摘要
目的:探讨合肥市居民上消化道癌(包括胃癌和食管癌)筛查需求与筛查相关心理认知因素之间的关系。方法:使用整群随机抽样的方法,对合肥市40~70岁居民开展问卷调查。以健康信念模型(health belief model,HBM)为指导分析居民心理认知因素与筛查意愿的关系。对筛查需求和健康信念模型进行描述性和多元线性回归分析。结果:获得1 186份有效问卷,上消化道癌筛查意愿率为54.9%,实际筛查率为13.9%。年龄与筛查需求呈负相关,教育及收入与筛查需求呈正相关。5种健康信念指数(严重性认知、易感性认知、收益性认知、障碍性认知及自我效能)与筛查需求的关系均有统计学意义;且5种加权健康信念指数对筛查需求的累计贡献率达到75.0%。结论:居民筛查相关心理认知因素对筛查需求具有重要的影响,可为促进上消化道癌筛查提供有效的理论基础。
Objective：To investigate the relationship between the screening demand of upper gastrointestinal cancer（including gastric cancer and esophagus cancer）and the related psychological cognitive factors in Hefei residents.Methods：A questionnaire survey was conducted on 40 to 70 years old residents in Hefei using cluster random sampling method.Health Belief Model（HBM）was used to analyze the relationship between residents＇ psychological cognition factor and screening demand.Descriptive and multiple linear regression analyses were conducted on the screening requirements and the screening belief model.Results：A total of 1 186 valid questionnaires were obtained,the willingness screening rate was 54.9%,and the actual screening rate was 13.9%.Age was negatively related to the demand for screening,while education and income were positively related to the demand for screening.After controlling for age,education,and income,the relationship between the five health belief indexes（perceived seriousness,perceived susceptibility,perceived benefits,perceived difficulties and selfefficacy）and the screening needs was statistically significant,and the cumulative contribution rate of the five weighted health belief indexes to the screening demand reached 75.0%.Conclusions：The related psychological cognitive factors of screening have important influence on the demand for screening,and can provide an effective theoretical basis for promoting the screening of upper gastrointestinal cancer.
出处
《南京医科大学学报（社会科学版）》
2018年第1期25-29,共5页
Journal of Nanjing Medical University（Social Sciences）
基金
国家自然科学基金青年科学基金项目"定量模型及在线智能引导的癌症筛查咨询方案优化验证"(71503009)
关键词
筛查
上消化道癌
健康信念
心理认知
screening
upper digestive cancer
health belief
psycho-cognitive
