2015年中国不同职业自报患癌人群患病状况及其影响因素分析
Prevalence rate of self-reported cancer and related influencing factors among different occupational populations of China in 2015
杨晓莹 1王宁 1冯雪菲 1姬一兵 1陈波 1王丽敏 2王宝华1
作者信息
- 1. 中国疾病预防控制中心慢性非传染性疾病预防控制中心重点慢病防控实验室,北京 100050
- 2. 中国疾病预防控制中心慢性非传染性疾病预防控制中心慢病危险因素监测室,北京 100050
- 折叠
摘要
目的 分析2015年中国不同职业自报患癌人群患病状况及其影响因素,探讨职业人群癌症的一级预防策略.方法 采用2015年中国慢性病及其危险因素监测(CCDRFS)系统中不同职业人群自报癌症数据,对分类变量的频率和比例进行统计描述,并通过x2检验进行比较,采用单因素和多因素无序多分类logistic回归方法分析职业人群患癌影响因素.结果 本研究共108 665人完成自报癌症的问卷填写,男50 604人,女58 061人.1 809例自报患有癌症,男689 例(1.36％),女 1 120 例(1.93％);东部地区 769 例(1.92％),中部地区 465 例(1.50％),西部地区 575 例(1.52％).不同职业人群中,除不便分类的其他从业人员(C8)外,农、林、牧、渔、水利业生产人员(C5)癌症患病率最高(0.56％),国家机关、党群组织、企业、事业单位人员(C1)癌症患病率最低(0.01％).不同癌症类型中,乳腺癌患病率最高(0.33％),肝癌最低(0.02％).不同职业患癌人群影响因素的无序多因素logistic回归分析结果显示,东部和中部地区及饮酒是职业人群患癌的危险因素(P＜0.05).结论 不同职业人群患癌情况不同,相关的危险因素也有所不同.建议加强全人群癌症防控的同时,提高对职业人群防癌的重视,加强职业人群癌症防护;定期监测工作场所中危险因素的浓度,减少职业危险因素接触;开展癌症宣传教育,提高职业人群健康素养;定期开展防癌体检,降低职业人群患癌风险.
Abstract
Objective To investigate the prevalence rate of self-reported cancer and its influencing factors among different occupa-tional populations of China in 2015,as well as the primary prevention strategies for such populations.Methods This study used the data of self-reported cancer among different occupational populations in China Chronic Disease and Risk Factor Surveillance(CCDRFS)in 2015.Descriptive statistics was used to analyze the frequency and proportion of categorical var-iables,the chi-square test was used for comparison of nominal categorical variables,and an unordered polytomous logistic regression analysis was used for univariate and multivariate analyses to investigate influencing factors.Results A total of 108 665 people completed the self-reported cancer questionnaire,with 50 604 males and 58 061 females.Totally 1 809 people reported having cancer,including 689 males(1.36％)and 1 120 females(1.93％);769 people(1.92％)in the east-ern region,465 people(1.50％)in the central region,and 575 people(1.52％)in the western region.Among different oc-cupational groups,except for other practitioners(C8)who are not convenient to classify,the highest cancer incidence rate(0.56％)was among workers in agriculture,forestry,animal husbandry,fishing,and water conservancy industries(C5),while the lowest cancer incidence rate(0.01％)was among workers in state organs,party and mass organizations,enterprises,and public institutions(C1).Among different cancer types,breast cancer had the highest prevalence rate(0.33％),while liver cancer had the lowest prevalence rate(0.02％).The results of the unordered multifactorial logistic re-gression analysis of the influencing factors of different occupational cancer populations showed that eastern and central regions,and alcohol consumption were the occupational risk factors for cancer(P＜0.05).Conclusions Different occupational groups suffer from cancer in different ways,and the associated risk factors are also different.It is recommended that,while strengthening cancer prevention and control for the whole population,attention should be paid to cancer prevention for the occupational population and cancer protection for the occupational population should be strengthened;the concen-tration of risk factors in the workplace should be monitored regularly to reduce exposure to occupational risk factors;cancer publicity and education should be carried out to improve the health literacy of the occupational population;and reg-ular physical examinations should be carried out to reduce the risk of the occupational population of contracting cancer.
关键词
癌症/患病率/影响因素/职业人群Key words
cancer/prevalence rate/influencing factors/occupational population引用本文复制引用
基金项目
国家重点研发计划(2018YFC1311706)
出版年
2024
NETL
NSTL
万方数据