CAJ | 학술논문

背景与目的已有的研究表明提高人群对肺癌防治知识的认识水平，有助于肺癌高危人群肺癌筛查项目的参与度。本研究的目的是调查卫生部肺癌早诊早治大港项目点低剂量螺旋（low dose CT, LDCT）肺癌筛查人群肺癌防治知识知晓情况及个体因素对其的影响，为肺癌高发现场的综合防治提供依据。方法通过整群抽样和自愿参加方法对参加LDCT筛查的大港油田肺癌高发现场职工进行问卷调查。结果本次调查共获得有效问卷1,633份，调查对象的平均年龄为60.08±6.58，男性1,343人（82.2%），女性290（17.8%）。对肺癌的知晓率、危险因素、筛查方法，体检意愿以及治疗的知晓率分别为：64.5%、77.1%、43.7%、49.6%、52.8%。多因素Logistic回归分析结果表明：教育、年龄、吸烟包年、疾病史是调查对象肺癌防治知识知晓的影响因素，教育和年龄的OR值分别为0.567（95%CI：0.439-0.733）和1.373（95%CI：1.084-1.739）。调查人群中80.3%的人群能接受1年1次的体检，人群体检费用承受能力不高。对被调查者体检意愿进行多因素分析得出，性别、年龄、癌症知识知晓情况以及家庭年平均收入是筛查意愿的影响因素。结论教育程度和吸烟影响人群对肺癌防治知识的认知情况，应加强对低教育水平人群的癌症健康教育。在肺癌高发现场，肺癌的筛查应与戒烟和健康教育紧密结合，实行肺癌的综合防治。
배경여목적이유적연구표명제고인군대폐암방치지식적인식수평，유조우폐암고위인군폐암사사항목적삼여도。본연구적목적시조사위생부폐암조진조치대항항목점저제량라선（low dose CT, LDCT）폐암사사인군폐암방치지식지효정황급개체인소대기적영향，위폐암고발현장적종합방치제공의거。방법통과정군추양화자원삼가방법대삼가LDCT사사적대항유전폐암고발현장직공진행문권조사。결과본차조사공획득유효문권1,633빈，조사대상적평균년령위60.08±6.58，남성1,343인（82.2%），녀성290（17.8%）。대폐암적지효솔、위험인소、사사방법，체검의원이급치료적지효솔분별위：64.5%、77.1%、43.7%、49.6%、52.8%。다인소Logistic회귀분석결과표명：교육、년령、흡연포년、질병사시조사대상폐암방치지식지효적영향인소，교육화년령적OR치분별위0.567（95%CI：0.439-0.733）화1.373（95%CI：1.084-1.739）。조사인군중80.3%적인군능접수1년1차적체검，인군체검비용승수능력불고。대피조사자체검의원진행다인소분석득출，성별、년령、암증지식지효정황이급가정년평균수입시사사의원적영향인소。결론교육정도화흡연영향인군대폐암방치지식적인지정황，응가강대저교육수평인군적암증건강교육。재폐암고발현장，폐암적사사응여계연화건강교육긴밀결합，실행폐암적종합방치。
Background and objective It has been proven that increase of the awareness level of lung cancer preven-tion and control could enhance participation of lung cancer screening of lung cancer high risk group. hTe aim of this study is to investigate the awareness level of lung cancer prevention and control and the effect of individual characteristics on lung cancer awareness, and to provide evidence for comprehensive lung cancer prevention in high risk areas of lung cancer. Methods Staffs of Tianjin Dagang Oil Field who participate low dose CT (LDCT) lung cancer screening by cluster sampling or according to voluntary principle were surveyed, data of lung cancer awareness were collected by questionnaire. Results A total of 1,633 valid questionnaires were collected. hTe average age of respondents was 60.08±6.58. Most participants were males (82.2%) while female only accounted for 17.8%. hTe proportions of awareness about lung cancer in China, risk factors, screening methods and the knowledge of health examination were 64.5%, 77.1%, 43.7%, 49.6%respectively. Result of multiple logistic regression analysis showed that education level, smoking (pack-year), age, prior tuberculosis were the inlfuencing factors of lung cancer awareness with adjusted Ors for education and age level as of 0.567 (95%CI:0.439-0.733) and 1.373 (95%CI:1.084-1.739) respectively. 80.3%of the participants can accept health examination once a year, while the ability to pay the medical expenses was not high. hTe inlfuencing factors of health examination willingness were gender, age, income, the knowledge of lung cancer. Conclusion Education level and smoking affect the awareness of lung cancer prevention and control, health education for lung cancer should be conducted especially in population with low education level. Comprehensive lung cancer control in high risk areas should combined lung cancer screening, tobacco control and health education.