Jarm Katja, Šajn Eva, Hadžić Enej, Jurak Gregor, Krajc Mateja, Ivanuš Urška, But-Hadžić Jasna
Institute of Oncology Ljubljana, Zaloška 2, 1000 Ljubljana, Slovenia.
University of Primorska, Titov trg 4, 6000 Koper, Slovenia.
Zdr Varst. 2025 Jan 2;64(1):14-23. doi: 10.2478/sjph-2025-0003. eCollection 2025 Mar.
To evaluate Slovenian adolescents' awareness of common cancer risk and protective factors, identifying knowledge gaps to develop targeted health education initiatives.
A cross-sectional questionnaire survey was conducted among 795 students aged 13 to 19 years in primary and secondary schools in Slovenia. The responses were analysed using descriptive and analytical statistics. The relationship between educational level, age and gender and awareness of selected cancer risk factors was analysed performing univariate and multivariate logistic regression.
Overall, adolescents demonstrated good awareness of certain risk factors such as smoking (98%), sun exposure (90%) and physical activity (87%). Significant knowledge gaps were identified regarding dietary factors. While 49% recognized red meat consumption as a risk factor, knowledge of protective fruit and vegetable consumption and alcohol consumption as a risk was relatively low at 14% and 38%, respectively. Gender differences were found, with boys better at recognising smoking (p=0.025) and girls better at recognising alcohol (p<0.001). Older students were less aware of the importance of fruit and vegetable consumption (p<0.001), and secondary school students were less aware of the importance of healthy body mass, red meat and alcohol consumption (all p<0.001).
Slovenian adolescents have varied knowledge of cancer risks, showing both strengths and areas for improvement in preventive education. We have identified important gaps in knowledge about diet and alcohol consumption, particularly among older, secondary school students and boys, where targeted interventions can have a major impact on promoting healthier lifestyles and reducing future cancer risks.
评估斯洛文尼亚青少年对常见癌症风险和保护因素的认知,找出知识差距以制定有针对性的健康教育举措。
对斯洛文尼亚中小学795名年龄在13至19岁的学生进行了横断面问卷调查。使用描述性和分析性统计方法对回答进行分析。通过单变量和多变量逻辑回归分析教育水平、年龄和性别与选定癌症风险因素认知之间的关系。
总体而言,青少年对某些风险因素有较好的认知,如吸烟(98%)、日晒(90%)和体育活动(87%)。在饮食因素方面发现了显著的知识差距。虽然49%的人认识到食用红肉是一个风险因素,但对食用水果和蔬菜的保护作用以及饮酒是一种风险的认知相对较低,分别为14%和38%。发现了性别差异,男孩在认识吸烟方面表现更好(p = 0.025),女孩在认识饮酒方面表现更好(p < 0.001)。年龄较大的学生对食用水果和蔬菜的重要性认识不足(p < 0.001),中学生对健康体重、红肉和饮酒的重要性认识不足(所有p < 0.001)。
斯洛文尼亚青少年对癌症风险的知识参差不齐,在预防教育方面既有优势也有改进的空间。我们发现了在饮食和饮酒知识方面的重要差距,特别是在年龄较大的中学生和男孩中,有针对性的干预措施对促进更健康的生活方式和降低未来癌症风险可能会产生重大影响。