实用肿瘤学杂志 ›› 2023, Vol. 37 ›› Issue (4): 308-312.doi: 10.11904/j.issn.1002-3070.2023.04.003

• 癌症筛查 • 上一篇    下一篇

苏州市肝癌高危率及饮食相关影响因素分析

王从菊1, 王梦茹2, 徐钰雯2, 孙宏鹏2, 马庆华3, 黄岚2   

  1. 1.苏州高新区(虎丘区)疾病预防控制中心慢性病管理科(苏州 215011);
    2.苏州大学苏州医学院公共卫生学院儿少卫生与社会医学系;
    3.苏州市相城区第三人民医院预防保健科
  • 收稿日期:2023-06-07 修回日期:2023-09-18 出版日期:2023-08-28 发布日期:2023-12-12
  • 通讯作者: 黄岚,E-mail:hl1815758708@163.com
  • 作者简介:王从菊,女,(1986-),硕士,副主任医师,从事慢性病防控方面的研究。
  • 基金资助:
    第五批姑苏卫生人才培养项目(编号:GSWS2019090)

Analysis of the high-risk rate of liver cancer and diet-related influencing factors in Suzhou city

WANG Congju1, WANG Mengru2, XU Yuwen2, SUN Hongpeng2, MA Qinghua3, HUANG Lan2   

  1. 1. Chronic Disease Management, Suzhou High-Technology Zone Center for Disease Control and Prevention, Suzhou 215011, China;
    2. Department of Pediatric Health and Social Medicine, Soochow University, School of Public Health, Medical College of Soochow University;
    3. Department of Preventive Medicine, Suzhou XiangCheng District Third People′s Hospital
  • Received:2023-06-07 Revised:2023-09-18 Online:2023-08-28 Published:2023-12-12

摘要: 目的 了解苏州市常住居民肝癌高危率情况,分析肝癌高风险的饮食相关影响因素,据此提出可行性防控建议。方法 2021年苏州市城区通过整群抽样选取八个乡镇街道,使用江苏省肿瘤筛查项目的《防癌风险评估问卷(2020版)》进行问卷调查。比较不同特征居民的肝癌高危率,并分析饮食相关因素对肝癌高风险的影响。结果 2021年苏州市城区共收集有效问卷3 073份,其中肝癌高危者共727人,占总人数23.7%。多因素logistic回归分析结果显示,食用肉蛋奶类、油炸食品和加工肉类与肝癌高风险相关(P<0.05)。结论 食用加工肉类、油炸食品与肝癌高风险有关,而每天食用肉蛋奶类可以降低肝癌发生风险。针对这些饮食行为的干预措施可能有助于降低患肝癌的风险。

关键词: 肝癌, 影响因素, 癌症筛查, 高危率, 饮食

Abstract: Objective The aim of this study was to understand the high risk rate of liver cancer among permanent residents in Suzhou city, analyze the dietary related influencing factors of high risk of liver cancer, and propose feasible prevention and control suggestions based on this. Methods In 2021,8 townships and streets were selected through cluster sampling in urban areas of Suzhou city, and a questionnaire survey was conducted using the "Cancer Risk Assessment Questionnaire (2020 Edition)" from the Jiangsu Cancer Screening Project. The high-risk rate of liver cancer among residents with different characteristics were compared, and the impact of dietary related factors on the high risk of liver cancer were analyzed. Results In 2021, a total of 3 073 valid questionnaires were collected in urban areas of Suzhou city, of which 727 were high-risk individuals for liver cancer, accounting for 23.7% of the total population. The results of multivariate logistic regression analyses showed that consumption of meat, eggs, dairy products, fried foods, and processed meat were significantly associated with a high risk of liver cancer (P<0.05). Conclusion The consumption of processed meats and fried foods is associated with a high risk of liver cancer, and daily consumption of meat, eggs, and milk can reduce the risk of liver cancer. Interventions targeting these dietary behaviors may help reduce the risk of liver cancer.

Key words: Liver cancer, Influence factor, Cancer screening, High-risk rate, Diet

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