摘要
目的:通过分析不同癌症幸存群体的营养素养水平,识别其可能存在的问题,为实施精准营养干预、降低我国癌症疾病负担提供参考依据.方法:采用分层抽样方法,抽取上海市癌症康复俱乐部各区块站的癌症幸存者共3851名为研究对象,开展营养素养水平调查.结果:上海市癌症幸存者的整体营养素养水平为46.48%,其中功能性营养素养、营养知识应用能力、营养信息获取能力、推理计算能力4个维度的素养水平分别为46.77%、48.27%、45.86%、31.37%.性别、年龄、文化程度、经济状况等因素显著影响癌症幸存者的营养素养水平.结论:癌症幸存者的总体营养素养水平有待提高,尤其是其营养素摄入量计算能力,不同癌症类型的人群间差异不大,未来应进一步加强对男性、中小学以下文凭、经济状况较差的癌症幸存者群体开展营养教育.
Abstract
[Objective]To analyze the status of nutrition literacy among cancer survivors,so as to identify potential issues and provide a reference for implementing precise nutritional interventions to reduce the burden of cancer in China.[Method]A stratified sampling method was used to recruit a total of 3851 cancer survivors from the Shanghai Cancer Rehabilitation Club as study subjects for the nutrition literacy survey.[Result]The overall nutrition literacy of cancer survivors in Shanghai was 46.48%,with the literacy levels in the four dimensions of functional nutritional literacy,ability to apply nutritional knowledge,ability to obtain nutritional information,and reasoning and calculation abilities being 46.77%,48.27%,45.86%,and 31.37%,respectively. Factors such as gender,age,education level,and economic status significantly affected the nutrition literacy levels of cancer survivors.[Conclusion]The level of nutrition literacy among cancer survivors needs to be improved,especially their ability to calculate nutrient intake. There is little difference in the levels among people with different types of cancer. In the future,nutrition education should be further strengthened for cancer survivor groups including males,those with less than a high school diploma,and those with poor economic status.