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‣ "A influência da cultura no comportamento de prevenção do câncer" ; The influence of the culture on the cancer prevention behavior.

Cestari, Maria Elisa Wotzasek
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 11/02/2005 Português
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O objetivo deste estudo foi apreender as idéias de prevenção do câncer, de um grupo específico de pessoas cadastradas no programa nacional de prevenção, sob o seu ponto de vista, tendo como referencial a cultura, baseada na antropologia médica e interpretativa. Nessa perspectiva, este estudo foi desenvolvido segundo a abordagem metodológica qualitativa, especificamente a do método etnográfico, usando-se a técnica do estudo de caso. Os sujeitos do estudo foram nove mulheres que realizaram o exame de prevenção do câncer do colo do útero, no período de janeiro a dezembro de 2003, em uma Unidade Básica de Saúde do Norte do Paraná. Os dados foram coletados por entrevistas semi-estruturadas e observação. Na análise dos dados encontramos quatro unidades de significação: o câncer e sua etiologia; a importância da prevenção, as formas de prevenção e os fatores que motivam e desmotivam esta prática; o impacto dos profissionais de saúde nos comportamentos de prevenção do câncer e o que realmente previne o câncer. Percebemos uma aproximação do conhecimento leigo com o conhecimento do modelo biomédico em algumas unidades. Encontramos a crença de que o câncer é uma doença fatal, cercada de estigmas. As formas de prevenção apreendidas foram: realização de exames periódicos; alimentação saudável; comportamento sexual e reprodutivo seguro; abstinência do tabaco; cuidados com o sol; terapias alternativas e não fazer nada. Os fatores considerados motivadores do comportamento de prevenção foram: os meios de comunicação; os profissionais de saúde; o contato com pessoas com câncer; o autocuidado; a facilidade de acesso aos exames; o medo; o dever de consciência e a habituação. Entre os fatores desmotivadores...

‣ Women cancer prevention and pharmaceutical contribution

Lourenço,Andrezza Viviany
Fonte: Universidade de São Paulo, Faculdade de Ciências Farmacêuticas Publicador: Universidade de São Paulo, Faculdade de Ciências Farmacêuticas
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/03/2010 Português
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In Brazil, many cases of breast and cervical cancers are only diagnosed in advanced stages. Information on prevention of cancer in women is increasingly available. However, prevention or early treatment alternatives are often not practiced. This study investigated the issues hindering the practice of prevention against cancer in women. A qualitative method was employed in this exploratory and descriptive study. The sample included thirty-three randomly selected women undergoing treatment. The survey data was collected at the South Parana Institute of Oncology, Ponta Grossa - PR in September 2007 using a semi-structured individual interview after approval by the Research Ethics Committee of the Brazilian College of Systemic Studies - CBES, Curitiba - PR, under protocol 0462/07, in compliance with CNS Resolution number 196/96. Absence of symptoms, embarrassment, long waiting list for treatment, and indifference to the campaigns of prevention were some obstacles encountered. A lack of information about cancer and its causes and consequences was the biggest issue found regarding the acceptance of prevention of cancer in women. The pharmacist, in the role of educator in the prevention of cancer in women, can emphasize the importance of regular prevention practices and highlight the implications of late treatment...

‣ Opportunities and Challenges for Nutritional Proteomics in Cancer Prevention12

Romagnolo, Donato F.; Milner, John A.
Fonte: American Society for Nutrition Publicador: American Society for Nutrition
Tipo: Artigo de Revista Científica
Português
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Knowledge gaps persist about the efficacy of cancer prevention strategies based on dietary food components. Adaptations to nutrient supply are executed through tuning of multiple protein networks that include transcription factors, histones, modifying enzymes, translation factors, membrane and nuclear receptors, and secreted proteins. However, the simultaneous quantitative and qualitative measurement of all proteins that regulate cancer processes is not practical using traditional protein methodologies. Proteomics offers an attractive opportunity to fill this knowledge gap and unravel the effects of dietary components on protein networks that impinge on cancer. The articles presented in this supplement are from talks proffered in the “Nutrition Proteomics and Cancer Prevention” session at the American Institute for Cancer Research Annual Research Conference on Food, Nutrition, Physical Activity and Cancer held in Washington, DC on October 21 and 22, 2010. Recent advances in MS technologies suggest that studies in nutrition and cancer prevention may benefit from the adoption of proteomic tools to elucidate the impact on biological processes that govern the transition from normal to malignant phenotype; to identify protein changes that determine both positive and negative responses to food components; to assess how protein networks mediate dose-...

