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本文引用的文献

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Trends in menarcheal age between 1955 and 2009 in the Netherlands.荷兰 1955 年至 2009 年间月经初潮年龄的变化趋势。
PLoS One. 2013 Apr 8;8(4):e60056. doi: 10.1371/journal.pone.0060056. Print 2013.
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Reproductive risk factors and endometrial cancer: the European Prospective Investigation into Cancer and Nutrition.生殖风险因素与子宫内膜癌:欧洲癌症与营养前瞻性调查研究。
Int J Cancer. 2010 Jul 15;127(2):442-51. doi: 10.1002/ijc.25050.
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Sexual activity among Turkish adolescents: once more the distinguished male.土耳其青少年的性行为:杰出男性再次成为焦点。
Int J Adolesc Med Health. 2008 Oct-Dec;20(4):431-9. doi: 10.1515/ijamh.2008.20.4.431.
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Age at menarche in Turkish adolescents in Kahramanmaras, Eastern Mediterranean region of Turkey.土耳其东部地中海地区加济安泰普市土耳其青少年的初潮年龄。
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Health consequences of child marriage in Africa.非洲童婚对健康的影响。
Emerg Infect Dis. 2006 Nov;12(11):1644-9. doi: 10.3201/eid1211.060510.
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Age at menarche and racial comparisons in US girls.美国女孩月经初潮年龄及种族比较。
Pediatrics. 2003 Jan;111(1):110-3. doi: 10.1542/peds.111.1.110.
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Life-time risk of different cancers in hereditary non-polyposis colorectal cancer (HNPCC) syndrome.遗传性非息肉病性结直肠癌(HNPCC)综合征中不同癌症的终生风险。
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Epidemiologic evidence showing that human papillomavirus infection causes most cervical intraepithelial neoplasia.流行病学证据表明,人乳头瘤病毒感染会导致大多数宫颈上皮内瘤变。
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The risk of endometrial cancer in hereditary nonpolyposis colorectal cancer.遗传性非息肉病性结直肠癌患者患子宫内膜癌的风险
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肿瘤专科医院患者亲属的生殖系肿瘤发病危险因素。

Reproductive cancer risk factors among relatives of cancer patients in a tertiary oncology center.

机构信息

Department of Obstetrics and Gynecology, Kabul Medical University, Kabul, Afghanistan.

Department of preventive Oncology, Hacettepe University Cancer Institute, Ankara, Turkey.

出版信息

BMC Cancer. 2019 Feb 15;19(1):154. doi: 10.1186/s12885-019-5350-9.

DOI:10.1186/s12885-019-5350-9
PMID:30770749
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6377741/
Abstract

BACKGROUND

The aim of this study was to evaluate the prevalence of some gynecological cancer risk factors in a population of female relatives of cancer patients in Hacettepe University Oncology Hospital. Additionally, what are the levels of the women's awareness /behavior toward available screening tools?

METHODS

An individual cancer risk assessment questionnaire has been developed in the Department of Preventive Oncology, which questions the medical history, health behaviors and cancer awareness, as well as their behavior toward available cancer screening tools.

RESULTS

The mean age of the study population was 45.7 ± 12.2 years. Median age at menarche was 13 years (IQR, 12-14), 6.9% of the women reported their menarche was before age of 12. About 11.1% of the women had intercourse before age of 18. The median age at first delivery was 22 years. Median BMI was 24.9, with 18.3% of population having obesity. Of the women 65% were current/past smokers. Sixty-two percent of the women had never used condom. About 8% of the women were unaware about mammography and 17.7% about the Pap test.

CONCLUSIONS

This study has documented high tobacco use, low protective condom use and low rates of physical activity. Percentage of some risk factors like early menarche was lower than what was suggested for general Turkish population. Awareness and behavior of the women were better about mammography when compared to the Pap test. Considering our results, some measures should be put in place to increase people's awareness, and to modify their behavior toward cancer prevention.

摘要

背景

本研究旨在评估在哈塞特佩大学肿瘤医院癌症患者女性亲属人群中一些妇科癌症危险因素的流行情况。此外,女性对现有筛查工具的认知/行为水平如何?

方法

预防肿瘤学系开发了一种个体癌症风险评估问卷,询问了病史、健康行为和癌症意识,以及她们对现有癌症筛查工具的行为。

结果

研究人群的平均年龄为 45.7±12.2 岁。初潮年龄中位数为 13 岁(IQR,12-14),6.9%的女性报告初潮年龄在 12 岁之前。约 11.1%的女性在 18 岁之前有过性行为。第一次分娩的中位年龄为 22 岁。中位 BMI 为 24.9,18.3%的人群肥胖。65%的女性为现吸烟者/曾吸烟者。62%的女性从未使用过避孕套。约 8%的女性不知道乳房 X 光检查,17.7%的女性不知道巴氏涂片检查。

结论

本研究记录了高烟草使用、低保护性避孕套使用和低身体活动率。一些危险因素的比例,如初潮早,低于一般土耳其人群的建议。与 Pap 测试相比,女性对乳房 X 光检查的认知和行为更好。考虑到我们的结果,应该采取一些措施来提高人们的认识,并改变他们对癌症预防的行为。