| Objective: to understand the prevalence of gastric cancer in Longde County of Ningxiahigh risk population risk factors of gastric cancer in Longde County, master the summer thehigh-risk population of gastric cancer prevention knowledge awareness, according to thecomprehensive intervention in high-risk groups to carry out the cognitive level of gastriccancer risk factors epidemic levels and gastric cancer risk factors among local, change the badhabits of local residents, the evaluation of intervention the effect of gastric cancer, improvegrassroots medical staff local level of theoretical knowledge, the establishment of a gastriccancer early diagnosis and early treatment group in Ningxia.Methods: using multistage stratified cluster sampling method,9administrative villagesin Longde county from my God Lin Xiang, Sha Tang Xiang40~69permanent residents(living in the5years and above)1000. By using the method of investigation, in2010and2012respectively on the study adopt on-the-spot questionnaire survey, to obtain the risk ofgastric cancer in high-risk factors of local endemic levels and gastric cancer preventionknowledge, comprehensive intervention on conducted community (including training ofgrassroots health workers, health education, gastric cancer screening, behavior intervention),before and after the intervention to the crowd as self control, changes to the population ofgastric cancer prevention knowledge awareness rate and the risk factors of gastric cancerepidemic level before and after the intervention to evaluate the effect of interventionmeasures.Results: in2010surveyed1000high-risk population of gastric cancer in Longde County, with an average age of53.13±7.91years old. The survey of482men (48.2%),518females(51.8%), mostly in50~age group (38.4%). Cultural level is generally low, to junior middleschool education (38.3%) and primary school culture (28.5%), with junior college and aboveculture of only5.3%; in the occupation of the distribution point of view, are mainly farmers(84.5%). Drinking: drinking water to440people (44%) the most; smoking: smoking in thesurvey of279people, accounted for27.9%,721people, not smoking accounted for72.1%;drinking: drinking in the survey of136people, accounted for13.6%,864people, do not drinkalcohol accounted for86.4%; taste: taste eat mostly medium; disease history and familyhistory: disease and family history of investigators in respectively394(39.4%) and61(6.1%).People daily or regular consumption of fresh vegetables and fresh fruit ratio is still lower,respectively68.4%and39.1%; and milk and soy food ratio is relatively low, only25.8%and31.8%respectively. This investigation, cancer prevention knowledge awareness of the passrate (above60) is only46.8%, the reason the local people not willing to participate inscreening for gastric cancer in the top three were "do gastroscope afflictive"(61.3%),"nosymptoms, so do not want to check"(34.8%),"check out the disease there is a psychologicalburden"(30.4%). Between people in different gender, family with no family history of cancerof gastric cancer prevention knowledge awareness rate of different populations, the differencewas statistically significant (P<0.05). The awareness rate of male (54.6%) was significantlyhigher than that in female (38.1%), awareness rate people with family history of cancer(82.6%) was significantly higher than those without a family history of cancer populations, byLogistic regression analysis showed that gender and have no family history are the two factorsthat affect the rate of gastric cancer prevention knowledge awareness effect. After theimplementation of the two interventions, in the form of various risk factors of smoking twoyears had obvious difference ratio (p=0.027<0.05), smoking rate decreased from27.9%in2010to23.4%in2012. From two years of gastric cancer prevention knowledge awarenessrate of change of view, compared with2010, in addition to "you know early gastric cancer after treatment can live for many years","smoke a lot easier gastric cancer" and "drinkingprone to gastric cancer" the three knowledge questions, to know the rest of the questions werein2012investigation of improved, after two years were statistically different (p<0.05).Compared with2010, the proportion of people who eat fresh vegetables every day or everyday, often eat eggs are improved obviously in the2012survey, daily or regularly eat saltedfood proportion in the2012survey were decreased, the difference was statistically significant(p<0.05). Early treatment rate was71.43%in gastric cancer, early treatment rate of71.43%.Conclusion:1according to the local residents drinking water conditions, like eatingsalted and fried foods, eat fresh fruits and vegetables is less dangerous factors, suggestions toimprove the local water conditions, group intervention against bad eating habits.2of the localpopulation of gastric cancer prevention knowledge was low, the main influence factors for thedifference between sex and have no family history of gastric cancer.3through years ofintervention, in the local gastric cancer prevention awareness of this part of the crowdincreased, but also through the implementation of population of gastric cancer screeningprogram for understanding of the harm of gastric cancer, the enthusiasm of high-risk groupsto participate in screening for gastric cancer was improved. Hope that health departments atall levels to increase health education efforts.4through the comprehensive communityintervention implementation, provide professional technical guidance and services for theestablishment of the local three in gastric cancer prevention and control network system. |
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