‣ Antioxidants Meet Molecular Targets for Cancer Prevention and Therapeutics

Ahmad, Nihal; Mukhtar, Hasan
Fonte: Mary Ann Liebert, Inc. Publicador: Mary Ann Liebert, Inc.
Tipo: Artigo de Revista Científica
Publicado em 10/07/2013 Português
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A fine balance between oxidants and antioxidants is required for the normal functioning of living systems. A deregulation of this balance has been implicated in many adverse effects and diseases, including cancer. Extensive research has been done in the area of cancer prevention and therapeutics by a wide range of antioxidants, especially naturally occurring and diet-based agents. However, additional efforts are still needed toward clinical development of the most promising antioxidant agents. For this purpose, it is important to focus our efforts toward (i) defining/validating new targets; (ii) identifying novel agents followed by assessments of their efficacy, safety/toxicity, metabolism, and bioavailability in appropriate model systems; and (iii) conducting clinical trials in an appropriate population. Although research with specific antioxidants is important, an emerging critical issue that is up for a debate is whether the “whole foods” concept is better for cancer prevention than a single agent. Recent work has suggested that the dietary phytochemicals can enhance the bioavailability of different nutrients and can target multiple molecular pathways to yield a better response. Another critical issue that is often ignored during target-based agent development is a lack of focus on the appropriate population for a specific target. It is possible that a specific target may not be appropriate for certain people. Further...

‣ Advancing Cervical Cancer Prevention in India: Implementation Science Priorities

Krishnan, Suneeta; Madsen, Emily; Porterfield, Deborah; Varghese, Beena
Fonte: AlphaMed Press Publicador: AlphaMed Press
Tipo: Artigo de Revista Científica
Português
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Cervical cancer is the leading cause of cancer mortality in India, accounting for 17% of all cancer deaths among women aged 30 to 69 years. We conducted a review of the cervical cancer prevention research literature and programmatic experiences in India to summarize the current state of knowledge and practices and recommend research priorities to address the gap in services. Research and programs in India have demonstrated the feasibility and acceptability of cervical cancer prevention efforts; however, additional evidence generated through implementation science research is needed to ensure that cervical cancer prevention efforts have the desired impact and are cost-effective.

‣ Innovative and Community-Driven Communication Practices of the South Carolina Cancer Prevention and Control Research Network

Friedman, Daniela B.; Brandt, Heather M.; Freedman, Darcy A.; Adams, Swann Arp; Young, Vicki M.; Ureda, John R.; McCracken, James Lyndon; Hébert, James R.
Fonte: Centers for Disease Control and Prevention Publicador: Centers for Disease Control and Prevention
Tipo: Artigo de Revista Científica
Publicado em 24/07/2014 Português
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The South Carolina Cancer Prevention and Control Research Network (SC-CPCRN) is 1 of 10 networks funded by the Centers for Disease Control and Prevention and the National Cancer Institute (NCI) that works to reduce cancer-related health disparities. In partnership with federally qualified health centers and community stakeholders, the SC-CPCRN uses evidence-based approaches (eg, NCI Research-tested Intervention Programs) to disseminate and implement cancer prevention and control messages, programs, and interventions. We describe the innovative stakeholder- and community-driven communication efforts conducted by the SC-CPCRN to improve overall health and reduce cancer-related health disparities among high-risk and disparate populations in South Carolina. We describe how our communication efforts are aligned with 5 core values recommended for dissemination and implementation science: 1) rigor and relevance, 2) efficiency and speed, 3) collaboration, 4) improved capacity, and 5) cumulative knowledge.

‣ Primary Cancer Prevention by Green Tea, and Tertiary Cancer Prevention by the Combination of Green Tea Catechins and Anticancer Compounds

