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《Maternal and Child Health Care of China》 2013-09
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Analysis on cervical cancer and breast cancer screening situations among two hundred thousand rural women in Wuhan city

ZHANG Bin,ZHOU Ai-Fen,CHEN Zhong et al.Wuhan Maternal and Child Health Hospital,Wuhan 430016,Hubei,China  
Objective:To understand the prevalences and related factors of cervical cancer and breast cancer among the rural women in Wuhan city.Methods:Thinprep cytologic test(TCT) technology and DNA ploidy quantitative analysis were used to detect cervical exfoliated cells among rural women in Wuhan city,and the abnormal ones were tested by biopsy under colposcopy and pathological examination;palpation and color Doppler ultrasound were used to examine breast mammary,and the abnormal ones received molybdenum target photography and cytological test after breast puncture.The survey objects who were positive in initial screening were investigated by a questionnaire,the contents included general demographic factors,environmental factors,genetic factors,disease history,individual health history,life style,eating habits,as well as social and psychological factors.Results:A total of 202 067 women were screened in Wuhan city,770 cases were found with cervical precancerous lesions,33 cases were found with cervical cancer,and 32 cases were found with breast cancer,the prevalence rate of cervical cancer was 27.13/100 000,while the prevalence rate of breast cancer was 23.85/100 000.The analysis of influencing factors of cervical cancer and breast cancer showed that HPV infection,family history of cervical cancer,basic gynecological diseases,and early age of first sexual intercourse were risk factors of cervical precancerous lesions;HPV infection,early age of first birth,and the experience of adverse life events were risk factors of cervical cancer;while late at first marriage,low education level,using computer or TV frequently,family history of cancer,history of abortion and induced abortion were risk factors of breast cancer.Conclusion:Carrying out cervical cancer and breast cancer screening can lead to early detection,early diagnosis and early therapy,which is of great importance for reducing the incidence rate and mortality rate of cervical cancer and breast cancer.Corresponding health education should be strengthened according to the risk factors,and the screening system and follow-up system should be improved in future so as to protect reproductive health of women.
【Key Words】: Rural woman Cervical cancer Breast cancer Screening Risk factor
【CateGory Index】: R737.33
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