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1.
West Indian med. j ; 65(Supp. 3): [55], 2016.
Artigo em Inglês | MedCarib | ID: med-18079

RESUMO

OBJECTIVE: The aim was to analyse current breast cancer burden in relation to demographic and socio-economic indicators. This paper presents preliminary analysis of temporal trends in incidence and mortality for 1980–2013. SUBJECTS AND METHODS: data were retrieved from the histopathology database, the mortality database and the General Bureau of Statistics. Crude five-year incidence and mortality rates were calculated and expressed per 100000 women. Data are presented with 95% confidence intervals and average annual per cent changes (AAPC) over each period. Statistical significance was tested using Chi-squared for trend. RESULTS: Breast cancer incidence increased by 48% between 1980–1984 and 2000–2004 (÷2 2.32, p = 0.0004), from 13.5 (95% CI 11.1, 15.9) to 19.9 (95% CI 17.4, 22.5). From 2005 onward, the incidence rose exponentially (÷2 48.54, p-value < 0.0000001), from 19.9 (95% 17.4, 22.5) to 48.9 (95% 45.2, 52.6). The AAPC between 1980 and 2004 was 2%, but increased to 16% between 2005 and 2014, signifying the substantial rise in incidence. The upward trend for 1980–2014 was statistically significant(÷2 399.07, p-value < 0.0000001). Breast cancer mortality increased by 80.3%, from 5.33 (95% CI 3.84, 6.82) to 10.50 (95% CI 8.56, 12.43) during the period 2000–2004, with an AAPC of 3.3% (÷2 17.71, p = 0.00003). From 2005 on, the increase was 9%, with an AAPC of 0.7% (÷2 0.40, p = 0.53). The upward trend for 1980–2013 was statistically significant (÷2 44.83, p < 0.0000001). CONCLUSION: Results show that breast cancer incidence in Suriname is increasing while mortality remains stable, suggesting improvements in diagnostic and treatment services. These results are a first step to understanding breast cancer burden and establishing an evidence-based cancer control programme.


Assuntos
Humanos , Feminino , Neoplasias da Mama , Mortalidade , Suriname
2.
In. Caribbean Public Health Agency. Caribbean Public Health Agency: 60th Annual Scientific Meeting. Kingston, The University of the West Indies. Faculty of Medical Sciences, 2015. p.[1-75]. (West Indian Medical Journal Supplement).
Monografia em Inglês | MedCarib | ID: med-17966

RESUMO

OBJECTIVES: To address the prevalence and spectrum of breast cancer (BRCA1 and BRCA2) mutations in the Caribbean population. DESIGN AND METHODS: Demographic and clinical pathologic data was collected from 347 women of Afro-Caribbean decent. The cohort included women with breast cancer from the following countries: the Cayman Islands, Jamaica, Barbados, Dominica, Trinidad & Tobago and Haiti. RESULTS: The mean age of onset in the cohort was 48.1 yrs. with a mean body mass index (BMI) of 27.7. 70% of breast cancer cases were estrogen receptor-positive (ER+) (n=241) and in Jamaica 27% (n=105) of breast cancer cases were human epidermal growth factor receptor 2 positive (Her2+). Total Abdominal Hysterectomy Bilateral Salpingo Oophorectomy (TAH-BSO) delayed invasive breast cancer from 48 to 53 years (p=0.005). Parity was a significant factor (p<0.0001), which delayed age of onset by 8 yrs. Additionally, pregnancy alone delayed age of onset (p<0.005) by 8 yrs. Only three women out of 347 were found to have a mutation. CONCLUSIONS: This population-based study provided an insight into pattern of risk factors – both genetic and environmental of breast cancer incidence and subtype across the Caribbean. In conclusion 1) genetic causes of breast cancer appeared rare outside of the Bahamas, 2) fertility factors appeared important in the development of breast cancer, 3) TAH-BSO was common as both a form of contraception and because of the high incidence of fibroids, it may be protective, 4) BMI may impact on breast cancer development and 5) screening mammography was rare and the vast majority was diagnostic in nature.


