A comparative analysis of the distribution of the high-risk population of upper gastrointestinal cancer and endoscopic screening compliance in two urban areas and two rural areas in China.
10.3760/cma.j.cn112152-20210916-00707
- Author:
He LI
1
;
Mao Mao CAO
1
;
Dian Qin SUN
1
;
Si Yi HE
1
;
Xin Xin YAN
1
;
Fan YANG
1
;
Shao Li ZHANG
1
;
Bing Bing SONG
2
;
Shi Peng YAN
3
;
Kun JIANG
4
;
Chun Yun DAI
5
;
Wan Qing 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. Cancer Center of Heilongjiang Province, Harbin 150081, China.
3. Hunan Cancer Hospital/the Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University/Hunan Province Cancer Prevention and Cure Research Office, Changsha 410013, China.
4. Luoshan Center for Disease Control and Prevention, Xinyang 464200, China.
5. Center for Disease Control and Prevention of Sheyang County, Yancheng 224300, China.
- Publication Type:Journal Article
- Keywords:
Compliance;
Endoscopy;
Risk factors;
Screening;
Upper gastrointestinal neoplasms
- MeSH:
China/epidemiology*;
Early Detection of Cancer;
Esophagitis, Peptic;
Female;
Gastritis;
Gastrointestinal Neoplasms/epidemiology*;
Humans;
Rural Population;
Urban Population
- From:
Chinese Journal of Oncology
2022;44(6):531-539
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To analyze and compare the distribution of the high-risk population of upper gastrointestinal (UGI) cancer and the factors influencing the compliance rate of endoscopic screening in urban China and rural China. Methods: From 2015 to 2017, an epidemiological survey was conducted on residents aged 40-69 in two rural areas (Luoshan county of Henan province, Sheyang county of Jiangsu province) and two urban areas (Changsha city of Hunan province, Harbin city of Heilongjiang province). As a result, high-risk individuals were recommended for endoscopic screening. Chi-square χ(2) test was used to compare the high-risk rate of UGI cancer between urban and rural residents. In addition, the multivariate logistic regression model was used to analyze the factors influencing the compliance rate of endoscopic screening. Results: A total of 48, 310 residents aged 40-69 were enrolled in this study, including 22 870 (47.34%) residents from rural areas and 25 440 (52.66%) residents from urban areas. A total of 23 532 individuals were assessed with a high risk of UGI cancer, with an overall risk rate of 48.71%. A higher proportion of participants with high risk was observed in rural China (56.17%, 12 845/22 870) than in urban China (42.01%, 10 687/25 440). A total of 10 971 high-risk individuals with UGI cancer participated in endoscopic screening, with an overall compliance rate of 46.62% (10 971/23 532), 45.15% (5 799/12 845) in rural China, and 48.40% (5 172/10 687) in urban China. In rural population, the compliance rate of endoscopic screening was higher in those of females, aged 50-69 years, primary school education or above, high income, a family history of UGI cancer, history of gastric and duodenal ulcer, history of reflux esophagitis, and history of superficial gastritis, but lower in smokers (P<0.05). Among the urban population, the compliance rate of endoscopic screening was higher in those aged 40-49 years, uneducated, low income, family history of UGI cancer, history of reflux esophagitis, history of superficial gastritis, but lower in smokers (P<0.05). Conclusions: The proportion of participants with high risk of UGI cancer in rural areas is higher than that of urban areas. The compliance rates of endoscopic screening in urban and rural areas are low, and influencing factors of endoscopic screening exhibit some differences in rural China and urban China.
