Potential demand on cancer screening service in urban populations in China: a cross-sectional survey
Lei Haike, Dong Pei, Zhou Qi, Qiu Wuqi, Sun Zongxiang, Huang Huiyao, Ren Jiansong, Liu Guoxiang, Bai Yana, Wang Debin, Sun Xiaojie, Liao Xianzhen, Guo Lanwei, Lan Li, Liu Yuqin, Gong Jiyong, Yang Li, Xing Xiaojing, Song Bingbing, Mai Ling, Zhu Lin, Du Lingbin, Zhang Yongzhen, Zhou Jinyi, Qin Mingfang, Wu Shouling, Qi Xiao, Sun Xiaohua, Lou Peian, Cai Bo, Zhang Kai, He Jie, Dai Min, Mao Ayan, Shi Jufang, on behalf of the Heath Economic Evaluation Working Group, Cancer Screening Program in Urban China (CanSPUC)
Abstract
ObjectiveTo understand the acceptance and personal demand for cancer screening service among the urban residents who had never been involved in any national level cancer screening programs in China and identify the key factors influencing the sustainability of cancer screening.
MethodsA questionnaire survey was conducted among the local people aged 40-69 years selected through convenience sampling in 16 provinces of China to collect the general information about their demands for the screening service and others.
ResultsA total of 16 394 qualified questionnaires were completed. The average age of the people surveyed was (53.8±8.0) years, and men accounted for 44.6%. Without concerning the cost, 4 831 people (29.5%) had no demands for cancer screening services, the reasons are as follow: they would like to go to see doctors only when they were ill (61.8%); they had already received similar medical examinations (36.8%) and they would like to receive cancer screening directly without pre-health risk assessment (33.0%). Among the people surveyed, 10 795 (65.8%) had demands for cancer screening services, but they had choice on the screening settings, 43.7% wanted to receive the service in a general hospitals, while 36.5% would like to go to cancer-specialized hospitals. As for the level of medical institutes providing cancer screening service, 61.4% of the people surveyed would choose a higher level one, while 36.4% would choose an ordinary one. On screening procedures, 61.5% of the people surveyed would accept the mode of "clinical examination after questionnaire-assessment" .
ConclusionMost people surveyed had demands for cancer screening services and they would like to receive the screening services in higher level medical institutes. It is suggested to spread cancer screening know ledge, and strengthen the capability building of screening in grass root medical institutes to attract more people to receive cancer screening.
Key words:
Neoplasms; Screening; Service; Demand
Contributor Information
Lei Haike
Chongqing Cancer Institute, Chongqing 400030, China
Dong Pei
Institute of Medical Information, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100020, China
Zhou Qi
Chongqing Cancer Institute, Chongqing 400030, China
Qiu Wuqi
Institute of Medical Information, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100020, China
Sun Zongxiang
Harbin Center for Disease Control and Prevention, Harbin 150056, China
Huang Huiyao
National Cancer Center (NCC)/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
Ren Jiansong
National Cancer Center (NCC)/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
Liu Guoxiang
Harbin Medical University, Harbin 150081, China
Bai Yana
Institute of Epidemiology and Health Statistics, School of Public Health, Lanzhou University, Lanzhou 730000, China
Wang Debin
Anhui Medical University, Hefei 230032, China
Sun Xiaojie
Center for Health Management and Policy of Shandong University, Jinan 250012, China
Liao Xianzhen
Hunan Provincial Cancer Hospital, Changsha 410006, China
Guo Lanwei
The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou 450008, China
Lan Li
Harbin Center for Disease Control and Prevention, Harbin 150056, China
Liu Yuqin
Gansu Provincial Cancer Hospital, Lanzhou 730050, China
Gong Jiyong
Shandong Tumor Hospital, Jinan 250117, China
Yang Li
Guangxi Medical University 530021, China
Xing Xiaojing
Liaoning Cancer Hospital and Institute, Shenyang 110042, China
Song Bingbing
Affiliated Cancer Hospital of Harbin Medical University, Harbin 150081, China
Mai Ling
The Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou 450008, China
Zhu Lin
Affiliated Cancer Hospital of Xinjiang Medical University, Urumqi 830011, China
Du Lingbin
Zhejiang Cancer Hospital, Hangzhou 310022, China
Zhang Yongzhen
Shanxi Provincial Cancer Hospital, Taiyuan 030013, China
Zhou Jinyi
Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China
Qin Mingfang
Yunnan Cancer Hospital, Kunming 650118, China
Wu Shouling
Kailuan General Hospital, Tangshan 063000, China
Qi Xiao
Tangshan People’s Hospital, Tangshan 063001, China
Sun Xiaohua
Ningbo No.2 Hospital, Ningbo 315010, China
Lou Peian
Xuzhou Center for Disease Control and Prevention, Xuzhou 221006, China
Cai Bo
Nantong Tumor Hospital, Nantong 226000, China
Zhang Kai
National Cancer Center (NCC)/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
He Jie
National Cancer Center (NCC)/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
Dai Min
National Cancer Center (NCC)/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
Mao Ayan
Institute of Medical Information, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100020, China
Shi Jufang
National Cancer Center (NCC)/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China
on behalf of the Heath Economic Evaluation Working Group, Cancer Screening Program in Urban China (CanSPUC)
