Analysis on the consciousness of the cancer early detection and its influencing factors among urban residents in China from 2015 to 2017

Ayan Mao; Jufang Shi; Wuqi Qiu; Chengcheng Liu; Pei Dong; Huiyao Huang; Kun Wang; 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; Youqing Wang; Yutong HE; Peian Lou; Bo Cai; Xiaohua Sun; Shouling WU; Xiao QI; Kai Zhang; Ni LI; Min Dai; Wanqing Chen

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Analysis on the consciousness of the cancer early detection and its influencing factors among urban residents in China from 2015 to 2017

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

1. Department of Public Health Strategy Research, Institute of Medical Information, Chinese Academy of Medical Sciences, Beijing 100020, China
2. 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
3. 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 100021, China
4. Health Management College, Anhui Medical University, Hefei 230032, China
5. School of Public Health, Harbin Medical University, Harbin 150081, China
6. The Department of Cancer Prevention and Control, Hunan Provincial Cancer Hospital, Changsha 410006, China
7. School of Public Health, Lanzhou University, Lanzhou 730000, China
8. School of Health Care Management, Shandong University, Jinan 250012, China
9. School of Public Health, Guangxi Medical University, Nanning 530021, China
10. Department of Medical Examination for Cancer Prevention, Anhui Provincial Cancer Hospital, Hefei 230032, China
11. The Department of Cancer Prevention and Control, Affiliated Cancer Hospital of Harbin Medical University, Harbin 150081, China
12. Department of Cancer Research and Control, Chongqing University Cancer Hospital/Chongqing Cancer Institute/Chongqing Cancer Hospital, Chongqing 400030, China
13. Department of Cancer Epidemiology, Gansu Provincial Cancer Hospital, Lanzhou 730050, China
14. Department of Epidemiology, Shanxi Provincial Center Hospital, Taiyuan 030013, China
15. Institute for Chronic and Non-communicable Disease Prevention and Control, Yunnan Center for Disease Prevention and Control,Kunming 650118, China
16. Department of Chronic Disease Control, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China
17. The Department of Cancer Prevention and Control, Shandong Tumor Hospital, Jinan 250117, China
18. Institute for Chronic and Non-communicable Disease Prevention and Control, Liaoning Provincial Center for Disease Control and Prevention, Shenyang 110005, China
19. The Department of Cancer Prevention and Control, Liaoning Cancer Hospital & Institute, Shenyang 110042, China
20. Cancer Research Institute, Affiliated Cancer Hospital of Xinjiang Medical University, Urumqi 830011, China
21. Office for Cancer Control and Research, Henan Cancer Hospital/The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou 450008, China
22. Department of Cancer Prevention, Cancer Hospital of University of Chinese Academy of Sciences/Zhejiang Cancer Hospital, Hangzhou 310022, China
23. The Department of Cancer Prevention and Control, Cancer Institute, The Fourth Affiliated Hospital of Hebei Medical University, Shijiazhuang 050011, China
24. Department of Control and Prevention of Chronic Non-communicable Diseases, Xuzhou Center for Disease Control and Prevention, Xuzhou 221006, China
25. Department of Health Education and Chronic Disease Control, Nantong Center for Disease Control and Prevention, Nantong 226000, China
26. Endocrine Department, Ningbo NO.2 Hospital, Ningbo 315010,China
27. Department of Cardiovascular Diseases, Kailuan General Hospital, Tangshan 063000, China
28. Office of Cancer Screening, Tangshan People′s Hospital, Tangshan 063001, China
29. 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
Publication Type:Journal Article
Keywords: Neoplasms; Health literacy; Cross-sectional; Weaker detection; Urban population
From: Chinese Journal of Preventive Medicine 2020;54(1):54-61
CountryChina
Language:Chinese
Abstract: Objective:To understand the consciousness of the cancer early detection among urban residents and identify the influencing factors 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. Self-designed questionnaires were used to collect population, socioeconomic indicators, self-cancer risk assessment, regular participation in physical examination and other information. The multivariate logistic regression model was used to identify the factors of people who had not regularly participated in the regular physical examination in the past five years.
Results:The self-assessment results of 32 357 residents showed that there were 27.54% (8 882) of total study population with self-reported cancer risk, 45.48% (14 671) without cancer risk and 26.98% (8 704) with unclear judgement on their own cancer risk. Among population with cancer risk, 79.84% (7 091) considered physical examination accounted. In the past five years, there were 21 105 (65.43%) residents participated in regular physical examination and 11 148 (34.56%) participated in non-scheduled one, respectively. The multivariate logistic regression analysis showed that compared with unmarried and western region residents, divorced, middle and eastern region residents had a stronger consciousness to participate in the regular physical examination (P<0.05). Compare with residents with annual household income less than 20 000 CNY in 2014, cancer risk assessment/screening intervention population, and self-assessment with cancer risk, residents with annual household income between 20 000 CNY and 59 000 CNY in 2014, occupational population, community residents, cancer patients, self-reported cancer-free risk, and self-assessment with unclear judgement of cancer risk were less likely to participate in the regular physical examination (all P values <0.05).
Conclusion:From 2015 to 2017, the Chinese urban residents had a acceptable consciousness of the cancer early detection. The marital status, annual household income, population group and self-assessment of cancer risk were related to the consciousness of the cancer early detection of people who had not participated in the regular physical examination in the past five years.