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目的了解温岭市妇女参加乳腺癌和宫颈癌(简称两癌)筛查情况,分析相关危险因素,为今后开展两癌筛查工作提供参考。方法采取多阶段分层抽样的方法,2015年选取温岭市180名妇女为调查对象进行问卷调查和体格检查,收集并整理调查对象年龄、经济状况和健康行为等相关资料,分析调查对象的两癌筛查情况,采用Logistic回归分析其危险因素。结果共发放180份调查问卷,全部回收,有效率为100%。乳腺癌筛查率为23.3%(42/180),宫颈癌筛查率为17.2%(31/180)。单因素分析显示,不同年龄、居住地、文化程度和饮酒情况的女性之间乳腺癌、宫颈癌筛查率差异有统计学意义(P<0.05)。多因素分析显示,年龄高、文化程度低是乳腺癌的危险因素;年龄高、文化程度低和饮酒是宫颈癌的危险因素。结论加强对两癌筛查的重视程度和积极开展健康教育对保障妇女健康具有重要意义。
Objective To understand the screening of women in Wenling City for breast cancer and cervical cancer (referred to as two cancer), analyze the related risk factors and provide reference for future screening of two cancers. Methods A multi-stage stratified sampling method was adopted. In 2015, 180 women in Wenling were selected as the survey subjects and physical examination. The data of age, economic status and health behaviors of the surveyed subjects were collected and analyzed. Screening conditions, the use of Logistic regression analysis of risk factors. Results A total of 180 questionnaires were distributed, all recovered, the effective rate was 100%. Breast cancer screening rate was 23.3% (42/180), cervical cancer screening rate was 17.2% (31/180). Univariate analysis showed that there were significant differences in screening rates of breast cancer and cervical cancer among women of different ages, residences, educational level and drinking (P <0.05). Multivariate analysis showed that high age and low education were risk factors of breast cancer. High age, low education level and alcohol consumption were the risk factors of cervical cancer. Conclusion It is of great importance to strengthen the emphasis on screening of two cancers and actively carry out health education to ensure the health of women.