Prevention of female reproductive system cancer among rural and urban Polish pregnant women.

Iwona Bojar 1  ,  
Peter Boyle 3,  
National Observatory for Health and Work Safety of Agricultural Workers, Institute of Rural Health, Jaczewskiego 2, 20-090 Lublin, Poland
Chief Sanitary Inspectorate, Warsaw, Poland
International Prevention Research Institute, Lyon, France
Oncology Centre – Institute, Warsaw, Poland
Chair of Social Medicine, Poznan University of Medical Sciences, Poznań, Poland
Institute of Rural Health, Lublin, Poland
Ann Agric Environ Med 2011;18(1):183–188
Based on data obtained from the system MoZMaD - PL (Polish Mother and Child Health Monitoring System; an equivalent of the American system PRAMS (Pregnancy Risk Assessment Monitoring System). In the developed countries prevention programmes proved to be efficient in reducing morbidity and mortality due to breast and cervical cancer. In Poland, these diseases still constitute a very big problem, despite relatively easy and early diagnostics of pathological conditions preceding their development. The objective of the study was analysis of the usage of prophylactic examinations and the assessment of knowledge concerning risk factors of the development of reproductive cancers among pregnant women from rural and urban environments in Poland. The study was based on questionnaire forms within the Pregnancy Risk Assessment Monitoring System (MoZMaD - PL) implemented in Poland. The precise date of the study for the whole of Poland is announced annually by the Chief Sanitary Inspector. The questionnaire forms were correctly completed in 2010 by 2,877 women. The replies to the questions were introduced by surveyors into the MoZMaD - PL system central database managed by the Institute of Agricultural Medicine in Lublin. The results obtained were subjected to statistical analysis. The studies of pregnant women in Poland showed that the situation with respect to the performance of prevention examinations for cervical cancer was significantly worse among rural than urban women. Pregnant women from both rural and urban areas very rarely had breast USG performed. Awareness concerning cervical cancer risk factors was lower among rural than urban women. Also, knowledge concerning the examinations which should be performed for the prevention of breast cancer was poorer among rural, compared to urban women. The recognition of the attitudes of women at reproductive age towards prevention examinations is necessary in order to effectively plan health education and social health promotion campaigns aimed at limiting morbidity and mortality due to cancerous diseases.
Iwona Bojar   
National Observatory for Health and Work Safety of Agricultural Workers, Institute of Rural Health, Jaczewskiego 2, 20-090 Lublin, Poland