预防随后的原发性癌症 (SPC) 对于癌症幸存者至关重要，尤其是那些在儿童期、青春期和成年早期 (CAYA) 患上该疾病的患者。本研究的目的是评估女性 CAYA 癌症幸存者 SPC 预防的现状。针对癌症治疗后长期健康问题的调查，针对 20 岁以上、在 20 岁之前患癌症的女性进行了问卷调查。 40 年。该调查评估了各种健康问题，本文重点关注与受访者对SPC预防的看法和态度相关的项目。总共对1,026名受访者进行了分析。超过 60% 的受访者了解 SPC 以及筛查的必要性。定期接受SPC筛查的受访者宫颈癌、乳腺癌、肺癌和胃癌的比例分别为68.3%、68.4%、49.7%、58.6%和57.0%。在调整年龄、首次癌症类型和当前随访情况后，我们发现接受 SPC 筛查建议是 SPC 筛查采用率中最关键的因素（比值比 = 3.836；95% 置信区间 = 2.281-6.451；p<逻辑回归分析为 0.001）。然而，只有40.4%的受访者从医生那里得到了SPC筛查的建议。尽管对SPC预防的认识良好，但癌症幸存者对癌症筛查的接受率不足，这表明应推广SPC的预防措施。由于其他人的建议强烈影响 SPC 筛查的采用，因此医疗保健专业人员应掌握有关 SPC 预防的准确知识并提供指导。© 2025。亚洲妇科肿瘤学会、韩国妇科肿瘤学会和日本妇科肿瘤学会。

Prevention of subsequent primary cancer (SPC) is crucial for cancer survivors, particularly those who developed the disease during childhood, adolescence, and young adulthood (CAYA). The aim of this study was to assess the current status of SPC prevention among female CAYA cancer survivors.A survey regarding long-term health issues after cancer treatment was conducted using questionnaires that targeted women aged ≥20 years who had developed cancer before the age of 40 years. The survey assessed various health issues, and this paper focuses on the items related to the respondents' perceptions and attitudes toward SPC prevention.A total of 1,026 respondents were analyzed. Over 60% of respondents were aware of SPC and the need for screening. The percentages of respondents who underwent regular SPC screening were 68.3%, 68.4%, 49.7%, 58.6%, and 57.0% for cervical, breast, lung, and gastric cancers, respectively. After adjusting for age, type of first cancer, and current follow-up, we found that receiving recommendations for SPC screening was the most critical factor in SPC screening uptake (odds ratio=3.836; 95% confidence interval=2.281-6.451; p<0.001 by logistic regression analysis). However, only 40.4% of the respondents received recommendations for SPC screening from their physicians.Despite good awareness of SPC prevention, the uptake rate for cancer screening among cancer survivors was inadequate, indicating that preventive measures for SPC should be promoted. Because recommendations from others strongly influence SPC screening uptake, healthcare professionals should have accurate knowledge and provide guidance regarding SPC prevention.© 2025. Asian Society of Gynecologic Oncology, Korean Society of Gynecologic Oncology, and Japan Society of Gynecologic Oncology.