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

Xuan Cheng; Pei Dong; Jufang Shi; Wuqi Qiu; Chengcheng Liu; Kun Wang; Huiyao Huang; Yana Bai; Xiaojie Sun; Debin Wang; Guoxiang Liu; Xianzhen Liao; 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; Jiansong Ren; Wanqing Chen; Min Dai; Ayan Mao

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

VernacularTitle: 2015—2017年中国城市居民早诊断意识现况及相关因素分析
Author: Xuan CHENG ¹ ; Pei DONG ² ; Jufang SHI ³ ; Wuqi QIU ² ; Chengcheng LIU ³ ; Kun WANG ² ; Huiyao HUANG ⁴ ; Yana BAI ⁵ ; Xiaojie SUN ⁶ ; Debin WANG ⁷ ; Guoxiang LIU ⁸ ; Xianzhen LIAO ⁹ ; 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 ; Youqing 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 ³ ; Jiansong REN ³ ; Wanqing CHEN ³ ; Min DAI ³ ; Ayan MAO ²
Author Information

1. Administrative Office, Peking Union Medical College Hospital, Beijing 100730, China
2. Department of Public Health Strategy Research, Institute of Medical Information, Chinese Academy of Medical Sciences, Beijing 100021, China
3. 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
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 100021, China
5. School of Public Health, Lanzhou University, Lanzhou 730000, China
6. School of Health Care Management, Shandong University, Jinan 250012, China
7. Health Management College, Anhui Medical University, Hefei 230032, China
8. School of Public Health, Harbin Medical University, Harbin 150081, China
9. The Department of Cancer Prevention and Control, Hunan Provincial Cancer Hospital, Changsha 410006, 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, Xuzhou 221006, 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
Publication Type:Journal Article
Keywords: Neoplasms; Health literacy; Cross-sectional; Early diagnosis
From: Chinese Journal of Preventive Medicine 2020;54(1):62-68
CountryChina
Language:Chinese
Abstract: Objective:To understand the consciousness of the cancer early diagnosis among urban residents and identify the related 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. The general demographic characteristics, the consciousness of the cancer early diagnosis (whether people would have a willingness or encourage their relatives/friends to confirm the abnormal results once which were detected from the physical examination) and other information were collected by using the self-designed questionnaire. The non-conditional logistic regression model was used to identify the relateol factors related to the consciousness of the cancer early diagnosis.
Results:As for residents with abnormal result from the physical examination, 89.29% (28 802) of residents would choose to seek medical treatment for further diagnosis. If their relatives/friends had abnormal results from the physical examination, 89.55% (28 886) of residents would encourage their relatives/friends to confirm the diagnosis in time. The non-conditional logistic regression model analysis showed that compared with the public institution staff/civil servants, annual household income less than 20 000 CNY, the western region and the cancer risk assessment/screening intervention population, the company staff, annual household income about 40 000 CNY and more, and the residents from the middle and eastern region had a stronger consciousness to seek further diagnosis; while the unemployed residents and community residents were less likely to seek further diagnosis (P<0.05).
Conclusions:From 2015 to 2017, the Chinese urban residents had a good consciousness of the cancer early diagnosis. Occupation, annual household income, residential region and population group were related to the consciousness of the cancer early diagnosis.