摘要
Background: The prevention and control of digestive system cancer is under tough conditions, but there are differences in prevention awareness and behaviors in the population at high risk of digestive system cancer. There is a lack of reference for physicians and nurses to evaluate the prevention ability among them. Therefore, it is of great significance to establish the regional norm of the proactive cancer prevention behavior scale, which may greatly promote cancer prevention. Objective: To establish the norms for the proactive prevention behavior scale in the population at high risk of digestive system cancer(DSC-PPBS), to provide references for the evaluation of high-risk population of digestive system cancer. Methods: From May 2019 to January 2020, DSC-PPBS was used to investigate high-risk population of digestive system cancer from 6 grade A tertiary hospitals, 3 grade A secondary hospitals, and 3 community health centers in Heilongjiang. The characteristics of their DSC-PPBS scores were used to develop the mean, percentile and threshold norms for this specific population. Results: Of the 1 400 cases surveyed, 1 236 returned responsive questionnaires with a response rate of 88.29%. The mean norms of DSC-PPBS were established according to gender and age groups(40-45, 46-65, ≥66 years). The percentile norms of DSC-PPBS from the 5th percentile to 95th percentile were established with 5% as interval. The threshold norms were based on the four critical points(x-s, x-0.5s, x+0.5s, x+s), the cancer prevention status of the subjects was divided into five categories:poor, relatively poor, general, good, excellent, and the four demarcation standards were in closed with the 15th, 30th, 70th and 85th of the percentiles norm. Conclusion: The mean norm, percentile norm, and threshold norm of DSC-PPBS in the population at high risk of digestive system cancer in Heilongjiang are well-represented, which lay a foundation for further promotion of the scale. It can be used as a reference for clinical and community physicians and nurses to evaluate the intervention of prevention behaviors in the population at high risk of digestive system cancer.
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