Koirala Sushant
School of Arts and Science, University of Pennsylvania, Philadelphia, United States. Email:
Asian Pac J Cancer Prev. 2018 Feb 26;19(2):549-554. doi: 10.22034/APJCP.2018.19.2.549.
Background: Each year, there are over a million new cases of cancer in India, which causes many untimely deaths and increases the economic burden to households. By focusing on preventative measures and finding socioeconomic and behavioral contributors to cancer, steps can be taken to help alleviate this burden. This study aims to find the effect living in a joint family can have on being diagnosed with cancer in rural India. Methods: The study estimates the effect living in a joint family, along with other demographic information, has on being diagnosed with cancer using a logit estimation model. The data for the study was collected from a survey was conducted on the households of the Handiganur village (N=251) comprising of several demographic, social, and medical questions. Results: The study found that living in a joint family lowers the odds of having cancer. The results indicate that living in a joint family reduces the probability of being diagnosed by 7.23 percentage points and is significant at a 5% level. Furthermore, among the other tested variables, eating habit is negatively significant at 5% level, suggesting that if a person eats 3 to 4 times a day his or her likelihood of suffering from cancer will be lowered by 6.55 percentage points. Access to public wells and drinking alcohol both increase the likelihood of being diagnosed with cancer by 7.90 (p<0.1) percentage points and 11.90 (p<0.05) percentage points respectively. Conclusions: The negative effect of joint family could be due to two possible reasons. The first is that there is in fact a biological reason. The second reason for this result could be a false negative, as it could be because people in joint families are not getting the necessary check-ups required to diagnose cancer.
在印度,每年有超过100万例新癌症病例,这导致许多人过早死亡,并增加了家庭的经济负担。通过关注预防措施并找出癌症的社会经济和行为影响因素,可以采取措施帮助减轻这一负担。本研究旨在探讨在印度农村地区生活在大家庭中对患癌诊断的影响。
该研究使用逻辑估计模型,估计生活在大家庭中以及其他人口统计学信息对患癌诊断的影响。研究数据来自对汉迪加努尔村(N = 251)家庭进行的一项调查,该调查包含了一些人口、社会和医疗问题。
研究发现,生活在大家庭中会降低患癌几率。结果表明,生活在大家庭中会使被诊断出癌症的概率降低7.23个百分点,在5%的水平上具有显著性。此外,在其他测试变量中,饮食习惯在5%的水平上具有负显著性,这表明如果一个人每天吃3到4次饭,其患癌的可能性将降低6.55个百分点。使用公共水井和饮酒分别使被诊断出癌症的可能性增加7.90(p<0.1)个百分点和11.90(p<0.05)个百分点。
大家庭的负面影响可能有两个原因。第一个是实际上存在生物学原因。这个结果的第二个原因可能是假阴性,因为这可能是由于大家庭中的人没有进行诊断癌症所需的必要检查。