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Knowledge about Gastric Carcinoma in North of Iran, A High Prevalent Region for Gastric Carcinoma: A Population-Based Telephone Survey

  • Mansour-Ghanaei, Fariborz (Division of Gasroenterology & Hepatology, Guilan University (Medical Sciences)) ;
  • Joukar, Farahnaz (Gastrointestinal & Liver Diseases Research Center (GLDRC), Guilan University (Medical Sciences)) ;
  • Soati, Fatemeh (Gastrointestinal & Liver Diseases Research Center (GLDRC), Guilan University (Medical Sciences)) ;
  • Mansour-Ghanaei, Alireza (Medical student of Shahid Beheshti University (Medical sciences)) ;
  • Naserani, Sara Bakhshizadeh (Gastrointestinal & Liver Diseases Research Center (GLDRC), Guilan University (Medical Sciences))
  • Published : 2012.07.31

Abstract

Background & Objectives: The most northern and northwestern regions of Iran are at a high risk for gastric cancer. The aim of this study was to assess the general population's awareness about risk factors, symptoms and signs, preventive methods and management of gastric carcinoma in a high prevalence city in the North of Iran. Methods: A cross-sectional population-based telephone survey which was conducted on 3,457 residents of Rasht, the capital city of Guilan Province, to assess their awareness regarding gastric carcinoma. The questionnaires contained demographic data and statements on respondents' knowledge about risk factors, symptoms and signs, prevention and management of gastric cancer which were filled by general practitioners after asking the subjects. Data were analyzed in SPSS14. P<0.05 was considered significant. Results: The mean knowledge score of the respondents was $5.05{\pm}1.37$ regarding risk factors of gastric carcinoma, $4.39{\pm}1.99$ regarding symptoms and signs, $6.0{\pm}1.22$ regarding preventive strategies, and $1.6{\pm}1.16$ regarding management. Totally the mean knowledge level of the respondents toward gastric carcinoma would be $17.1{\pm}3.97$ from the maximum grade of 29. The age group of 45-55 y/o, bachelor degree and higher, physicians and nurses, those who had cancer history in friends or had the history of gastrointestinal diseases showed significantly higher knowledge scores (P=0.001). Conclusion: There is a general lack of awareness of cancer risk factors, symptoms and signs, methods of prevention, and importance of early diagnosis and treatment. Educational programs should be developed to promote adherence to recommended screening guidelines.

