目的 了解合肥市高校学生癌症防治核心知识的认知现状及影响因素,为肿瘤防治健康宣教工作提供科学依据。方法 采用随机抽样方法,选择合肥市3所高校685名学生开展癌症防治核心知识调查,问卷采用国家癌症中心发布的标准电子版问卷,分析癌症防治核心知识知晓率及其影响因素。结果 回收640份有效问卷(有效率93.43%),癌症防治核心知识总条目知晓率为75.02%,其中单选题知晓率86.41%,判断题81.83%,多选题53.04%,与患癌风险、癌前提示症状、肿瘤标志物相关的部分条目知晓率较低。单因素分析结果显示,不同性别、民族、院校类型、户口、吸烟情况、饮酒情况、家庭月均收入、父母亲文化程度以及恶性肿瘤家族史的群体癌症防治核心知识知晓率差异有统计学意义。多因素分析结果显示,性别(β=1.235,95%CI:0.267~2.202)、民族(β=-3.699,95%CI:-6.664~-0.773)、院校(β=-5.164,95%CI:-6.127~-4.200)、户口类型(β=-1.878,95%CI:-3.018~-0.739)、恶性肿瘤家族史(β=2.730,95%CI:0.932~4.527)是癌症防治核心知识知晓率的影响因素。结论 部分高校学生癌症防治核心知识知晓水平不高,加强防癌知识健康教育任重道远。

Objective To understand the cognitive status and influencing factors of core knowledge of cancer prevention and treatment among colleges students in Hefei,to provide scientific basis for health education on cancer prevention and control. Methods Using the convenient sampling method,685 students from three universities in Hefei were selected to carry out a survey on core knowledge of cancer prevention and treatment.The questionnaire was administered using the standard electronic version published by the National Cancer Center.The core knowledge awareness rate of cancer prevention and treatment and its influencing factors were analyzed. Results 640 valid questionnaires were collected,with an effective rate of 93.43%.The overall awareness rate of core knowledge of cancer prevention and treatment was 75.02%,including 86.41% for single choice questions,81.83% for judgment questions and 53.04% for multiple choice questions.The awareness rate of some items concerned with cancer risk,premalignant symptoms,and tumor markers was low.The results of univariate analysis showed that there were statistically significant differences in core knowledge of cancer prevention and treatment among different genders,ethnic groups,types of colleges,household registration,smoking status,drinking status,average monthly family income,parental education level and family history of malignant tumors.The results of multi-factor analysis showed that gender(β=1.235,95%CI:0.267-2.202),ethnic group (β=-3.699,95%CI:-6.664--0.773),college (β=-5.164,95%CI:-6.127--4.200),household type (β=-1.878,95%CI:-3.018--0.739),family history of malignant tumor (β=2.730,95%CI:0.932-4.527),were factors that influence the awareness rate of core knowledge of cancer prevention and treatment.It showed that male,minority nationality,non-medical college,rural household registration and no clear family history of malignancy had a low awareness rate of core knowledge of cancer prevention and treatment. Conclusion The level of core knowledge of cancer prevention and control among certain university students is inadequate,indicating a significant need for strengthening health education on the topic.