Assuntos
Dados Demográficos , Prevalência , Neoplasias da Mama , Genes BRCA1 , Genes BRCA2 , Mutação , Região do Caribe
3.
In. Caribbean Public Health Agency. Caribbean Public Health Agency: 60th Annual Scientific Meeting. Kingston, The University of the West Indies. Faculty of Medical Sciences, 2015. p.[1-75]. (West Indian Medical Journal Supplement).
Monografia em Inglês | MedCarib | ID: med-18030

RESUMO

OBJECTIVE: To determine the effectiveness of a two-week breast cancer Community-Based Train-the-Trainer program for Lay Community Health Workers (LCHWs) in Grenada. The curriculum was designed to teach laywomen about the LCHW role, how to conduct a community health assessment, and knowledge about breast cancer. DESIGN AND METHODS: A qualitative research design was used. One focus group interview was performed on 10 LCHWs after the completion of the training. A structured interview guided the discussion. The focus group took place at the same location as the training. Data was analyzed using framework analysis. All participants were female. The majority of the participants were over the age of 30. Half have less than a secondary school education, one a bachelor degree, and three have some college education. RESULT: Four themes emerged from the data: service, ethics, commitment to the program and practical knowledge. The LCHWs reported being satisfied with the training and expressed being appropriately prepared after the two-week training. The focus group showed that the LCHWs understood the principles and methods underlying health assessments, understood the role of the LCHWs and their relationship to their community. The LCHWs discussed how they felt confident in teaching other women about breast health. They understood breast cancer, and felt that the hands-on element of the training was helpful. The LCHWs felt that the positive trainer-trainee relations during the training contributed to their confidence in assuming the LCHW role. CONCLUSIONS: These findings suggest that Train-the-Trainer education programs can be an effective methodology to train LCHWs.


Assuntos
Grupos Focais , Agentes Comunitários de Saúde , Educação em Saúde , Neoplasias da Mama , Granada
4.
In. Caribbean Public Health Agency. Caribbean Public Health Agency: 60th Annual Scientific Meeting. Kingston, The University of the West Indies. Faculty of Medical Sciences, 2015. p.[1-75]. (West Indian Medical Journal Supplement).
Monografia em Inglês | MedCarib | ID: med-18031

RESUMO

OBJECTIVE: To investigate prevalence of cancers affecting women in Grenada, a study was conducted using de-identified patient records from the Grenada General Hospital Histopathology Laboratory of women who visited hospital and clinic facilities during 2000 - 2010. DESIGN AND METHODS: De-identified records of 12,012 entries, 9,023 female (7,172 individuals) between ages 8 – 94 years presumably to seek preventative care or medical treatment were assessed during this cross-sectional study. Sampling without replacement resulted in approximately 3,000 entries for analysis. Prevalence of each type of cancer reported amongst women was determined. RESULTS: Of the 3,000 pathology diagnoses, 601 of the samples were classified as cancerous. The most prevalent cancer in Grenadian women from 2000 – 2010 was cervical cancer at (34%), followed by breast cancer at (31%). All other reported cancers were analyzed and their prevalence determined. CONCLUSION: Overall, the rate of cancer among Grenadian women for the ten-year period from 2000 – 2010 was determined to be 8.4%. There are implications for prevention and creation of health policies to address cancer burden in Grenada.


Assuntos
Prevalência , Neoplasias , Neoplasias do Colo do Útero , Neoplasias da Mama , Granada
5.
Car. med.jour ; 72(3): 21-23, June 2011. graf
Artigo em Inglês | MedCarib | ID: med-17487

RESUMO

Breast cancer is the commonest cause of death from cancer among women worldwide and also in Trinidad and Tobago. However, in general, the mortality from breast cancer in developing countries is less than that from developed ones. For example, in 2002, breast cancer mortality in India was 10.4 and in Brazil 14.1 compared to 19.0 and 24.3 per 100,000 in the USA and UK respectively [4]. While this pattern is true for many countries, there are some aspects of this disease in Trinidad and Tobago that should concern both patients and practitioners. However, our Caribbean neighbours also record high mortalities from this disease. In the year 2000, Barbados reported a mortality of 34.9, Jamaica 18.3 compared to 19.1 per 100,000 for Trinidad and Tobago (3,5,6). In particular the increasing mortality in Trinidad and Tobago is noteworthy (3).