Keywords

References

  1. Adlard JW, Hume MJ (2003). Cancer knowledge of the general public in the United Kingdom: survey in a primary care setting and review of the literature. Clin Oncol (R Coll Radiol), 15, 174-80. https://doi.org/10.1016/S0936-6555(02)00416-8
  2. Babaei M, Mousavi S, Malek M, et al (2005). Cancer occurrence in Semnan Province, Iran: results of a population-based cancer registry. Asian Pac J Cancer Prev, 6, 159-64.
  3. Bhardwaj T (2011). Awareness level about cancer among collage youth. Paper presented to Academic Staff College, JMI as part of orientation programme.
  4. Bhurgri H, Gowani SA, Itrat A, et al (2008). Awareness of cancer risk factors among patients and attendants presenting to a tertiary care hospital in Karachi, Pakistan. J Pak Med Assoc, 58, 584-8.
  5. Bowrey DJ, Griffin SM, Wayman J, etal (2006). Use of alarm symptoms to select dyspeptics for endoscopy causes patients with curable esophag gastric cancer to be over looked. Surg Endose, 20, 1725-8. https://doi.org/10.1007/s00464-005-0679-3
  6. Brown LM (2000). Helicobacter pylori: epidemiology and routes of transmission. Epidemiol Rev, 22, 283-97. https://doi.org/10.1093/oxfordjournals.epirev.a018040
  7. Crew KD, Neugut AI (2006). Epidemiology of gastric cancer. World J Gastroenterol, 12, 354-62.
  8. Correa P, Piazuelo MB, Camargo MC (2004). The future of gastric cancer prevention. Gastric Cancer, 7, 9-16. https://doi.org/10.1007/s10120-003-0265-0
  9. Forman D, Burley VJ (2006). Gastric cancer: global pattern of the disease and an overview of environmental risk factors. Best Pract Res Clin Gastroenterol, 20, 633-49. https://doi.org/10.1016/j.bpg.2006.04.008
  10. Jemal A, Bray F, Center MM, et al (2011). Global cancer statistics. CA Cancer J Clin, 61, 69-90. https://doi.org/10.3322/caac.20107
  11. Kolahdoozan SH, Sadjadi A, Radmard AR, Khademi H (2010). Five common cancers in Iran. Arch Iran Med, 13, 143-6.
  12. Kwon YM, Lim HT, Lee K, et al (2009). Factors associated with use of gastric cancer screening services in Korea. World J Gastroenterol, 15, 3653-9. https://doi.org/10.3748/wjg.15.3653
  13. Maconi G, Manes G, Porro GB (2008). Role of symptoms in diagnosis and outcome of gastric cancer. World J Gastroenterol, 14, 1149-55. https://doi.org/10.3748/wjg.14.1149
  14. Matsazaka M, Fukuda S, Takahashi I, et al (2007). The decreasing burden of gastric cancer in Japan. Tohoku J Exp Med, 212, 207-19. https://doi.org/10.1620/tjem.212.207
  15. Malekzadeh R, Derakhshan MH, Malekzadeh Z (2009). Gastric cancer in Iran: epidemiology and risk factors. Arch Iran Med, 12, 576-83.
  16. Mohagheghi MA, Mosavi-Jarrahi A, Malekzadeh R, Parkin M (2009). Cancer incidence in Tehran metropolis: the first report from the Tehran population-based cancer registry, 1998-2001. Arch Iran Med, 12, 15-23.
  17. Oh DY, Choi KS, Shin HR, Bang YJ (2009). Public awareness of gastric cancer risk factors and disease screening in a high-risk region: a population-based study. Cancer Res Treat, 41, 59-66. https://doi.org/10.4143/crt.2009.41.2.59
  18. Parkin DM, Bray FI, Devesa SS (2001). Cancer burden in the year 2000. The global picture. Eur J Cancer, 37, 4-66.
  19. Parkin DM, Bray F, Ferlay J, Pisani P (2005). Global cancer statistics, 2002. CA Cancer J Clin, 55, 74-108. https://doi.org/10.3322/canjclin.55.2.74
  20. Puri S, Mangat C, Bhatia V, Kaur AP, Kohli DR (2010). Knowledge of cancer and its risk factors in Chandigarh, India. Int J Epidemiol, 8, ?-?.
  21. Ray K, Mandal S (2004). Knowledge about cancer in West Bengal- a pilot survey. Asian Pac J cancer Prev, 5, 205-12.
  22. Sadjadi A, Malekzadeh R, Derakhshan MH, et al (2003). Cancer occurrence in Ardabil: results of a population-based cancer registry from Iran. Int J Cancer, 107, 113-8. https://doi.org/10.1002/ijc.11359
  23. Sadjadi A, Nouraie M, Mohagheghi MA, et al (2005). Cancer occurrence in Iran in 2002, an international perspective. Asian Pac J Cancer Prev, 6, 359-63.
  24. Seth T, Kotwal A, Thakur R, Singh P, Kochupillai V (2005). Common cancers in India: knowledge, attitude and behavior of urban slum dwellers in New Delhi. Public Health, 119, 87-96. https://doi.org/10.1016/j.puhe.2004.05.013
  25. Shikata K, Kiyohara Y, Kubo M, et al (2006). A prospective study of dietary salt intake and gastric cancer incidence in a defined Japanese population: the Hisayama study. Int J Cancer, 119, 196-201. https://doi.org/10.1002/ijc.21822
  26. Triantafillidis JK, Cheracakis P (2004). Diagnostic evaluation of patients with early gastric cancer a literature review. Hepatogastroenterology, 51, 618-24.
  27. Yardley S, Glover C, Allen-Mersh TG (2000). Demographic factors associated with knowledge of colorectal cancer symptoms in a UK population-based study. Ann R Coll Surg Engl, 82, 205-9.

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