关键词: 肺肿瘤, 危险因素, 问卷调查, 上海

Abstract: Objective　To explore the risk factors for lung cancer among residents over 65 years in Tianping Street community in Shanghai，providing a scientific basis for the development of health education interventions for the prevention and treatment of lung cancer.Methods　From April to June 2017，we enrolled 556 permanent residents from Shanghai's Tianping Street Community by stratified random sampling，and surveyed them with the Self-rated Lung Cancer Risk Scale（SLCRS）.Results　539 responsive scales were obtained，achieving a response rate of 96.9%（539/556）.The median SLCRS score was 85.According to the scoring criteria，153（28.4% of the total respondents） were at high risk of lung cancer，73.2% of whom were males（112 cases） and 26.8%（41 cases） were females.The prevalence of smoking in all the respondents was 27.1%（146/539）.Males had higher prevalence of smoking than females〔53.1%（130/245）vs 5.4%（16/294）〕（χ2=153.433，P<0.05）.Among all smokers，49.3%（72/146） smoked 1-10 cigarettes per day on average，45.0%（67/146） had been smoking for 20-40 years，94.0%（140/146） started smoking after turning 15.20.4% of the female respondents（60/294） smoked 200-299 cigarettes per year passively.Among all the respondents，0.9%（5/539） had a history of organ transplantation，0.6%（3/539） had connective tissue disease，13.2%（71/539） had chronic lung disease，48.4%（261/539） had exposure to oil fumes caused by cooking more than 151 plates of dishes per year，1.9%（10/539） had exposure to miners，0.8%（4/539） had exposure to asbestos，1.5%（8/539） frequently had depression，and 1.9%（10/539） had a family history of lung cancer，and 8.5%（46/539） had a family history of tumor.Conclusion　The prevalence of lung cancer risks among residents aged over 65 living in Tianping Street community in Shanghai can not to be ignored.The major lung cancer risks found are active and passive smoking，oil fume exposure and so on.In order to reduce the incidence of lung cancer and promote the health status of community-dwelling residents，we suggest that family doctors should vigorously promote tobacco control through health education，and deliver targeted and personalized interventions for individuals with lung cancer risk factors.

Key words: Lung neoplasms, Risk factors, Questionnaires, Shanghai