Fujiki, Hirota; Sueoka, Eisaburo; Watanabe, Tatsuro; Suganuma, Masami
Fonte: Korean Society of Cancer Prevention Publicador: Korean Society of Cancer Prevention
Tipo: Artigo de Revista Científica
Publicado em /03/2015 Português
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Green tea is a daily beverage, a non-oxidized non-fermented product containing at least four green tea catechins. Considering our first results when repeated applications of (-)-epigallocatechin gallate (EGCG) prevented tumor promotion in mouse skin, we have continued to look at green tea as a possible cancer preventive agent. 1) The 10-year prospective cohort study by Drs. K. Nakachi and K. Imai revealed that drinking 10 Japanese-size cups (120 mL/cup) of green tea per day delayed cancer onset in humans by 7.3 years among females and by 3.2 years among males. The delay of cancer onset is of course significant evidence of primary cancer prevention in humans. 2) In collaboration with Dr. H. Moriwaki’s group we successfully presented a prototype of tertiary cancer prevention showing that 10 Japanese-size cups of green tea daily, supplemented with tablets of green tea extract (G.T.E), reduced recurrence of colorectal adenomas in polypectomy patients by 51.6% (from 31% to 15%). 3) In 1999, we first reported that the combination of green tea catechins and non-steroidal anti-inflammatory drugs showed synergistic anticancer effects in both in vitro and in vivo experiments, along with elucidation of the mechanism. 4) Further studies by other investigators have revealed that various combinations of EGCG or green tea extract and anticancer compounds inhibit tumor volume in xenograft mouse models implanted with various human cancer cell lines. Green tea is a cancer preventive...

‣ Recruiting Small Manufacturing Worksites That Employ Multiethnic, Low-Wage Workforces Into a Cancer Prevention Research Trial

Barbeau, Elizabeth M.; Wallace, Lorraine; Lederman, Ruth; Lightman, Nancy; Stoddard, Anne; Sorensen, Glorian
Fonte: Centers for Disease Control and Prevention Publicador: Centers for Disease Control and Prevention
Tipo: Artigo de Revista Científica
Português
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Introduction: Worksites, including those that employ multiethnic, low-wage workforces, represent a strategic venue for reaching populations at risk for developing cancer. Methods: We surveyed 197 small manufacturing worksites prior to an effort to recruit their workforces into a randomized clinical trial designed to test the effectiveness of a cancer prevention intervention among multiethnic, low-wage manufacturing workers. This paper assesses the external validity of the trial based on three factors: the percentage of potential trial sites excluded from consideration, the percentage of eligible worksites that adopted the trial, and worksite characteristics associated with adoption. Results: We found no statistically significant differences between worksites that adopted the trial and worksites that declined the trial with regard to employee demographics, anticipated changes in workforce size, and perceived importance and history of offering health promotion and occupational health and safety activities. Conclusion: Small manufacturing worksites present a viable venue for reaching multiethnic, low-wage populations with cancer prevention programs, although program adoption rates may be low in this sector. Worksites that adopted the trial are likely to represent worksites deemed eligible for the trial.

‣ Advancing Cervical Cancer Prevention in India

Krishnan, S; Madsen, E.; Porterfield, D.; Varghese, B.; Poehlman, J.; Taylor, O.
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Brief
Português
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In 2010, nearly 74,000 new cases of cervical cancer were diagnosed among Indian women. This number is estimated to increase to as high as 225,000 cases by 2025. Cervical cancer is also the leading cause of cancer deaths in India, as most cases are not detected until they are in an advanced stage. In addition to the cost in lives, cervical cancer can have a significant social and economic impact on families and their communities, as it primarily affects women during their most productive years. Recognizing the challenge of cervical cancer, in 2013 the World Bank conducted a review of research studies on cervical cancer prevention and examined the implementation experiences of cervical cancer screening programs in India. A recently published report summarizes the current state of knowledge and practice, and offers recommendations for strengthening India s programmatic and policy responses to cervical cancer.

‣ Promoting Quality of Cervical Cancer Screening and Treatment in India

Krishnan, S.; Madsen, E.; Porterfield, D.; Varghese, B.
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Brief
Português
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Cervical cancer screening is highly cost effective, feasible, and culturally acceptable in higher and lower income settings across the world. According to the World Health Organization and the World Economic Forum, screening for cervical cancer is an evidence-based best buy prevention intervention (1). However, to be effective in reducing cervical cancer incidence and mortality, screening programs must be of high quality. Cervical cancer is the second most common cancer among women in India. In 2010, nearly 74,000 Indian women were newly diagnosed with the disease and 34,000 women died (2). Recognizing the challenge of cervical cancer in India, the World Bank published a review of research on cervical cancer prevention and implementation experiences of cervical cancer screening programs in the country (3). The review found that program effectiveness depends on the quality of screening interventions. Cervical cancer screening programs are effective when they achieve high coverage of the target population...

