Screening results and influencing factors of upper gastrointestinal carcinoma and precancerous lesions in Feicheng City
10.3760/cma.j.issn.0253-3766.2018.05.014
- VernacularTitle: 肥城市居民上消化道癌及癌前病变的筛查结果及影响因素分析
- Author:
Qihuan LI
1
;
Chengyong YIN
2
;
Haibin LI
1
;
Yang SUN
1
;
Youxin WANG
1
;
Fen LIU
1
;
Xiuhua GUO
1
;
Guiqi WANG
3
;
Wei WANG
1
Author Information
1. School of Public Health, Capital Medical University, Beijing Municipal Key Laboratory of Clinical Epidemiology, Beijing 100069, China
2. Cancer Centre of Feicheng People′s Hospital, Feicheng 271600, China
3. Department of Endoscopy, National Cancer Center/Cancer Hospital Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
- Publication Type:Journal Article
- Keywords:
Upper gastrointestinal;
Neoplasms;
Precancerous conditions;
Screening;
Influencing factors
- From:
Chinese Journal of Oncology
2018;40(5):396-399
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To clarify the situation of the detection of upper gastrointestinal cancer and precancerous lesions in the Feicheng city and discuss the possible influencing factors.
Methods:A cluster sampling method was used to determine the participants. A unified questionnaire was used to investigate the basic information including history of alcohol intake, smoking and chinese tea, as well as other eating habits, medical history of digestive tract and cancer. Endoscopy was used to to screen the patients with upper gastrointestinal cancer and precancerous lesions. Influential factors were explored by non-conditional logistic regression model.
Results:911 of 7 291participants were positive, and the total detection rate was 12.49%. The total positive detection rate of male and female was 17.94% and 8.71%, respectively (P<0.001). Multivariate logistic regression analysis showed that the sex (OR=0.527, 95%CI: 0.440-0.631), age (OR=2.037, 95%CI: 1.849-2.245), smoking (OR=1.240, 95%CI: 1.014-1.516) and alcohol consumption (OR=1.232, 95%CI: 1.012-1.500) , meat and protein intake (OR=0.794, 95%CI: 0.638-0.987) and drink tea (OR=1.233, 95%CI: 1.056-1.440) may be influencing factors of the total detection rate of upper gastrointestinal cancer and precancerosis.
Conclusions:In Feicheng city, intake of meat and protein is the protective factor of the upper gastrointestinal cancer and precancerous lesions. Men, aged, smoking, drinking and tea will increase the risk of upper gastrointestinal cancer and precancerous lesions.