Assuntos
Humanos , Feminino , Neoplasias da Mama , Neoplasias da Mama , Serviço Hospitalar de Oncologia/estatística & dados numéricos , Radioterapia (Especialidade) , Trinidad e Tobago , Região do Caribe
6.
Cancer epidemiology ; 34(1): 20-23, Feb. 2010. tab, graf
Artigo em Inglês | MedCarib | ID: med-17635

RESUMO

BACKGROUND: Breast cancer is the most frequently diagnosed cancer among women worldwide. This study examines the breast cancer mortality patterns and trends in the Caribbean island state, Trinidad and Tobago for the 35-year period, 1970-2004. METHODS: A retrospective analysis of the trends in breast cancer mortality from 1970 to 2004 was conducted. Crude mortality per 100,000 women, age-standardized mortality using World Standard population and age-stratified mortality were calculated and comparison was made between age groups above and below 50 years. RESULTS: A general pattern of increase was observed in both crude and age-standardized mortality. The overall average crude mortality was 15.6 per 100,000 women (95% confidence interval (CI) 13.9-17.1) and the average age-standardized mortality was 18.0 per 100,000 women (95% CI 16.7-19.2). There was a pattern of increase in mortality with increasing age. The mortality rate was considerably higher for the age groups above 50 years than those less than 50 years of age both showing an upward trend over the 35-year period. CONCLUSIONS: Breast cancer mortality continued to increase over the 35-year period in Trinidad and Tobago. This study did not identify the exact reasons for this increasing trend. However, it is known that Trinidad and Tobago is becoming much more industrialized. It may be speculated that decrease in fertility rates, increase in the incidence of obesity and hormone utilization could have influenced this trend.


Assuntos
Adulto , Pessoa de Meia-Idade , Idoso , Humanos , Feminino , Neoplasias da Mama , Mortalidade , Trinidad e Tobago , Países em Desenvolvimento , Região do Caribe
7.
Mona; s.n; Sept. 2003. i,73 p. tab, gra.
Tese em Inglês | MedCarib | ID: med-17209

RESUMO

Breast cancer is the leading cause of cancer deaths in Jamaican women, the highest occurence of breast cancer falls within the age group 55-64 years. This study sought to determine the compliance of women age 50-69 years with methods of early detection of breast cancer and the factors that affect non-compliance. A cross-sectional study was done among women age 50-69 years in Kingston and St. Andrew. Five Christian denominations were randomly selected and then one church was randomly selected from each denonination. Self-administered questionnaires were used as data collecting instruments. Knowledgable about breast cancer risk factors and screening methods was higher among persons with a higher level of education among those who received medical care at private facilities. Compliance with breast self examination and clinical breast examination were high (88 percent and 75 percent respectively)while compliance with mammography was low (39 percent). Significant factors, which influence breast cancer screening compliance, were educational background, income level, obtaining medical care from a private facility and having health insurance. There was inadequate adherence with breast cancer screening guidelines in this study. Compliance with screening mammography was low. The major barriers that existed to achieving a higher level of compliance among the women studied were lack of physician recommendation and the cost of screening mammograms (AU)


Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Neoplasias da Mama/diagnóstico , Neoplasias da Mama/prevenção & controle , Complacência (Medida de Distensibilidade) , Mama/anormalidades , Radiologia , Jamaica , Região do Caribe
9.
Rev. panam. salud publica ; 11(3): 178-185, Mar. 2002. ilus, tab
Artigo em Inglês | MedCarib | ID: med-16969

RESUMO

As recently as two decades ago breast cancer was not a significant public health concern in Latin America and the Caribbean (LAC). However, mortality rates from breast cancer have been increasing for at least 40 years in most LAC countries. Socioeconomic development and consequent changes in reproductive behaviors over the past 50 years are thought to have contributed to the increased risk of breast cancer. Socioeconomic development has also increased women's health awareness and therefore the demand for quality services. In industrialized countries, screening and widely available, high-quality treatment protocols are being implememted as the main strategy for breast cancer control. Studies show that out of three available screening methods (mammography, clinical breast examination, and breast self-examination), only mammography for women 50-69 years of age has been effective at reducing mortality, and has done so by an estimated 23 percent. While there is much controversy about the benefits and cost-effectiveness of mammography screening for women aged 40-49, some countries, including Australia, the United States of America, and four European nations, recommend that physicians assess the need for it on an individual basis. A survey that we conducted of LAC countries shows that most of their breast cancer screening policies are not justified by available scientific evidence. Moreover, as seen by relatively high mortality/incidence ratios, breast cancer cases are not being adequately managed in many LAC countries. Before further developing screening programs, these countries need to evaluate the feasibility of designing and implementing appropriate treatment guidelines and providing wide access to diagnostic and treatment services. Given the relevance of breast in Latin America and the Caribbean today, it is crucial that both women and health care providers have access to up-to-date information on which to base their decisions (AU)


