Prevention of female reproductive system cancer among rural and urban Polish pregnant women.
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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
Corresponding author
Iwona Bojar   

National Observatory for Health and Work Safety of Agricultural Workers, Institute of Rural Health, Jaczewskiego 2, 20-090 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.
Albert US, Altland H, Duda V, Engel J, Geraedts M, HeywangKöbrunner S, Hölzel D, Kalbheim E, Koller M, König K, Kreienberg R, Kühn T, Lebeau A, Nass-Griegoleit I, Schlake W, Schmutzler R, Schreer I, Schulte H, Schulz-Wendtland R, Wagner U, Kopp I: 2008 update of the guideline early detection of breast cancer in Germany. J Cancer Res Clin Oncol 2009, 135, 339–354.
Albert US, Schulz K, members of the Guideline Steering Committee and the Chairs of the Task Force Groups: Short version of the guideline – Early detection of breast cancer in Germany. An evidence-, consensus- and outcome-based guideline according to the German Association of the Scientifi c Medical Societies and the German Agency for Quality in Medicine. J Cancer Res Clin Oncol 2004, 130, 527–536.
Coffey P, Arrossi S, Bradley J, Dziuba I, White S, ACCP Community Involvement Affi nity Group: Improving screening coverage rates of cervical cancer prevention programs: a focus on communities. Seattle: Alliance for Cervical Cancer Prevention; 2004. (Issues in Depth No. 4.) Available from: les/RH_accp_improve_screening. pdf.
Hofvind S, Nygĺrd J, Olsen Olaug A, Sauer T, Skare Baadstrand G, Skjeldestad F, Thoresen S: Masseundersřkelsen mot livmorhalskreft i Norge. Evaluering av programmet 1992–98. Kreftregisteret, Institute of Population-Based Cancer Research, Oslo 2001.
Lazcano-Ponce EC, Moss S, Alonso RP, Salmeron CJ, Hernandez AM: Cervical cancer screening in developing countries: why is it ineffective? The case of Mexico. Arch Med Res 1999, 30, 240–250.
Loibl S, von Minckwitz G, Gwyn K, Ellis P, Blohmer JU, Schlegelberger B, Keller M, Harder S, Theriault RL, Crivellari D, Klingebiel T, Louwen F, Kaufmann M: Breast carcinoma during pregnancy. International recommendations from an expert meeting. Cancer 2006, 106, 237–246.
NCCN National Comprehensive Cancer Network: Breast cancer screening and diagnosis guidelines USA: NCCN Clinical Practice Guidelines in Oncology, 2007.
Nene B, Jayant K, Arrossi S, Shastri S, Budukh A, Hingmire S, Muwonge R, Malvi S, Dinshaw K, Sankaranarayanan R: Determinants of womens participation in cervical cancer screening trial, Maharashtra, India. Bull World Health Organ 2007, 85, 264–272.
Nene BM, Jayant K, Malvi SG, Dale PS, Deshpande R: Experience in screening for cervical cancer in rural areas of Barsi Tehsil (Maharashtra). Indian J Cancer 1994, 31, 34–40.
Nygard JF, Nygard M, Skare GB, Thoresen SO: Screening histories of women with CIN 2/3 compared with women diagnosed with invasive cervical cancer: a retrospective analysis of the Norwegian Coordinated Cervical Cancer Screening Program. Cancer Causes Control 2005, 16, 463–474.
Nygard JF, Skare GB, Thoresen SO: The cervical cancer screening programme in Norway, 1992–2000: changes in Pap smear coverage and incidence of cervical cancer. J Med Screen 2002, 9, 86–91.
Nygård M, Daltveit AK, Thoresen S, Nygård JF: Effect of an antepartum Pap smear on the coverage of a cervical cancer screening programme: a population-based prospective study. BMC Health Serv Res 2007, 7, 10.
Sankaranarayanan R, Budukh AM, Rajkumar R. Effective screening programmes for cervical cancer in low- and middle-income developing countries. Bull World Health Organ 2001, 79, 954–962.
Smith R, Saslow D, Sawyer K, Burke W, Costanza M, Evans W, Foster R, Hendrick E Jr, Eyre H, Sener S: American Cancer Society guidelines for breast cancer screening. Update 2003. CA Cancer J Clin 2003, 53, 141–169.
SIGN Scottish Intercollegiate Guideline Network: Management of breast cancer in women Edinburgh. SIGN, 2005.
Statistisk ĺrbok. Volume 119. Offi cial Statistics of Norway, Oslo 2000. 17. Zdrowie.
Zdrowie dla wszystkich w XXI wieku. Centrum Systemów Informacyjnych Ochrony Zdrowia. Fundacja Zdrowia Publicznego, Warszawa-Kraków 2001.
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