摘要
目的通过对北京市大兴区农村地区居民进行结直肠癌筛查,比较问卷和便潜血检测2种筛查工具效果。方法采用多阶段整群随机抽样方法,在2018年11月-2019年5月,对北京市大兴区农村居民进行结直肠癌筛查,采用问卷评估和便潜血检测2种筛查方式。纳入本研究的对象共有12042人,其中男性5508人,女性6534人。问卷评估为高危或(和)粪便潜血阳性即为高危人群,并对结果进行分析。结果单因素分析结果显示,吸烟、饮酒、久坐办公室等是问卷及便潜血检测评估结直肠癌高危的危险因素(P<0.05)。logistics回归分析结果显示,溃疡性结肠炎、痔疮等均为问卷高危和便潜血阳性的危险因素(P<0.05)。结论在结直肠癌筛查中使用风险问卷评估和便潜血检测2种筛查工具,能明确结直肠癌高危人群,对于降低结直肠癌的发病率和死亡率具有重要意义。
Objective To compare the efficiency of questionnaire survey and fecal occult blood test in colorectal cancer screening among middle aged and elder rural residents in Daxing district,Beijing.Methods With multistage random cluster sampling,we carried out colorectal cancer screening among 5508 male and 6534 female permanent rural residents aged 44–74 years from November 2018 to May 2019.Persons at a high risk of colorectal cancer among the residents were screened out based on the results of a face-to-face questionnaire survey and fecal occult blood test.Results Univariate factor analysis indicated that smoking,alcohol drinking,and sedentary office work were the risk factors for being assessed at high risk of colorectal cancer based on the results of questionnaire survey and fecal occult blood test(all P<0.05).Multivariate logistic regression analysis revealed that the participants suffering from ulcerative colitis and hemorrhoids were more likely to report risk factors of colorectal cancer in questionnaire survey and to have positive results of fecal occult blood test(both P<0.05).Conclusion Questionnaire survey and fecal occult blood test are of great significance in colorectal cancer screening for identifying persons at high colorectal cancer risk.
作者
王颖
潘峰
陈泽琨
巩俐彤
于雪
马德福
WANG Ying;PAN Feng;CHEN Ze-kun(Department of Social Medicine and Health Education,School of Public Health,Health Science Center of Peking University,Beijing 100191,China)
出处
《中国公共卫生》
CAS
CSCD
北大核心
2020年第1期41-46,共6页
Chinese Journal of Public Health
关键词
问卷筛查
便潜血检测
结直肠癌
高危人群
questionnaire screening
fecal occult blood test
colorectal cancer
high-risk population
