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南京市居民自报癌症患病流行状况及其危险因素研究OACSTPCD

Prevalence and Risk Factors of Self-Reported Cancers in Residents in Nanjing

中文摘要英文摘要

目的:了解南京市癌症患者分布特征及其危险因素流行情况,为制定有针对性的癌症患者管理策略提供数据支持.方法:利用2017~2018年南京市慢性病及其危险因素监测数据,描述南京市居民自报癌症患病流行状况,采用χ2 检验比较无序分类变量,采用单因素和多因素Logistic回归模型筛选癌症患者可能的危险因素.结果:共有60 283人完成本次调查,434人自报患有癌症,患病率0.84%,男性195人(0.78%),女性239人(0.90%).多因素Logistic回归分析显示:饮酒者患癌风险是不饮酒者的1.38倍(OR=1.38,95%CI:1.06~1.80)、水果蔬菜摄入不足者患癌风险是摄入充足者的1.35倍(OR=1.35,95%CI:1.11~1.65)、红肉摄入适量人群患病风险是摄入过量人群的0.81倍(OR=0.81,95%CI:0.66~0.99).结论:饮酒、水果蔬菜摄入不足是我市癌症患者的主要危险因素,红肉摄入适量为保护因素.今后应倡导和促进患者采用健康生活方式来改善自身健康状况,降低癌症复发率,改善预后,延长寿命.

Objective:To analyze the distribution and risk factors of self-reported cancers in adults in Nanjing,and provide basis for the management strategies targeting cancer patients.Methods:Using the data of chronic disease and risk factor surveillance in Nanjing from 2017 to 2018 to describe the prevalence of cancer reported by residents in Nanjing.Disordered classified variables were compared by χ2 test,and possible risk factors of cancer patients were screened by univariate and multivariate logistic regression analyses.Results:A total of 60,283 community-dwelling adults included in this study were selected randomly.There were 434 self-reported cancer patients,the prevalence was 0.84%,including 195 males(0.78%)and 239 females(0.90%).The results of multi-variate logistic regression showed that the risk of cancer in smokers was 1.38 times higher than non-smokers(OR = 1.38,95%CI:1.06~1.80);the risk of cancer in people with insufficient vegetable and fruit intakes was 1.35 times as high as people with sufficient in-takes of vegetables and fruits(OR = 1.35,95%CI:1.11~1.65);the risk of cancer in people who ate moderate amount of red meat was 0.81 times that of people who ate excessive amount of red meat(OR = 0.81,95%CI:0.66~0.99).Conclusion:Alcohol use,insufficient vegetable and fruit intakes are the main risk factors for cancer,low red meat intake was the protective factor.In the future,we should advocate and promote a healthy lifestyle for cancer patients to improve their health,reduce the recurrence rate of cancer,improve prognosis,and prolong their life span.

周海茸;洪忻;孙倩男;王琛琛

210003 南京,南京市疾病预防控制中心 慢性非传染性疾病防制科

临床医学

癌症患病率危险因素分布特征生活质量

CancerPrevalenceRisk factorDistributionQuality of life

《肿瘤预防与治疗》 2024 (002)

132-139 / 8

This study was supported by grants from Health Commission of Nanjing(No.YKK21175). 南京市医学科技发展项目(编号:YKK21 175)

10.3969/j.issn.1674-0904.2024.02.005

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