目的:预防后续原发癌(SPC)对癌症幸存者至关重要,特别是那些在童年时期患上这种疾病的人,青春期,和年轻的成年(CAYA)。这项研究的目的是评估女性CAYA癌症幸存者中SPC预防的现状。
方法:一项关于癌症治疗后的长期健康问题的调查是使用问卷调查进行的,调查对象是年龄≥20岁、在40岁之前患癌症的女性。调查评估了各种健康问题,本文重点介绍了与受访者对SPC预防的看法和态度有关的项目。
结果:共分析了1,026名受访者。超过60%的受访者知道SPC和筛查的需要。接受定期SPC筛查的受访者比例为68.3%,68.4%,49.7%,58.6%,宫颈占57.0%,乳房,肺,和胃癌,分别。在调整了年龄之后,第一种癌症,和目前的后续行动,我们发现接受SPC筛查建议是SPC筛查接受率的最关键因素(比值比=3.836;95%置信区间=2.281~6.451;逻辑回归分析p<0.001).然而,只有40.4%的受访者收到了医生的SPC筛查建议.
结论:尽管对SPC的预防有很好的认识,癌症幸存者中癌症筛查的摄取率不足,表明应推广SPC的预防措施。因为其他人的建议强烈影响SPC筛查的吸收,医疗保健专业人员应具有准确的知识,并提供有关SPC预防的指导。
OBJECTIVE: Prevention of subsequent primary cancer (SPC) is crucial for cancer survivors, particularly those who developed the disease during childhood, adolescence, and young adulthood (CAYA). The aim of this study was to assess the current status of SPC prevention among female CAYA cancer survivors.
METHODS: A survey regarding long-term health issues after cancer treatment was conducted using questionnaires that targeted women aged ≥20 years who had developed cancer before the age of 40 years. The survey assessed various health issues, and this paper focuses on the items related to the respondents\' perceptions and attitudes toward SPC prevention.
RESULTS: A total of 1,026 respondents were analyzed. Over 60% of respondents were aware of SPC and the need for screening. The percentages of respondents who underwent regular SPC screening were 68.3%, 68.4%, 49.7%, 58.6%, and 57.0% for cervical, breast, lung, and gastric cancers, respectively. After adjusting for age, type of first cancer, and current follow-up, we found that receiving recommendations for SPC screening was the most critical factor in SPC screening uptake (odds ratio=3.836; 95% confidence interval=2.281-6.451; p<0.001 by logistic regression analysis). However, only 40.4% of the respondents received recommendations for SPC screening from their physicians.
CONCLUSIONS: Despite good awareness of SPC prevention, the uptake rate for cancer screening among cancer survivors was inadequate, indicating that preventive measures for SPC should be promoted. Because recommendations from others strongly influence SPC screening uptake, healthcare professionals should have accurate knowledge and provide guidance regarding SPC prevention.