‣ Epidemiology of Oral Cancer in Asia in the Past Decade- An Update (2000-2012)

Krishna Rao, S.; Mejia, G.; Roberts-Thomson, K.; Logan, R.
Fonte: Asian Pacific Organization for Cancer Prevention Publicador: Asian Pacific Organization for Cancer Prevention
Tipo: Artigo de Revista Científica
Publicado em //2013 Português
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The prevalence of oral cancers (OC) is high in Asian countries, especially in South and Southeast Asia. Asian distinct cultural practices such as betel-quid chewing, and varying patterns of tobacco and alcohol use are important risk factors that predispose to cancer of the oral cavity. The aim of this review is to provide an update on epidemiology of OC between 2000 and 2012. A literature search for this review was conducted on Medline for articles on OC from Asian countries. Some of the articles were also hand searched using Google. High incidence rates were reported from developing nations like India, Pakistan, Bangladesh, Taiwan and Sri Lanka. While an increasing trend has been observed in Pakistan, Taiwan and Thailand, a decreasing trend is seen in Philippines and Sri Lanka. The mean age of occurrence of cancer in different parts of oral cavity is usually between 51-55 years in most countries. The tongue is the leading site among oral cancers in India. The next most common sites in Asian countries include the buccal mucosa and gingiva. The 5 year survival rate has been low for OC, despite improvements in diagnosis and treatment. Tobacco chewing, smoking and alcohol are the main reasons for the increasing incidence rates. Low socioeconomic status and diet low in nutritional value lacking vegetables and fruits contribute towards the risk. In addition...

‣ Strategies for cancer prevention in India - catching the 'low hanging fruits'

Mathur, M.R.; Singh, A.; Dhillon, P.K.; Dey, S.; Sullivan, R.; Jain, K.K.; Arora, M.; Patel, T.; Prabhakaran, D.; Rajaraman, P.
Fonte: Elsevier Publicador: Elsevier
Tipo: Artigo de Revista Científica
Publicado em //2014 Português
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Cancer is a growing problem in India, with over 1 million new cases estimated in 2012 alone. In November 2013, organizers of the Indian Cancer Congress (a joint meeting of four of the largest oncology associations in India) invited a panel with mixed expertise including epidemiology, surgical oncology, health economics, environmental science, and health systems to conduct a round table meeting on strategies for cancer prevention in India, with a special focus on non-tobacco risk factors. We present a summary of the group recommendations here. While tobacco use remains the most important preventable cause of cancer, a substantial number of preventable cancers can be attributed to non-tobacco risk factors including infections, alcohol use, dietary factors, physical activity/body composition, and environmental and occupational exposures. Strategies presented range from early diagnosis of cancers (including innovative health communication strategies to increase awareness), to consideration of secure spaces and facilities for exercise in urban design and planning. Cancer prevention and the control of non-communicable disease risk factors should be an integral part of the risk-benefit analysis of cross-sectoral and international trade agreements...

‣ Advancing Cervical Cancer Prevention in India : Insights from Research and Programs

Krishnan, Suneeta; Madson, Emily; Porterfield, Deborah; Varghese, Beena
Fonte: World Bank, Washington, DC Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Working Paper; Publications & Research
Português
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Cervical cancer is the leading cause of cancer mortality in India, accounting for 17 percent of all cancer deaths among women age 30 to 69 years. At current incidence rates, the World Health Organization (WHO) estimates that the annual burden of new cases in India will increase to nearly 225,000 by 2025. Despite the considerable burden of cervical cancer morbidity and mortality in India, there are few large-scale, organized cervical cancer prevention programs in the country. We reviewed the research literature and conducted interviews with individuals engaged in research and public health program implementation to identify important elements of cervical cancer prevention efforts in India and implementation issues that merit further investigation. Although primary prevention through HPV vaccination has been endorsed by WHO, under certain conditions, in low- and middle-income countries (LMICs), its cost, partial efficacy and safety have been intensely debated in India. Further research and advocacy efforts are needed to determine the optimal strategies for its introduction and sustained use in the country. However...

