目的 调查淮河流域癌症重点人群干预前的相关生活方式及行为状况、防癌知识、临床特征和就医行为等情况,为干预措施的制定提供科学依据。方法 选取淮河流域食管癌、胃癌、肝癌高发县区人群,作为高危人群,调查这些人群的健康行为、知识和态度,临床表现和就医行为等。结果 共调查4 076人,重点人群现在吸烟率为36.5%,被动吸烟率44.1%,饮酒率为48.0%。重点人群从不锻炼者比例为78.9%,超重率为54.7%,肥胖率为11.1%。重点人群中接种过乙肝疫苗比例仅有34.6%。重点人群有过慢性胃炎史比例为12.5%,慢性肝炎史比例为10.2%,胃十二指肠溃疡史比例为8.4%,家族中近亲有肿瘤史比例为30.4%,远亲中有肿瘤史比例为9.4%。做过胃癌筛查者比例为7.9%,做过胃镜检查者比例为20.2%。出现症状2 W内到医院检查者比例为79.0%,从不做健康体检者比例为40.4%。重点人群胃癌和肝癌知识知晓率水平较低。结论 安徽省淮河流域重点人群胃癌肝癌存在危险因素,且相关知识知晓水平不高,应尽早开展干预措施,以预防或减少癌症的发生。

Objective To investigate the relevant life style and behavior status, cancer prevention knowledge, clinical characteristics and medical treatment behavior of key cancerthe cancer priority population in Huaihe River Basin before intervention, so as to provide scientific basis for the formulation of intervention measures. Methods The population of high-risk counties with high incidence of esophageal cancer, gastric cancer and liver cancer in Huaihe River Basin were selected as high-risk population to investigate their health behaviors, knowledge and attitudes, clinical manifestations and medical treatment behaviors. Results A total of 4076 people were surveyed. The smoking rate was 36.5%, the passive smoking rate was 44.1%, and the drinking rate was 48.0%. The proportion of the key population who never exercised was 78.9%, the overweight rate was 54.7%, and the obesity rate was 11.1%. Only 34.6% of the key population had been vaccinated with hepatitis B vaccine.Among the key population, 12.5% had chronic gastritis, 10.2% had chronic hepatitis and 8.4% had gastroduodenal ulcer, the proportion of close relatives and distant relatives with cancer history was 30.4% and 9.4% respectively.Among the respondents, 7.9% had done gastric cancer screening and 20.2% had done gastroscopy.The proportion of patients with chronic gastritis, chronic hepatitis, gastroduodenal ulcer, family and distant relatives was 12.5%, 10.2%, 8.4%, 30.4% and 9.4%, respectively. The proportion of gastric cancer screening and gastroscopy was 7.9% and 20.2% respectively.The proportion of patients who went to the hospital for examination within 2 weeks after the onset of symptoms was 79.0%, and 40.4% never did physical examination.The awareness rate of knowledge about gastric cancer and liver cancer hepatocellular carcinoma in key population was low. Conclusion There are risk factors for gastric cancer and liver cancer hepatocellular carcinoma in key population in Huaihe River Basin of Anhui Province, and the knowledge level is not high. Intervention measures should be carried out as soon as possible to prevent or reduce the occurrence of cancer.