Factors associated with cancer in a screened population for upper gastrointestinal cancer in rural Wuwei, China: Application of the Anderson Health Service utilization model

Abstract Objective: The screening situation of rural upper gastrointestinal cancer was reported in this area, and the influencing factors and influencing paths of upper gastrointestinal cancer were explored, so as to provide scientific basis for the prevention and treatment of upper gastrointestinal cancer. Methods: In Liangzhou district of Wuwei City, 10 towns with high incidence of upper gastrointestinal cancer were selected by cluster sampling to carry out screening. A hypothesis model of influencing factor pathway analysis for patients with upper gastrointestinal cancer in Wuwei City was constructed by using Anderson model as the framework. According to the results of factor screening, a path analysis model of influencing factors in upper digestive tract patients in Wuwei city was established to analyze the influencing paths and influencing coefficients of each factor. Results: A total of 12453 patients were screened for upper gastrointestinal cancer in rural areas from 2017 to 2022. The detection rate of upper gastrointestinal cancer was 1.57%, the early diagnosis rate was 35.90%. Path coefficient showed that male, old age, smoking, hot food, family history of disease, belching symptoms and history of gastroscopy were more likely to develop cancer in rural upper gastrointestinal cancer screening population. Variables such as age, marital status, family history of disease and eructation will also have an indirect impact on whether rural upper gastrointestinal cancer screening population will suffer from cancer through the indirect path of whether gastroscopy history is a mediating variable. Conclusion: It is suggested that cancer screening workers should pay more attention to the screening results and long-term follow-up results of rural upper gastrointestinal cancer screening population with male, old age, smoking, eating hot food, family history of disease, belching symptoms and history of gastroscopy.