‣ AN EXAMINATION OF CANADIAN FAMILY PHYSICIANS’ KNOWLEDGE AND PRACTICE PATTERNS REGARDING BREAST CANCER PREVENTION

TIGHE, MARY-KATHRYN
Fonte: Quens University Publicador: Quens University
Tipo: Tese de Doutorado Formato: 1157601 bytes; application/pdf
Português
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Family physician (FP) knowledge regarding breast cancer risk assessment and prevention strategies such as chemoprevention are important in ensuring that women at high risk for breast cancer are identified and receive proper preventive care. There are many factors which can moderately increase a woman’s risk of developing breast cancer, such as short-term hormone replacement therapy use and being nulliparous over the age of 30 years. Some factors increase a woman’s risk to such an extent that she is deemed “high risk” for breast cancer development, including having a family history of breast cancer or having a personal history of atypical benign breast disease. We conducted a cross-sectional survey of a stratified random sample of 2500 family physicians selected from across Canada to examine breast cancer risk assessment knowledge and practices, chemoprevention knowledge and prescribing practices, attitudes towards breast cancer chemoprevention, and barriers towards its utilization in Canadian FPs. We found that while the majority of physicians identified a woman with a family history of breast cancer (97%) as being high risk, a large proportion of physicians (40%) underestimated the risk associated with having a personal history of atypical benign breast disease. Physicians also tended to overestimate the risk associated with hormone replacement therapy use (70%) and the risk associated with nulliparity over the age of 30 years (50%). We also found that less than 15% of our sample had knowledge about chemoprevention and less than 7% had ever prescribed breast cancer chemoprevention (i.e. tamoxoifen or raloxifene) for primary prevention. Possible predictors of both knowledge of risk assessment and chemoprevention and prescription of chemoprevention were examined. Using multiple logistic regression...

‣ The Cancer Prevention and Control Research Network

Harris, Jeffrey R; Brown, Pamela K; Steven, Coughlin; Wilson, Katherine; Fernandez, Maria E; Hebert, James R; Kerner, Jon; Prout, Marianne; Schwartz, Randy; Simoes, Eduardo J; White, Carol
Fonte: Centers for Disease Control and Prevention Publicador: Centers for Disease Control and Prevention
Tipo: Artigo de Revista Científica
Publicado em 15/12/2004 Português
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The Cancer Prevention and Control Research Network is a national network recently established to focus on developing new interventions and disseminating and translating proven interventions into practice to reduce cancer burden and disparities, especially among minority and medically underserved populations. Jointly funded by the Centers for Disease Control and Prevention and the National Cancer Institute, the Cancer Prevention and Control Research Network consists of sites administered through Prevention Research Centers funded by the Centers for Disease Control and Prevention. The five sites are located in Kentucky, Massachusetts, South Carolina, Texas, Washington State, and West Virginia. The Cancer Prevention and Control Research Network's intervention areas include primary prevention of cancer through healthy eating, physical activity, sun avoidance, tobacco control, and early detection of cancer through screening. The Cancer Prevention and Control Research Network uses the methods of community-based participatory research and seeks to build on the cancer-relevant systematic reviews of the Guide to Community Preventive Services. Initial foci for the Cancer Prevention and Control Research Network's research work groups include projects to increase screening for breast...

‣ Geocoding and Social Marketing in Alabama’s Cancer Prevention Programs

Miner, Julianna W; White, Arica; Palmer, Sally; Lubenow, Anne E
Fonte: Centers for Disease Control and Prevention Publicador: Centers for Disease Control and Prevention
Tipo: Artigo de Revista Científica
Publicado em 15/10/2005 Português
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The Alabama Department of Public Health (ADPH) is collaborating with the National Cancer Institute to develop detailed profiles of underserved Alabama communities most at risk for cancer. These profiles will be combined with geocoded data to create a pilot project, Cancer Prevention for Alabama's Underserved Populations: A Focused Approach. The project's objectives are to provide the ADPH's cancer prevention programs with a more accurate and cost-effective means of planning, implementing, and evaluating its prevention activities in an outcomes-oriented and population-appropriate manner.

‣ Projeto CÃOCER: uma Abordagem Educativa para a Prevenção de Cânceres em Animais; The CÃOCER Project: an Educational Approach for Cancer Prevention in Pet Animals

Fukumasu, Heidge; Dellova, Deise Carla Almeida Leite; Strefezzi, Ricardo de Francisco; Godoy, Demétrio Ian Carvalho de; Kühl, Gabriela de Souza; Luz, Renato Ordones Baptista da; Garnica, Taismara Kustro; Baptista, Gabriela Zambelli
Fonte: Universidade de São Paulo. Pró-Reitoria de Cultura e Extensão Universitária Publicador: Universidade de São Paulo. Pró-Reitoria de Cultura e Extensão Universitária
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; Formato: application/pdf
Publicado em 26/10/2015 Português
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The CÃOCER projetct started four years ago and comprised several intra and extramural activities with the purpose to aware people of the importance of cancer in animals, focusing mainly in cancer prevention. With this intent, we provided a series of lectures for undergraduates and professionals of veterinary medicine. In addition, we participated in science fairs and exhibitions to disseminate the knowledge regarding cancer prevention for the population from Pirassununga, a city in the country of São Paulo State. Also, we conducted the first campaign of cancer prevention in animals named I Cãopanha of Cancer Prevention in Animals in which preventive physical clinical examinations were done on animals and educational material on cancer prevention was distributed. At last, it was also an objective of this work to perform a statistical survey of cancer cases in animals of Pirassununga. Some undergraduate students of Veterinary Medicine collaborated in this project with or without scholarships. Past four years since its inception, we believe that the project has achievedits initial goals and now our intention is to expand it. For this, we created a website(www.projetocaocer.com.br) that provides articles on cancer prevention in animals.We also wanted to increase the extension of the projetct activities...

