Endoscopic screening status and influencing factors of high risk population of upper gastrointestinal malignant tumor in Zhengzhou city
Objective To analyze the endoscopic screening status and influencing factors of high risk population of upper gastrointestinal malignant tumor in Zhengzhou city.Methods From October 2017 to October 2022,with reference to the"Technical Program for Early Diagnosis and Treatment of Cancer(2011 Edition)",a cluster random sampling method was used to study the permanent residents of Zhengzhou city.A total of 18500 high risk population of upper gastrointestinal malignant tumor were screened by evaluation.The basic situation of high risk population of upper gastrointestinal malignant tumor was analyzed;the status of endoscopic screening in high risk population of upper gastrointestinal malignant tumor with different characteristics in Zhengzhou city was compared;multivariate Logistic regression was used to analyze the participation of endoscopic screening in high risk population of upper gastrointestinal malignant tumors in Zhengzhou city.Results Among the 18500 high risk population of upper gastrointestinal malignant tumor,3407 cases were involved in gastrointestinal endoscopy screening,with a participation rate of 18.42%.The participation rate of endoscopic screening of high risk population in female,45-64 years old,junior high school education or above,unmarried/divorced/widowed,previous smoking,drinking,history of reflux esophagitis,history of superficial gastritis,history of gastric ulcer,history of duodenal ulcer,history of gastric polyps and family history of upper gastrointestinal malignant tumor were higher than those of other characteristic population,and the differences were statistically significant(P<0.05).The female,45-64 years old,junior high school education or above,unmarried/divorced/widowed,previous smoking,drinking,history of reflux esophagitis,history of superficial gastritis,history of gastric ulcer,history of duodenal ulcer,history of gastric polyps and family history of upper gastrointestinal mglignant tumor were influencing factors for participation situation of endoscopic screening of high risk population of upper gastrointestinal malignant tumor(P<0.05).Conclusion The participation rate of endoscopic screening in high risk population of upper gastrointestinal malignant tumor in Zhengzhou city is low,and the compliance of endoscopic screening in female,45-64 years old,junior high school education and above,and so on is good.