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陈正超, 张启军, 王秋艳, 冯星淋. 吉林育龄妇女乳腺癌、宫颈癌筛查覆盖水平及影响因素分析[J]. 中国公共卫生, 2017, 33(8): 1170-1173. DOI: 10.11847/zgggws2017-33-08-03
引用本文: 陈正超, 张启军, 王秋艳, 冯星淋. 吉林育龄妇女乳腺癌、宫颈癌筛查覆盖水平及影响因素分析[J]. 中国公共卫生, 2017, 33(8): 1170-1173. DOI: 10.11847/zgggws2017-33-08-03
CHEN Zheng-chao, ZHANG Qi-jun, WANG Qiu-yan.et al, . Coverage and associated factors of cervical and breast cancer screening among childbearing women in Jilin province[J]. Chinese Journal of Public Health, 2017, 33(8): 1170-1173. DOI: 10.11847/zgggws2017-33-08-03
Citation: CHEN Zheng-chao, ZHANG Qi-jun, WANG Qiu-yan.et al, . Coverage and associated factors of cervical and breast cancer screening among childbearing women in Jilin province[J]. Chinese Journal of Public Health, 2017, 33(8): 1170-1173. DOI: 10.11847/zgggws2017-33-08-03

吉林育龄妇女乳腺癌、宫颈癌筛查覆盖水平及影响因素分析

Coverage and associated factors of cervical and breast cancer screening among childbearing women in Jilin province

  • 摘要: 目的 分析国家重大公共卫生服务项目育龄妇女乳腺癌、宫颈癌(以下简称两癌)筛查覆盖水平及影响因素。方法 利用吉林省2013年卫生服务调查数据,共纳入15~64岁女性5 496人。计算育龄妇女两癌筛查覆盖率,并采用logistic回归对两癌筛查率的影响因素进行多因素分析。结果 2013年吉林省宫颈癌和乳腺癌筛查率仅为11.9%和14.7%,其中城市筛查率为15.13%和18.81%高于农村筛查率7.47%和9.09%。25~54岁年龄段两癌筛查率最高,宫颈癌和乳腺癌筛查率分别为16.27%和19.38%。多因素分析结果显示,中专以上学历、在校学生、婚姻状况和收入为两癌筛查的影响因素(P<0.05)。距离最近医疗机构距离、自评健康得分、5年内分娩与两癌筛查覆盖率均不相关(P>0.05)。结论 吉林省两癌筛查利用水平较低,城乡差异较大。促进两癌筛查全面覆盖,应关注加强医保与公共卫生的整合衔接,健全各级医疗机构协作机制,并提供有效的健康教育。

     

    Abstract: Objective To examine screening rates of cervical and breast cancer and their influencing factors among childbearing women in Jilin province.Methods Data on 5 496 women aged 15-64 years were extracted from the National Health Services Survey conducted in Jilin province in 2013.Screening rates of cervical and breast cancer were calculated.Multivariate logistic regression used to analyze the factors influencing the screening rate.Results The screening rate of cervical and breast cancer were 11.9% and 14.7% among the women and the rates were higher among the urban women (15.13% and 18.81%) than among the rural women (7.47% and 9.09%).The women aged 25-54 years had the highest cervical and breast cancer screening rate (16.27% and 19.38%).The results of multivariate analysis showed that with the education of technical secondary school education and above,being student,marital status,and personal income were statistically significant influencing factors for cervical and breast cancer screening rate (P<0.05 for all);while the screening rates were not significantly influenced by the distance to the nearest medical institution,self-assessed health score,and delivery history during recent 5 years (all P>0.05) among the women.Conclusion The rates of cervical and breast cancer screening are at a relative low level among childbearing age women and present an obvious urban-rural difference in Jilin province,suggesting that effective measures should be adopted to improve the coverage of cervical and breast cancer screening among the women.

     

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