‣ Factors affecting utilization of cervical cancer prevention services in low-resource settings

Bingham,Allison; Bishop,Amie; Coffey,Patricia; Winkler,Jennifer; Bradley,Janet; Dzuba,Ilana; Agurto,Irene
Fonte: Instituto Nacional de Salud Pública Publicador: Instituto Nacional de Salud Pública
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2003 Português
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Strategies for introducing or strengthening cervical cancer prevention programs must focus on ensuring that appropriate, cost-effective services are available and that women who most need the services will, in fact, use them. This article summarizes the experiences of research projects in Bolivia, Peru, Kenya, South Africa, and Mexico. Factors that affect participation rates in cervical cancer prevention programs are categorized in three sections. The first section describes factors that arise from prevailing sociocultural norms that influence women's views on reproductive health, well being, and notions of illness. The second section discusses factors related to the clinical requirements and the type of service delivery system in which a woman is being asked to participate. The third section discusses factors related to quality of care. Examples of strategies that programs are using to encourage women's participation in cervical cancer prevention services are provided.

‣ Challenges faced by cervical cancer prevention programs in developing countries: a situational analysis of program organization in Argentina

Arrossi,Silvina; Paolino,Melisa; Sankaranarayanan,Rengaswamy
Fonte: Organización Panamericana de la Salud Publicador: Organización Panamericana de la Salud
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/10/2010 Português
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OBJECTIVE: To carry out a situational analysis of cervical cancer prevention activities in Argentina, specifically regarding (a) the organizational framework of cervical cancer prevention activities; (b) Pap-smear coverage; (c) cytology laboratory organization; and (d) follow-up/treatment of women with abnormal lesions. METHODS: A situational analysis of provincial cervical cancer programs using data from an ad-hoc questionnaire sent to the leaders of cervical cancer prevention programs in Argentina's 24 provinces. In addition, the provinces' program guidelines, statistical reports, laws, and program regulations were reviewed and certain key leaders were personally interviewed. RESULTS: Data were obtained for 19 of Argentina's 24 provinces. Four of the 19 provinces had no formal program framework. Conventional cytology was the most commonly used screening test. Screening was mainly opportunistic. The recommended interval between normal tests was 3 years in most provinces. The eligible age for screening ranged from 10-70 years of age; however, annual or biannual screening was the usual practice after becoming sexually active. None of the provincial programs had data available regarding Pap-smear coverage. Most of the cytology laboratories did not have a quality control policy. The number of smears read varied greatly by laboratory (650-24 000 per year). A log of events related to screening and treatment did not exist in most provinces. CONCLUSIONS: Screening in Argentina is mainly opportunistic...

‣ Factors affecting utilization of cervical cancer prevention services in low-resource settings

Bingham,Allison; Bishop,Amie; Coffey,Patricia; Winkler,Jennifer; Bradley,Janet; Dzuba,Ilana; Agurto,Irene
Fonte: Instituto Nacional de Salud Pública Publicador: Instituto Nacional de Salud Pública
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2003 Português
Relevância na Pesquisa
56.93645%
Strategies for introducing or strengthening cervical cancer prevention programs must focus on ensuring that appropriate, cost-effective services are available and that women who most need the services will, in fact, use them. This article summarizes the experiences of research projects in Bolivia, Peru, Kenya, South Africa, and Mexico. Factors that affect participation rates in cervical cancer prevention programs are categorized in three sections. The first section describes factors that arise from prevailing sociocultural norms that influence women's views on reproductive health, well being, and notions of illness. The second section discusses factors related to the clinical requirements and the type of service delivery system in which a woman is being asked to participate. The third section discusses factors related to quality of care. Examples of strategies that programs are using to encourage women's participation in cervical cancer prevention services are provided.