1.Liaoning Provincial Center for Disease Control and Prevention, Shenyang, Liaoning 110005, China; 2.School of Public Health, China Medical University, Shenyang, Liaoning 110000, China
Abstract：Objective To analyze the characteristics and high-risk factors of lung cancer screening population so as to provide a basis for improving lung cancer screening program. Methods According to the Technical Scheme for Early Diagnosis and Early Treatment of Cancer and Screening, Early Diagnosis and Early Treatment of Lung Cancer in 2015 Trial Edition, a questionnaire was used to screen high-risk population in Dandong Donggang city and Chaoyang Beipiao city where were the high-incidence areas of lung cancer in Liaoning province. The distribution of high-risk population and the impact of high-risk factors on lung cancer were analyzed. Results A total of 52,600 adults were enrolled into the screening program, and 1,381 high-risk adults were selected. Among the high-risk population, the highest smoking exposure rate was 95.51%, the indoor pollution exposure rate was 80.38%, and the exposure rates of occupational history, past disease history and family history were 1.81%, 19.19% and 26.00%, respectively. The exposure rate of multiple risk factors was 95.94%, and the simultaneous exposure rate of smoking and indoor pollution was 76.76%. 15 cases of lung cancer were detected after taking low-dose multi-slice spiral CT examination, and the detection rate was 1.09%. All cases of lung cancer were exposed to smoking or indoor air pollution. Conclusions Smoking and indoor pollution are very common in high-risk population, including 99.13% of high-risk group and 100% of lung cancer-positive group. The results suggest that screening items can be simplified. Using only two items, namely smoking and indoor pollution, in the screening can reduce screening time, and help to avoid unwilling exposure or unclear description of their own or relatives’ information due to privacy, memory and other reasons.
尚德高, 吕美文, 佟爽, 于连政. 辽宁省肺癌高发农村地区1 381名肺癌高危人群筛查结果分析[J]. 实用预防医学, 2019, 26(9): 1072-1074.
SHANG De-gao, LYU Mei-wen, TONG Shuang, YU Lian-zheng. Results of screening for lung cancer among 1,381 high-risk adults in rural areaswith high incidence of lung cancer in Liaoning province. , 2019, 26(9): 1072-1074.
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2019, Vol. 26 
