2013-2016年上海打浦桥社区大肠癌筛查结果及高危人群肠镜检查顺应性分析(1)
摘 要 目的：分析2013-2016年上海打浦橋社区大肠癌筛查结果及高危人群肠镜检查顺应性情况，为提高社区大肠癌高危人群肠镜的检查率提供依据。方法：采用危险度评估问卷调查和粪便隐血试验(FOBT)对5 089名50岁及以上常住居民进行大肠癌初筛，分析大肠癌高危(初筛阳性)人群肠镜检查的顺应性。结果：上海打浦桥社区大肠癌初筛阳性率为23.03%，其中单危险度评估阳性者占81.14%，单FOBT阳性者占14.08%，两者皆为阳性者占4.78%。高中文化程度人群的初筛阳性率较高；婚姻状况为离婚、未婚、丧偶的人群初筛阳性率高于已婚人群；年龄越大初筛阳性率越高，差异均有统计学意义(P<0.05)。大肠癌高危人群的肠镜检查率为32.76%；男性高危人群的肠镜检查顺应性高于女性(P<0.05)。危险度评估和FOBT两项均阳性者的肠镜顺应性高于单纯危险度评估阳性人群(P<0.05)。结论：在社区大肠癌筛查工作中，应加强对于大肠癌筛查意义的健康教育。提高居民对肠镜检查的认知。
关键词 大肠癌；筛查、高危人群；肠镜检查；顺应性
中图分类号：R735.3+4 文献标志码：A 文章编号：1006-1533(2020)06-0048-03
Analysis of colorectal cancer screening results and compliance of colonoscopy in highrisk population from 2013 to 2016 in Dapuqiao Community of Shanghai
LIN Yanjun1， HUANG Lu1， HE Lihua2(1. Prevention and Health Care Department of Dapuqiao Community Health Service Center of Huangpu District， Shanghai 200023， China； 2. Oncology Department of Center for Disease Control and Prevention of Huangpu District， Shanghai 200023， China)
ABSTRACT Objective： To analyze the results of colorectal cancer screening and the compliance of colonoscopy in highrisk population from 2013 to 2016 in Dapuqiao Community， Shanghai so as to provide a basis for improving the colonoscopy examination rate of high-risk population with colorectal cancer in the community. Methods： The risk assessment questionnaire and fecal occult blood test(FOBT) were used to screen 5 089 residents aged 50 and over to analyze the compliance of colonoscopy in the high-risk (primary positive screening) population with colorectal cancer. Results： The primary positive screening rate for colorectal cancer in Dapuqiao Community of Shanghai was 23.03%， of which 81.14% were positive for single risk assessment， 14.08% were positive for single FOBT， and 4.78% were positive for both. The positive rate of primary screening in high school educated people was higher； the positive rate of primary screening was higher in those who were divorced， unmarried and widowed than that in those who were married； the higher the age， the higher the primary screening positive rate， and the difference was statistically significant(P<0.05). The colonoscopy rate of people in high risk for colorectal cancer was 32.76%； the compliance of colonoscopy in high-risk men was higher than that in high-risk women(P<0.05). Colonoscopy compliance was higher in patients with both positive risk assessment and FOBT than those with single positive risk assessment(P<0.05). Conclusion： In community colorectal cancer screening， health education on the significance of colorectal cancer screening should be strengthened to raise residents’ awareness of colonoscopy., 百拇医药(林妍君 黄露 何丽华)
关键词 大肠癌；筛查、高危人群；肠镜检查；顺应性
中图分类号：R735.3+4 文献标志码：A 文章编号：1006-1533(2020)06-0048-03
Analysis of colorectal cancer screening results and compliance of colonoscopy in highrisk population from 2013 to 2016 in Dapuqiao Community of Shanghai
LIN Yanjun1， HUANG Lu1， HE Lihua2(1. Prevention and Health Care Department of Dapuqiao Community Health Service Center of Huangpu District， Shanghai 200023， China； 2. Oncology Department of Center for Disease Control and Prevention of Huangpu District， Shanghai 200023， China)
ABSTRACT Objective： To analyze the results of colorectal cancer screening and the compliance of colonoscopy in highrisk population from 2013 to 2016 in Dapuqiao Community， Shanghai so as to provide a basis for improving the colonoscopy examination rate of high-risk population with colorectal cancer in the community. Methods： The risk assessment questionnaire and fecal occult blood test(FOBT) were used to screen 5 089 residents aged 50 and over to analyze the compliance of colonoscopy in the high-risk (primary positive screening) population with colorectal cancer. Results： The primary positive screening rate for colorectal cancer in Dapuqiao Community of Shanghai was 23.03%， of which 81.14% were positive for single risk assessment， 14.08% were positive for single FOBT， and 4.78% were positive for both. The positive rate of primary screening in high school educated people was higher； the positive rate of primary screening was higher in those who were divorced， unmarried and widowed than that in those who were married； the higher the age， the higher the primary screening positive rate， and the difference was statistically significant(P<0.05). The colonoscopy rate of people in high risk for colorectal cancer was 32.76%； the compliance of colonoscopy in high-risk men was higher than that in high-risk women(P<0.05). Colonoscopy compliance was higher in patients with both positive risk assessment and FOBT than those with single positive risk assessment(P<0.05). Conclusion： In community colorectal cancer screening， health education on the significance of colorectal cancer screening should be strengthened to raise residents’ awareness of colonoscopy., 百拇医药(林妍君 黄露 何丽华)
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