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The mean score for gastric cancer knowledge was 8.85\/22 (SD 6.48). There were 47.0% of the participants who had a low knowledge level about the risk factors and warning symptoms of gastric cancer. In total, 83.8% believed screening is helpful for early detection of gastric cancer, and 15.2% had undergone gastric cancer screening. The most common reason for not undergoing screening was having \u2018no symptoms\u2019 (63.0%), followed by \u2018fear of undergoing gastroscopy\u2019 (38.1%). Independent factors related to lower knowledge levels included male sex, living in rural areas, lower educational level, working as a farmer and without a family history of gastric cancer (p&lt;0.05). Factors independently associated with screening behaviour included white-collar employment, higher income and having upper gastrointestinal tract diseases (p&lt;0.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In China, people have poor knowledge about risk factors and warning symptoms of gastric cancer, but a majority have a positive attitude towards the benefits of gastric cancer screening. Being asymptomatic and having a fear of gastroscopy were the main self-reported reasons for not undergoing screening. These results highlight the urgent need for educational campaigns to improve gastric cancer awareness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2019-029638","type":"journal-article","created":{"date-parts":[[2019,7,24]],"date-time":"2019-07-24T07:16:47Z","timestamp":1563952607000},"page":"e029638","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":63,"title":["Awareness of risk factors and warning symptoms and attitude towards gastric cancer screening among the general public in China: a cross-sectional study"],"prefix":"10.1136","volume":"9","author":[{"given":"Qi","family":"Liu","sequence":"first","affiliation":[{"name":"School of Nursing, University of South China, Hengyang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xi","family":"Zeng","sequence":"additional","affiliation":[{"name":"Hunan Province Key Laboratory of Tumor Cellular & Molecular Pathology, Cancer Research Institute, University of South China, Hengyang, China"},{"name":"Department of Pathology, Hunan Province Cooperative Innovation Center for Molecular Target New Drug Study, University of South China, Hengyang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Nursing, University of South China, Hengyang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruo-lin","family":"Huang","sequence":"additional","affiliation":[{"name":"School of Nursing, University of South China, Hengyang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan-jin","family":"Huang","sequence":"additional","affiliation":[{"name":"School of Nursing, University of South China, Hengyang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shan","family":"Liu","sequence":"additional","affiliation":[{"name":"School of Nursing, University of South China, Hengyang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying-hui","family":"Huang","sequence":"additional","affiliation":[{"name":"School of Nursing, University of South China, Hengyang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying-xin","family":"Wang","sequence":"additional","affiliation":[{"name":"School of Nursing, University of South China, Hengyang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qing-hong","family":"Fang","sequence":"additional","affiliation":[{"name":"School of Nursing, University of South China, Hengyang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guoping","family":"He","sequence":"additional","affiliation":[{"name":"School of Nursing, University of South China, Hengyang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Zeng","sequence":"additional","affiliation":[{"name":"School of Nursing, University of South China, Hengyang, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,7,23]]},"reference":[{"key":"2025121408414783000_9.7.e029638.1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21492"},{"key":"2025121408414783000_9.7.e029638.2","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.29210"},{"key":"2025121408414783000_9.7.e029638.3","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21338"},{"key":"2025121408414783000_9.7.e029638.4","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2013.0055"},{"key":"2025121408414783000_9.7.e029638.5","doi-asserted-by":"publisher","DOI":"10.1007\/s10120-011-0085-6"},{"key":"2025121408414783000_9.7.e029638.6","doi-asserted-by":"crossref","first-page":"977","DOI":"10.1016\/S0140-6736(14)62038-9","article-title":"Global surveillance of cancer survival 1995\u20132009: analysis of individual data for 25\u2008676\u2008887 patients from 279 population-based registries in 67 countries (CONCORD-2)","volume":"385","author":"Allemani","year":"2015","journal-title":"The Lancet"},{"key":"2025121408414783000_9.7.e029638.7","doi-asserted-by":"crossref","unstructured":"Zong L , Abe M , Seto Y , et al . 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