Assuntos
Adulto , Feminino , Humanos , Neoplasias da Mama , América Latina , Saúde da Mulher , Região do Caribe
10.
West Indian med. j ; 51(1): 4-9, Mar. 2002. ilus, tab
Artigo em Inglês | MedCarib | ID: med-106

RESUMO

One hundred and three consecutive cases of breast cancer in Trinidadian women were evaluated for steriod receptor status and c-erB-2 receptor along with conventional parameters including age, ethnicity, tumour size, histological type and grade, and lymph node status: The molecular markers were studied by immunohistochemistry (IHC) on paraffin sections. Tumour size > 2 cm was seen in 60 percent of the cases. Oestrogen receptor (ER), progestrone receptor (PR) and c-erbB-2 showed 54 percent, 46 percent, and 63 percent positivity, respectively. There was no correlation between c-erbB-2 and steroid receptors. Forty-one percent of cases showed double negativity for steriod receptors (ER-/PR-). No correlation was found between the markers and conventional parameters except for a negative correlation with the tumour grade. The high percentage of c-erbB-2 positivity and the high propotion of steriod receptor negativity suggest a need for studies on adjuvant therapy. Integration of selected markers with conventional parameters could help define sub-groups for treatment and pragnosis (AU)


Assuntos
Adulto , Pessoa de Meia-Idade , Idoso , Feminino , Humanos , Neoplasias da Mama/patologia , Receptores Estrogênicos/análise , Receptores de Progesterona/análise , Receptores de Esteroides/análise , Receptor ErbB-2/diagnóstico , Trinidad e Tobago/etnologia , Imuno-Histoquímica/estatística & dados numéricos , Parafina/diagnóstico , Estudos de Casos e Controles , Biomarcadores Tumorais , Biomarcadores/análise
11.
West Indian med. j ; 50(Suppl 7): 37, Dec. 2001.
Artigo em Inglês | MedCarib | ID: med-17

RESUMO

One hundred and three consecutive cases of breast cancer in Trinidadian women were evaluated for steroid receptor status and c-erb-B2 receptor along with clinicopathological data including age, race, tumour size, histological type and grade and lymph node status. The molecular markers were studied by immunohistochemistry (IHC) on parrafin sections. Tumour size of > 2cm was seen in 60 percent of the cases. Oestrogen receptor (ER), progesterone receptor (PR) and c-erb-B2 showed 54 percent, 46 percent and 63 percent positivity, respectively. There was no correlation between c-erb-B2 and steroid receptors. Forty-one percent (41 percent) of cases showed double negativity for steroid receptors (ER-/PR-). No correlation was found between the markers and clinicopathological data except for negative correlation with the tumour grade. The high percentage of c-erb-B2 positivity and the high proportion of steroid receptor negativity suggest a need for studies on adjuvant therapy. Integration of selected markers with conventional parameters could help define subgroups for treatment and prognosis. (AU)


Assuntos
Feminino , Humanos , Neoplasias da Mama/epidemiologia , Receptores de Esteroides/análise , Receptores Estrogênicos/análise , Receptores de Progesterona/análise , Receptor ErbB-2/análise , Trinidad e Tobago/epidemiologia , Interpretação Estatística de Dados
12.
West Indian med. j ; 50(2): 123-9, Jun. 2001. gra
Artigo em Inglês | MedCarib | ID: med-347

