Survey status of and people’s willingness to cancer screening in Liaoning Province

Abstract

Objective To investigate the survey status of and people’s willingness to cancer screening, including cervical cancer, breast, gastric, colon cancer, lung cancer. Methods Survey on cancer screening status was performed, with the residents in Liaoning Province as research subjects, so as to investigate people’s satisfactory, willingness to cancer screening in primary hospitals, and causes of rejection to cancer screening. Results Questionnaires were successfully collected from 8 142 residents, totally. Of them, 1 034 female (22.3%) residents had participated in cervical cancer screening, and 862 female (18.6%) residents in breast cancer screening. Moreover, 576 of 8 142 individuals (7.1%) had experienced gastric cancer screening, 516 individuals (6.3%) had experienced colon cancer screening, and 614 individuals (7.5%) had joined in lung cancer screening. A total of 1 391 peoples (65.2%) voted organization and management as very satisfied item, 1 364 peoples (64.2%) voted skills and ability of doctors, 1 336 persons (62.8%) voted medical device, 1 383 persons (65.8%) voted examination results and follow-up service, and 1 388 persons (66.5%) voted examination expense. A total of 1 334 urban female residents (69.5%) would like to undergo cervical cancer screening in the next 1 to 3 years, and 1 348 urban women (70.2%) were willing to undergo breast cancer screening. In countryside, 1 989 women (73.3%) and 1 982 women(73.1%)were willing to participate cervical cancer screening and breast cancer screening respectively. In urban area, 2 265 peoples (62.9%) would like to join in gastric cancer screening, 2 247 peoples (62.4%) in colon cancer screening, 2 282 peoples (63.3%) in lung cancer screening in the next 1 to 3 years. In countryside, 2 945 peoples (64.9%) showed intention to undergo gastric cancer screening, 2 868 peoples (63.2%) had intention to have colon cancer screening and 2 929 peoples (64.5%) were willing to had examination for lung cancer. However, 3 712 individuals (45.6%) rejected to cancer screening for skills and ability of medical staff, 3 908 individuals (48.0%) for specificity of medical device in primary hospital, 1 760 persons (21.6%) for normativity of screening technology, 2 904 persons (35.7%) for reliability of examination results, 803 persons (9.9%) for follow-up diagnosis and treatment, 1 296 peoples (15.9%) for examination coast. Conclusions At present, screening rate of 5 kinds of cancer are low, and people show mediocre satisfactory to the participated screening items. Most of residents are willing to have cancer screening in the next 1 to 3 years, but they are doubting the accuracy of examination and skills and ability of medical staff. Therefore, intervention measures should be performed to promote screening rate of the 5 kinds of cancer according to the survey results, so as to improve prevention and control level of cancers. Key words: Cancer; Screening; Satisfaction; Willingness survey