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
- 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 (allP 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 (allP 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.