Department of Obstetrics and Gynecology, Kabul Medical University, Kabul, Afghanistan.
Department of preventive Oncology, Hacettepe University Cancer Institute, Ankara, Turkey.
BMC Cancer. 2019 Feb 15;19(1):154. doi: 10.1186/s12885-019-5350-9.
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?
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.
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.
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.
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?
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。
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。
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。