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ORIGINAL RESEARCH article

Front. Public Health
Sec. Public Health Education and Promotion
Volume 12 - 2024 | doi: 10.3389/fpubh.2024.1388140
This article is part of the Research Topic Public Health Promotion and Medical Education Reform, Volume III View all 21 articles

Awareness of lung cancer among urban residents in Sichuan province and its impact on their willingness for screening institutions choosing

Provisionally accepted
Qi Chai Qi Chai 1*Ruicen Li Ruicen Li 2Ting Bao Ting Bao 3Zhibo Yang Zhibo Yang 1Hong Zhang Hong Zhang 1Xue Gong Xue Gong 1Qing Liu Qing Liu 1Jialin Ding Jialin Ding 1Ling Zuo Ling Zuo 1Yue Wang Yue Wang 1Feng Chen Feng Chen 1*
  • 1 Integrated Care Management Center, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China
  • 2 Department of Industrial Engineering and Engineering Management, College of Business, Sichuan University, Chengdu, Sichuan, China, Chengdu, China
  • 3 Department of Health Management Center, West China Hospital, Sichuan University, Chengdu, China

The final, formatted version of the article will be published soon.

    This study aimed to investigate the current status of urban residents' knowledge about lung cancer in Sichuan province and measure its influence on their willingness to choose the county or below medical institutions for cancer screening. A total of 31,184 urban residents were included in a cross-sectional study from Sichuan Province. Binary logistics regression and propensity score matching (PSM) was used to measure the influence effect. The results showed that (1) only 23.88% of residents self-reported good knowledge about lung cancer. They mainly acquired knowledge from the media (43%) and medical staff (42%). Only 33.5% of participants have been screened for lung cancer, and the main reasons for screening were periodic physical examination (54%) and physician advice (23%). ( 2) Binary logistic regression showed that the knowledge about lung cancer was significantly associated with participants' willingness for lung cancer screening in county or below medical institutions (OR = 1.185, 95% CI 1.113-1.263), p＜0.001) (3) Using PSM, it was shown that the willingness of residents who had good knowledge about lung cancer-related knowledge increased by 2.8% after using the kernel matching, 3.1% after using one-to-one nearest neighbor matching, and 2.4% after using radius matching with caliper size 0.001 (4) After stratification by psychological status, among residents with unstable psychological status, the willingness of residents with good knowledge about lung cancer increased by 5.3% after using the kernel matching, 3.6% after using one-toone nearest neighbor matching, and 4.9% after using radius matching with caliper size 0.001. Improving residents' understanding of the disease may help improve the current situation of hierarchical diagnosis and treatment.

    Keywords: Awareness of lung cancer, cancer screening, County or below medical institutions, Hierarchical diagnosis and treatment system, Propensity score matching

    Received: 19 Feb 2024; Accepted: 16 Dec 2024.

    Copyright: © 2024 Chai, Li, Bao, Yang, Zhang, Gong, Liu, Ding, Zuo, Wang and Chen. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Qi Chai, Integrated Care Management Center, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China
    Feng Chen, Integrated Care Management Center, West China Hospital, Sichuan University, Chengdu, Sichuan Province, China

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