RESUMO

A total of 4285 malignant neoplasms were recorded in Kingston and St. Andrew during the period 1993-1997. 2344 in females and 1941 in males. The crude incidence rate per 100,000 (CIR) for males was 121.6 and for females 129.2. Age standardized rates per 100,0000 (ASR) were 156.7 and 176.7 for males and females respectively. In males, the leading sites for cancer were prostate (619 cases), bronchus (265 cases) and large bowel (144 cases) while in females the leading sites were breast (627 cases) cervix uteri (376 cases) and large bowel (204 cases). The crude and age standardized incidence rates have remained stable as compared to those for the previous five year period (1988-1992). The leading sites for both males and females have also been maintained in the same order but there was a marked increase in prostate cancer (ASR 56.4 versus 36). Invasive cervial cancer has shown no significant change in incidence (ASR 25.2 versus 26.3) but the rate for in-situ cancers has decreased (ASR 27.4 versus 43.8). The incidence of cancer of the female breast has remained relatively stable (ASR 43.2 versus 47.1). The trends exhibited by both prostate cancer and in-situ cervical cancer probably represent the influence of screening methods for prostate cancer and ablative management for low grade dysplastic lesions of the cervix uteri respectively.(Au)


Assuntos
Adulto , Criança , Pré-Escolar , Lactente , Pessoa de Meia-Idade , Idoso , Feminino , Humanos , Masculino , Recém-Nascido , Adolescente , Neoplasias/epidemiologia , Jamaica/epidemiologia , Neoplasias da Próstata/epidemiologia , Neoplasias Brônquicas/epidemiologia , Neoplasias do Colo do Útero/epidemiologia , Neoplasias da Mama/epidemiologia , Coleta de Dados , Incidência , Neoplasias Intestinais/epidemiologia , Neoplasias Pulmonares/epidemiologia , Sistema de Registros/estatística & dados numéricos
13.
Mona; s.n; Nov. 2000. 1,36 p. tab.
Tese em Inglês | MedCarib | ID: med-17157

RESUMO

Breast cancer is probably one of the diseases most feared by women, impacting as it does on their psychosocial image. In the United States it is the single leading cause of death for women in the 40-49 age group and here in Jamaica it has shown a steadily rising incidence. Mammography was first introduced to the island in 1980 on a very limited basis and it was another 8 years before the next facility opened. By the year 2000 mammograms were fairly available on an island wide basis however the national compliance rate stood at approximately 4 percent. This low compliance rate has remained stagnant and is in spite of a mass media education effort launched by the Jamaica Cancer Society in 1995. This study takes a look at the impact of health promotion and seeks to identify the knowledge, attitudes and practices influencing women to adhere to breast cancer screening guidelines. A cross-sectional survey was performed utilizing telephone interviews. 234 women in the over 35 age group were interviewed within various socio-economic strata (SES) and in both rural and urban locations. Knowledge, attitudes and practices were assessed in respect of compliance with breast cancer screening guidelines. The findings suggest that the strongest motivator for compliance is a personal perception of risk of the disease (AU)


Assuntos
Humanos , Feminino , Neoplasias da Mama/diagnóstico , Neoplasias da Mama , Promoção da Saúde , Jamaica , Região do Caribe , Conhecimentos, Atitudes e Prática em Saúde
14.
West Indian med. j ; 49(suppl.4): 24, Nov. 9, 2000.
Artigo em Inglês | MedCarib | ID: med-372

RESUMO

It is well known that not all strains of laboratory rats are suitable for use as an experimental animal model for tumour development; hence, in every article published, the strain of rats used in the research is always accurately stated. Before 1984, the stock in the Mona-Preclinical Animal House comprised Wistar rats. These rats were susceptible to the development of breast tumours. The present Mona stock of rats is the product of an inbreeding between the old Wistar and Sprague-Dawley rats, the later introduced into the colony in 1984 by the Biochemistry Department for experimental purposes. After the experiments were completed, these rats were used for interbreeding with the Wistar rats. In 1999, experiments were started to develop breast tumours in the female rats of this mixed breed. A carcinogen (DMBA) was administered intragastrically into 14 females rats and after 10 months of observations, 13 (93 percent) developed tumours, while in the same period no tumours were found in the controls (13 female rats). Therefore, it can be stated that the present stock of rats is still suitable as an animal model for the development of breast tumours. Experiments to develop prostatic cancer in the male rats are in progress. It is suggested that authors of articles reporting the results of research using the Mona colony of rats should clearly state that the "Mona strain' of white rats used. To further establish this Mona strain, improved maintenance and breeding methods should be implemented and also collection of basic data such as average litter size, birth weight, growth curve and incidence of the development of spontaneous tumours should be stated.(Au)


