Combined screening ofcervicalcancer, breastcancerand reproductive tract
infections in rural china.
Source
Department of Preventive Medicine, Changzhi
Medical College, ChangZhi, China E-mail : xfeng66@163.com.
Abstract
Objectives: To
investigate the current prevalence and knowledge of cervical cancer, breast cancer and reproductive tract infections (RTIs) in rural Chinese women,
and to explore the acceptance and feasibility of implementing a combined
screening program in rural China. Methods: A population-based, cross-sectional
study was conducted among women aged 30 to 59 years old in Xiangyuan County,
Shanxi Province from 2009 to 2010. Socio-demographic characteristics, knowledge
of cervical cancer, breast cancer and RTIs, and the attitude toward single or combined screening
were collected by an interview questionnaire. Each participant received a
clinical examination of the cervix, breast and
reproductive tract. Examinations included visual inspection, mammography,
laboratory tests and pathological diagnosis. Results: A total of 1,530 women
were enrolled in this study. The prevalence of cervical precancerous lesions, suspicious breast cancer, suspicious benign breast disease and RTIs was
1.4%, 0.2%, 14.0% and 54.3%, respectively. Cervicitis, trichomonas vaginitis,
and bacterial vaginitis were the three most common RTIs among our participants.
Television, radio broadcast, and public education during screening were the
major source of healthcare knowledge in rural China. Moreover 99.7% of women
expressed great interest in participating in a combined screening project. The
affordable limit for combined screening project was only 50 RMB for more than
half of the rural women. Conclusion: A combined screening program would be more
effective and popular than single disease screening projects, while appropriate
accompanied education and a co-pay model for its successful implementation need
to be explored, especially in low-resource settings.
Epidemiological trends
ofcancermorbidity at a
government medical college hospital, chandigarh, India.
Source
Department of Community Medicine, College of
Medicine and JNM Hospitals, Kalyani, India E-mail : drneeraj_g04@yahoo.com.
Abstract
Aim: An epidemiological
shift has resulted in increase in the prevalence of non-communicable diseases
(NCD). Unlike other NCDs which are easily and definitely preventable, the
knowledge of cancer prevention
is still limited at present. Various aetiological factors are difficult to
control since those are habit forming. Hence an available remedy remains its
secondary and tertiary prevention for which appropriate planning is of
paramount importance. Evidence based planning requires careful analysis of data
with a view to prioritize various cancers. Keeping in view the fact that the
adaptation of smoking free status in Chandigarh city might have a far reaching
positive effect on the cancer related
morbidity of the people, the following study was undertaken to provide base
line data to be used for future comparisons. Methods: The registers maintained
in the Department of Radiotherapy were checked and those belonging to the years
1999 to 2009 were utilized to analyze the cancer morbidity in respect to age, sex, and year of presentation to
health care facility. Results: A total of 4,600 cancer patients (males=2276, females=2324) demonstrated a gradual
increase in the number ofcancer cases from 150 in the year
1999 to 783 in the year 2009. The most common cancers amongst males were cancer of gastro-intestinal tract (GIT) and lung
(including larynx) constituting 37.3% and 27.1% of the total, respectively. In
females these were cancers of breast and cervixrepresenting 33.3% and 17.6% of total cancer cases, respectively, and lung cancer constituted 5.3%. The maximum cases of bone cancer (53.8% of all bone cancers) were observed
amongst children aged less than 20 years and lung cancer (48.2% of all lung cancers) among the elderly aged 60-69 years.
