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中国初级卫生保健:2024,38(5):13-17
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基于保护动机理论的社区居民胃癌筛查意愿现况调查*
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中文摘要: 摘 要:目的:基于保护动机理论探讨社区居民胃癌筛查意愿现况及影响因素,为相关部门制定促进社区居民进行早 期胃癌筛查的干预措施提供科学依据。方法:2023 年 3—8 月,选取湖南省衡阳市符合条件的社区居民 660 人进行问卷调 查。结果:调查对象的胃癌筛查意愿得分为 (6.27±1.46) 分;Pearson相关分析结果显示,社区居民胃癌筛查意愿与其知识 水平、严重性、易感性、反应效能、反应代价、自我效能均显著相关;多元线性回归分析结果显示,本科或大专、硕士研究 生及以上、是否吸烟饮酒、胃癌筛查知识、易感性、自我效能得分高的社区居民胃癌筛查意愿相对较高,而胃部相关疾病 史、是否有幽门螺杆菌感染、是否进行过胃镜检查、严重性得分高的社区居民胃癌筛查意愿相对较低,是社区居民胃癌筛查 意愿的影响因素。结论:社区居民胃癌筛查意愿得分总体水平一般,保护动机理论对社区居民胃癌筛查意愿有一定解释作 用,相关部门应针对不同个体制定开展个性化的促进胃癌筛查的干预措施,从而提高社区居民的胃癌筛查参与率。
Abstract:Abstract: OBJECTIVE Based on the theory of protective motivation, the current situation of community residents’willingness for gastric cancer screening and the factors affecting it were explored to provide a reference basis for the relevant departments to de⁃ velop effective interventions to increase the screening rate of gastric cancer. METHODS Selected 660 eligible community residents for questionnaire survey from March to August in 2023. RESULTS The survey respondents’gastric cancer screening willingness score was (6.27±1.46); the results of Pearson correlation analysis showed that the willingness of community residents to be screened for gastric cancer was significantly correlated with their knowledge level, severity, susceptibility, response efficacy, cost of response, and self-efficacy; and the results of the multivariate linear regression analysis showed that college education or above, smoking and alcohol consumption, knowledge score of gastric cancer screening, gastric-related disease history, Helicobacter pylori infection, histo⁃ ry of gastroscopy, and the severity, susceptibility, and self-efficacy of protective motivational factors were the influencing factors of community residents’ willingness to undergo gastric cancer screening. CONCLUSION The overall level of community residents’ willingness to screen for gastric cancer is average; the theory of protective motivation has a certain explanatory effect on community residents’ willingness to screen for gastric cancer, and the relevant departments should formulate and carry out individualized inter⁃ ventions to promote gastric cancer screening for different individuals, to increase the rate of gastric cancer screening participation among community residents.
文章编号:3202410004     中图分类号:R195    文献标志码:
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