, hepatitis B infection, estrogen, and exercise. The logistic regression model was adopted to identify the influencing factors.
Results:The overall health literacy of the cancer prevention consciousness was 77.4% (24 980 participants), with 77.4% (12 018 participants), 79.9% (6 406 participants), 77.2% (1 766 participants) and 74.5% (4 709 participants) in each group (P<0.001). The correct response rates for nine risk factors ranged from 55.2% to 93.0%. The multivariate logistic regression analysis showed that compared with community residents, people with primary school level education or below, and the number of people living together in the family <3, the cancer risk assessment/screening intervention population, cancer patients, those with junior high school level educationor above and the number of people living in the family ≥3 had better health literacy of the cancer prevention consciousness (all P values <0.05). Compared with females, 39 years old and below, government-affiliated institutions or civil servants, from the eastern region, males, older than 40 years, company or enterprise employees, and from the middle or western region had worse health literacy of the cancer prevention consciousness (all P values <0.05).
Conclusion:The health literacy of the cancer prevention consciousness in Chinese urban residents should be improved. The cancer screening intervention, gender, age, education, occupation, the number of people co-living in the family, and residential region were associated with the health literacy of the cancer prevention consciousness.