Assuntos
Ratos , 21003 , Feminino , Masculino , Neoplasias da Mama/induzido quimicamente , Carcinógenos/efeitos adversos , Ratos/crescimento & desenvolvimento , Jamaica
15.
West Indian med. j ; 49(2): 161-3, Jun. 2000. tab
Artigo em Inglês | MedCarib | ID: med-802

RESUMO

The records of 120 consecutive patients diagnosed with carcinoma of the breast were examined between July 1996 and June 1999 in order to estimate the prevalence of established risk factors for this disease. Early menarche was present in 5.5 percent of patients, while 36 subjects (30 percent) were mulliparous and 6 (5 percent) had a first live birth after age 30 years. Four subjects had a previous biopsy with histological features of atypical hyperplasia. Fifteen subjects (12.5 percent) had one or more affected first degree relatives. Fifty-four percent of subjects possessed none of the risk factors examined in this study while 36 percent had a single risk factor and 10 percent possessed two risk factors. There was no significant clustering of risk factors in the group of patients aged thirty-five years or less. Larger studies should be encouraged to identify the risk factors which operate in our population and the degree to which published predictive variables are applicable.(AU)


Assuntos
Adulto , Pessoa de Meia-Idade , Feminino , Humanos , Idoso , Neoplasias da Mama/epidemiologia , Fatores Etários , Idoso de 80 Anos ou mais , Neoplasias da Mama/patologia , Análise Multivariada , Estadiamento de Neoplasias , Paridade , Fatores de Risco , Jamaica
17.
West Indian med. j ; 48(4): 173-8, Dec. 1999. ilus, tab
Artigo em Inglês | MedCarib | ID: med-1578

RESUMO

There is a broad spectrum of benign and pre-malignant breast disease that may be diagnosed on biopsy. Some of these conditions place affected women at significantly increased risk for breast cancer, particularly the atypical hyperplasias. All health care workers should be aware of recent developments in this important aspect of breast disease. The classification, criteria for diagnosis, associated risks for cancer development and various controversies related to these benign and borderline breast diseases are discussed.(AU)


Assuntos
Feminino , Humanos , Doença da Mama Fibrocística , Lesões Pré-Cancerosas , Hiperplasia/patologia , Neoplasias da Mama/epidemiologia , Neoplasias da Mama/patologia , Doenças Mamárias/classificação , Doenças Mamárias/patologia , Mama/patologia , Carcinoma in Situ/diagnóstico , Doença da Mama Fibrocística/classificação , Doença da Mama Fibrocística/patologia , Lesões Pré-Cancerosas/genética , Lesões Pré-Cancerosas/patologia , Fatores de Risco
18.
West Indian med. j ; 48(1): 9-15, Mar. 1999.
Artigo em Inglês | MedCarib | ID: med-1242

RESUMO

A population based probability sample of 958 persons (454 males and 504 females) aged 15 to 49 years was surveyed in Jamaica in late 1993 for lifestyle and behaviour risk factors. Demographic characteristics of the sample were comparable to the general population. 60 percent of persons visited a private doctor the last time that they were ill. Based on self-reporting, 18 percent of the women and 8 percent of the men had never their blood pressure taken. 40 percent of the women had never had a Papanicolaou smear, 29 percent had never had a breast examination and 33 percent said that they were overweight compared with 18 percent of men. Smoking cigarettes and marijuana was more common among men (36 percent) than women (11 percent) as were drinking alcohol (79 percent of men, 41 percent of women) and heavy alcohol use (30 percent of men, 9 percent of women). Injuries requiring medical attention in the previous five years were reported by 40 percent of the men and 15 percent of the women. 34 percent of the men and 12 percent of the women regularly carried a weapon and 18 percent of the sample had participated in or witnessed at least one violent act in the previous month. Most of the people interviewed used a contraceptive method; 10 percent were not sexually active. Significantly more men than women had two or more sexual partners in the previous year (54 percent vs 17 percent, p<0.001) or reported ever having a sexually transmitted disease (29 percent vs 9 percent, p<0.001). Younger persons were more sexually active and more likely to use condoms during the most recent sexual intercourse. Higher socio-economic status and educational level generally had a more positive effect on health behaviour. This survey provides vital information relevant to planning health promotion campaigns and assessing their success.(AU)


