Awareness for Endoscopic Screening Among Accompanying Children of Hospitalized Esophageal Cancer Patients in Henan

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Awareness for Endoscopic Screening Among Accompanying Children of Hospitalized Esophageal Cancer Patients in Henan Lian Qun Zhang 1,2 & Xian Juan Du 1 & Fu You Zhou 1 & Pei Nan Chen 3 & Hai Ling Wang 4 & Li Sun 5 & Xiu Ling Li 6 Accepted: 26 October 2020 # American Association for Cancer Education 2020

Abstract The free generalized endoscopic screening for diagnosis of early esophageal cancer and precancerous lesion could not be satisfactorily implemented in China. At present, the decision to accept endoscopic screening at their own expense may largely depend on the public awareness. This study was aimed to investigate the awareness and other influencing factors associated with the accompanying children of esophageal cancer patients after their hospitalization. In this cross-sectional study, from April to June 2016, 233 children of accompanying patients, who were admitted within the last 1 year due to esophageal cancer in three affiliated hospitals of Zhengzhou University and Anyang Tumor Hospital, were enrolled. In addition, telephone surveys were conducted to investigate their awareness about endoscopic screening. One child was corresponded to an esophageal cancer patient. About half (47.6%, 111/233) of the children were unaware that endoscopic screening could detect early esophageal cancer and precancerous lesion. There was no significant difference in their awareness rates between hospitals with different administration levels. Besides, the males who had a lower family income and lower education level showed a poor awareness rate (P < 0.05). The overall awareness rate among the accompanying children of patients on endoscopic screening was rather low in Henan province (China). Hence, the health education and awareness on the importance of endoscopic screening for early detection of esophageal cancer should be promoted among children accompanying the patients. More attention should be focused towards the subject group, particularly among those male children with lower educational level and family income. Keywords Awareness . Esophageal cancer . Early . Precancerous lesion . Endoscopic screening

Introduction Esophageal cancer is one of the most common cancers worldwide and the fourth most frequent cause of cancer-related

* Xiu Ling Li [email protected] 1

Anyang Tumor Hospital, Anyang 455000, Henan, China

2

School of Basic Medical Sciences, Zhengzhou University, Zhengzhou 450001, Henan, China

3

The Second Affiliated Hospital of Zhengzhou University, Zhengzhou 450014, Henan, China

4

The Affiliated Cancer Hospital of Zhengzhou University, Zhengzhou 450008, Henan, China

5

The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan, China

6

Department of Gastroenterology, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, School of Clinical Medicine, Henan University, No. 7 Weiwu Road, Zhengzhou 450003, Henan, China

deaths in China [1, 2]. The prognosis of esophageal cancer is very poor, and the total 5-year survival rate reported is 15– 25% [3]. As the