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了解安徽省合肥市居民肿瘤防治健康素养水平以及肿瘤防控影响因素，为后期肿瘤预防控制提供依据。
采用整群随机抽样方法，以国家城市癌症早诊早治项目中“居民肿瘤防治健康素养调查表”作为调查问卷，对合肥市社区居民肿瘤健康素养水平进行评估。
合肥市居民肿瘤防治健康素养总体为58.6%，其中预防意识健康素养率为83.0%，早发现早诊断早治疗（“三早”）意识健康素养率为63.5%。女性肿瘤防治健康素养水平高于男性（OR = 2.841，95% CI： 2.115～3.815）；文化程度中与未正式上过学的人群相比，高中/中专及以上群组肿瘤防治健康素养水平最高（OR = 0.365，95% CI： 0.218～0.613）；职业中与企事业单位人员/公务员相比，公司职员/工人组的肿瘤防治健康素养水平最高（OR = 0.438，95% CI： 0.219～0.873）。69.5% 的调查对象认为需要了解更多的肿瘤防治知识，其中肿瘤的预防途径、肿瘤患病的诱因、症状表现是最需要了解的知识。
肿瘤防治工作者有必要综合考虑人群的年龄、文化程度、职业等影响因素，采用针对性的手段推进肿瘤防治健康教育。
| 1 | 国家卫生健康委员会.中国卫生健康统计年鉴［M］. 北京：中国协和医科大学出版社，2018. |
| 2 | 王宁，刘硕，杨雷，等.2018全球癌症统计报告解读［J/CD］.肿瘤综合治疗电子杂志，2019，5（1）：87. |
| 3 | 包鹤龄，王宁，王宝华.我国农村地区胃癌和食管癌患者就医及时性及其影响因素调查研究［J］.中国全科医学，2014，17（21）：2486. |
| 4 | Yates C. Exploring variation in the ways of experiencing health information literacy： A phenomenographic study［J］. Library & Information Science Research， 2015， 37（3）：220. |
| 5 | Baker DW， Wolf MS， Feinglass J， et al. Health literacy and mortalit among elderly persons ［J］ Arch Interm Med， 2007，167（14）： 1503. |
| 6 | Morrow D， Clark D， Tu W， et al. Correlates of health literacy in patients with chronic heart failure ［J］. Gerontologist， 2006， 46（5）： 669. |
| 7 | 别凤赛，严晓玲，孟月莉，等.俄罗斯癌症预防控制体系概况及对我国的启示［J］.中国社会医学杂志，2019，36（1）：11. |
| 8 | 董佩，石菊芳，邱五七，等.2015—2017年中国城市居民肿瘤防治健康素养现况及相关因素分析［J］.中华预防医学杂志，2020，54（1）：76. |
| 9 | 钦勤，达吾热尼·木合塔尔，孙高峰.乌鲁木齐市某社区居民肿瘤防治健康素养现状调查［J］.中国保健营养，2017，27（25）：249. |
| 10 | 徐志荣，张慧萍，王晓君，等.昆明市官渡区居民肿瘤防治健康素养现状调查［J］.中国卫生产业，2017，14（24）：170. |
| 11 | Cai Y， Xue M， Chen WQ， et al. Expenditure of hospital care on cancer in China， from 2011 to 2015［J］. Chin J Cancer Res， 2017， 29（3）：253. |
| 12 | 王庆生.肿瘤主要危险因素的预防控制策略［J］.中国肿瘤，2011，20（1）：10． |
| 13 | 邱永莉，郑莹，王春芳.国外肿瘤早发现实践进展［J］.上海预防医学，2007，19（2）：89． |
| 14 | Morris NS， Field TS， Wagner JL， et al. The association between health literacy and cancer-related attitudes， behaviors， and knowledge［J］. J Health Commun， 2013，18（）：223. |
| 15 | 郑莉莉.医疗保险改变了居民的就医行为吗？——来自我国CHNS的证据［J］.财政研究，2017（2）：84. |
| 16 | 李淑玲，乔钰涵，张伟.新农合农民就医行为与认知影响因素的实证研究［J］.工业工程与管理，2014，19（4）：98. |
), 柴静, 沈兴蓉, 王德斌()","risUrl_cn":"//www.pitakata.com/xuebao/CN/article/getTxtFile.do?fileType=Ris&id=140","title_cn":"合肥市居民肿瘤防治健康素养及影响因素","doi":"10.3969/j.issn.2097-0005.2021.07.012","jieShuYe":"545","keywordList_en":["cancer prevention and treatment","health literacy","health education"],"endNoteUrl_cn":"//www.pitakata.com/xuebao/CN/article/getTxtFile.do?fileType=EndNote&id=140","zhaiyao_en":"To understand the health literacy level of cancer prevention and control among residents in Hefei City， Anhui Province， and to provide clues for later cancer prevention and control.
Cluster random sampling method was adopted and the questionnaire of residents' health literacy for cancer prevention and treatment of the national urban cancer early diagnosis and early treatment project was taken as the questionnaire to evaluate the tumor health literacy level of community residents in Hefei City， Anhui Province.
The overall health literacy rate of cancer prevention and treatment in Hefei was 58.6% while the prevention awareness rate was 83.0% and the early detection， early diagnosis and early treatment rate was 63.5%.The cancer prevention and health literacy level of femal was higher than that of male（OR = 2.841，95% CI： 2.115～3.815）； About the degree of education，compared with those without formal schooling， subjects in high school/technical secondary school and above had the highest level of cancer prevention and health literacy level（OR = 0.365，95% CI： 0.218～0.613）； About the occupation，compared with the staff/civil servants of enterprises and institutions， the health literacy level of cancer prevention and control in the company employees/workers group was the highest（OR = 0.438，95% CI： 0.219～0.873）.69.5% of the respondents thought that they needed to know more about cancer prevention and treatment， among which the most needed knowledge was the way of cancer prevention， the inducement of tumor disease and the symptoms.
