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

发布时间：2018-09-19 20:15

【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(P0.05)。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(P0.05)。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 analyze the coverage level and influencing factors of breast cancer and cervical cancer screening in women of childbearing age. Methods A total of 5 496 women aged 15 ~ 64 years were included in the health service survey data of Jilin province in 2013. The coverage rate of two cancer screening in women of childbearing age was calculated, and the factors influencing the screening rate of two cancers were analyzed by logistic regression. Results in 2013, the screening rates of cervical cancer and breast cancer in Jilin Province were only 11.9% and 14.70.The screening rates in cities were 15.13% and 18.81% respectively, which were higher than those in rural areas (7.47% and 9.09.2554). The screening rates of cervical cancer and breast cancer were 16.27% and 19.38%, respectively. The results of multivariate analysis showed that secondary school education, school students, marital status and income were the influencing factors of two cancer screening (P0.05). Distance from the nearest medical institution, self-rated health score, delivery within 5 years and the coverage rate of two cancer screening were not related (P0.05). Conclusion the level of cancer screening and utilization in Jilin Province is low and the difference between urban and rural areas is great. To promote the comprehensive coverage of cancer screening, we should pay attention to strengthening the integration of medical insurance and public health, improve the cooperation mechanism of medical institutions at all levels, and provide effective health education.
【作者单位】：北京大学公共卫生学院;吉林省卫生统计信息中心;
【基金】：国家自然科学基金青年科学基金(71303010);国家自然科学基金优秀青年科学基金(71422009)
【分类号】：R173

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