Study on the related factors of esophageal cancer and precancerous lesions in rural residents aged 40-69 years in Shandong Province / 中华预防医学杂志

ABSTRACT

Objective@#To analyze the related factors of esophageal squamous cell carcinoma and precancerous lesions among residents aged 40-69 years old in rural areas of Shandong Province. @*Methods@#In October 2018, 300 villages in 13 counties of the Shandong upper gastrointestinal cancerearly diagnosis and treatment projectin 2017 were selected as research areas, and 30 400 residents aged 40-69 were recruited in this study. The demographic characteristics, health status and lifestyle information were collected through the questionnaire survey, and endoscope iodine staining and indicative biopsy methods were used for cancer screening among eligible people.The multivariate logistic regression model was used to analyze the risk factors for esophageal cancer and precancerous lesions. @*Results@#The subjects in this study were (56.42±7.24) years old, including 13 193 males (43.40%).There were 936 cases of esophageal cancer and precancerous lesions (3.08%), including 521 males and 415 females.Compared with women, 40-49 years old, high level education, drinking tap water, regular intake of meat, eggs and milk, and family average annual income more than 30 000 RMB, men (OR=1.90, 95%CI 1.65-2.19), 60-69 years old (OR=5.28, 95%CI 4.11-7.30), primary school education or below (OR=1.50, 95%CI 1.20-1.89), drinking groundwater (OR=1.71, 95%CI 1.38-2.13), never eating meat, eggs and milk (OR=1.48, 95%CI 1.22-1.80), and family average annual income less than 30 000 RMB (OR=1.41, 95%CI 1.16-1.70) would increase the risk of esophageal cancer and precancerous lesions. @*Conclusion@#The gender, age, educational level, annual household income, drinking water source, the frequency of eating meat, egg and milk were related to the occurrence of esophageal cancer and precancerous lesions among 40-69 years old residents in rural areas of Shandong Province.