It is necessary for cancer prevention and control workers to comprehensively consider the age， education level， occupation and other influencing factors of the population， and adopt targeted communication means to promote cancer prevention and control health education.
), Jing Chai, Xingrong Shen, Debin Wang()","risUrl_en":"http://xuebao.sdfmu.edu.cn/EN/article/getTxtFile.do?fileType=Ris&id=140","title_en":"Health literacy and influencing factors of cancer prevention and treatment among residents in Hefei","hasPdf":"true"},"authorNotes_cn":["潘启凌，硕士研究生，研究方向：慢性病防治控制管理，E-mail： 18256084920@163.com。","王德斌，E-mail：dbwang@vip.sina.com。
Health literacy and influencing factors of cancer prevention and treatment among residents in Hefei
Qiling Pan, Jing Chai, Xingrong Shen, Debin Wang
Journal of ShanDong First Medical University&ShanDong Academy of Medical Sciences››2021, Vol. 42››Issue (7): 540-545.
PDF(591 KB)
PDF(591 KB)
Health literacy and influencing factors of cancer prevention and treatment among residents in Hefei
To understand the health literacy level of cancer prevention and control among residents in Hefei City， Anhui Province， and to provide clues for later cancer prevention and control.
Cluster random sampling method was adopted and the questionnaire of residents' health literacy for cancer prevention and treatment of the national urban cancer early diagnosis and early treatment project was taken as the questionnaire to evaluate the tumor health literacy level of community residents in Hefei City， Anhui Province.
The overall health literacy rate of cancer prevention and treatment in Hefei was 58.6% while the prevention awareness rate was 83.0% and the early detection， early diagnosis and early treatment rate was 63.5%.The cancer prevention and health literacy level of femal was higher than that of male（OR= 2.841，95%CI： 2.115～3.815）； About the degree of education，compared with those without formal schooling， subjects in high school/technical secondary school and above had the highest level of cancer prevention and health literacy level（OR= 0.365，95%CI： 0.218～0.613）； About the occupation，compared with the staff/civil servants of enterprises and institutions， the health literacy level of cancer prevention and control in the company employees/workers group was the highest（OR= 0.438，95%CI： 0.219～0.873）.69.5% of the respondents thought that they needed to know more about cancer prevention and treatment， among which the most needed knowledge was the way of cancer prevention， the inducement of tumor disease and the symptoms.
It is necessary for cancer prevention and control workers to comprehensively consider the age， education level， occupation and other influencing factors of the population， and adopt targeted communication means to promote cancer prevention and control health education.
cancer prevention and treatment/health literacy/health education
| 1 | 国家卫生健康委员会.中国卫生健康统计年鉴［M］. 北京：中国协和医科大学出版社，2018. |
| 2 | 王宁，刘硕，杨雷，等.2018全球癌症统计报告解读［J/CD］.肿瘤综合治疗电子杂志，2019，5（1）：87. |
| 3 | 包鹤龄，王宁，王宝华.我国农村地区胃癌和食管癌患者就医及时性及其影响因素调查研究［J］.中国全科医学，2014，17（21）：2486. |
| 4 | Yates C. Exploring variation in the ways of experiencing health information literacy： A phenomenographic study［J］. Library & Information Science Research， 2015， 37（3）：220. |
| 5 | Baker DW， Wolf MS， Feinglass J， et al. Health literacy and mortalit among elderly persons ［J］ Arch Interm Med， 2007，167（14）： 1503. |
| 6 | Morrow D， Clark D， Tu W， et al. Correlates of health literacy in patients with chronic heart failure ［J］. Gerontologist， 2006， 46（5）： 669. |
| 7 | 别凤赛，严晓玲，孟月莉，等.俄罗斯癌症预防控制体系概况及对我国的启示［J］.中国社会医学杂志，2019，36（1）：11. |
| 8 | 董佩，石菊芳，邱五七，等.2015—2017年中国城市居民肿瘤防治健康素养现况及相关因素分析［J］.中华预防医学杂志，2020，54（1）：76. |
| 9 | 钦勤，达吾热尼·木合塔尔，孙高峰.乌鲁木齐市某社区居民肿瘤防治健康素养现状调查［J］.中国保健营养，2017，27（25）：249. |
| 10 | 徐志荣，张慧萍，王晓君，等.昆明市官渡区居民肿瘤防治健康素养现状调查［J］.中国卫生产业，2017，14（24）：170. |
| 11 | Cai Y， Xue M， Chen WQ， et al. Expenditure of hospital care on cancer in China， from 2011 to 2015［J］. Chin J Cancer Res， 2017， 29（3）：253. |
| 12 | 王庆生.肿瘤主要危险因素的预防控制策略［J］.中国肿瘤，2011，20（1）：10． |
| 13 | 邱永莉，郑莹，王春芳.国外肿瘤早发现实践进展［J］.上海预防医学，2007，19（2）：89． |
| 14 | Morris NS， Field TS， Wagner JL， et al. The association between health literacy and cancer-related attitudes， behaviors， and knowledge［J］. J Health Commun， 2013，18（）：223. |
| 15 | 郑莉莉.医疗保险改变了居民的就医行为吗？——来自我国CHNS的证据［J］.财政研究，2017（2）：84. |
| 16 | 李淑玲，乔钰涵，张伟.新农合农民就医行为与认知影响因素的实证研究［J］.工业工程与管理，2014，19（4）：98. |
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