Assuntos
Adolescente , Adulto , Estudo Comparativo , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Atitude Frente a Saúde , Comportamentos Relacionados com a Saúde , Consumo de Bebidas Alcoólicas/epidemiologia , Neoplasias da Mama/epidemiologia , Comportamento Contraceptivo , Diabetes Mellitus/epidemiologia , Hipertensão/epidemiologia , Jamaica/epidemiologia , Estilo de Vida , Fumar Maconha/epidemiologia , Obesidade/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Vigilância da População , Fatores de Risco , Fatores Sexuais , Parceiros Sexuais , Doenças Sexualmente Transmissíveis/epidemiologia , Tabagismo/epidemiologia , Esfregaço Vaginal/estatística & dados numéricos , Ferimentos e Lesões/epidemiologia
19.
Rev panam salud publica ; 5(3): 152-6, Mar. 1999.
Artigo em Inglês | MedCarib | ID: med-1365

RESUMO

The purpose of this descriptive study was to identify and describe barriers to early detection of breast cancer, as well as current breast cancer screening behaviors and attitudes regarding the disease, among women aged 20 and older on the Caribbean island of Tobago. Tobago is smaller of the two islands that make up the nation of Trinidad and Tobago. Between February and June 1996, 265 women fitting the age criteria completed a structured survey questionnaire. Women of African descent made up 89 percent of the respondents. In terms of age, 48 percent of those surveyed were between 20 and 39, 40 percent were between 40 and 59, and 12 percent were 60 or older. Barriers to early detection identified were a low level of breast self-examination, infrequent clinical breast examinations as part of regular care, unavailability of mammography services on Tobago, cost of screening, and difficulty of travelling to Trinidad for mammography. Furthermore, only a minority of the study participants had ever attended early detection or public awareness programs. The results were nearly the same for individuals with a family history of breast cancer, who would have a higher risk of occurrence of the disease. In addition, the majority of the respondents reported what can be considered a cultural barrier to early detection practices, a belief that no matter what they did, if they were to get breast cancer, they would get it. The authors recommend that mammography services be made available on Tobago. The authors also intend to use findings to help develop an appropriate, culturally sensitive breast cancer awareness and early detection program for women on this island.(Au)


Assuntos
Adulto , Idoso , Feminino , Humanos , Pessoa de Meia-Idade , Neoplasias da Mama/epidemiologia , Interpretação Estatística de Dados , Programas de Rastreamento , Vigilância da População , Fatores de Tempo , Índias Ocidentais/epidemiologia , Fatores Etários , Trinidad e Tobago/epidemiologia
20.
Rev. panam. salud publica ; 5(3): 152-156, Mar. 1999. tab
Artigo em Inglês | MedCarib | ID: med-16915

RESUMO

The purpose of this descriptive study was to identify and describe barriers to early detection of breast cancer, as well as current breast cancer screening behaviors and attitudes regarding the disease, among women aged 20 and older on the Caribbean island of Tobago. Tobago is the smaller of the two islands that make up the nation of Trinidad and Tobago. Between February and June 1996, 265 women fitting the age criteria completed a structured survey questionnaire. Women of African descent made up 89 percent of the respondents. In terms of age, 48 percent of those surveyed were between 20 and 39, 40 percent were between 40 and 59, and 12 percent were 60 or older. Barriers to early detection identified were a low level of breast self-examination, infrequent clinical breast examination as part of regular care, unavailability of mammography services in Tobago, cost of screening, and difficulty of travelling to Trinidad for mammography. Furthermore, only a minority of the study participants had ever attended early detection or public awareness programs. The results were nearly the same for individuals with a family history of breast cancer, who would have higher risk of occurence of the disease. In addition, the majority of the respondents reported what can be considered a cultural barrier to early detection practices, a belief that no matter what they did, if they were to get breast cancer, they would get it. The authors recommend that mammography services be made available on Tobago. The authors also intend to use the findings to help develop an appropriate, culturally sensitive breast cancer awareness and early detection program for women on the island (AU)


Assuntos
Feminino , Humanos , Neoplasias da Mama , Trinidad e Tobago , Institutos de Câncer , Diagnóstico Clínico , Saúde da Mulher , Região do Caribe , Serviços de Saúde da Mulher , Interpretação Estatística de Dados
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