• Asian Pacific Journal of Cancer Prevention
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• 제14권12호
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• pp.7459-7466
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• 2013

Background: Some 60 years after introduction of the Papanicolaou smear worldwide, cervical cancer remains a burden in developing countries where >85% of world new cases and deaths occur, suggesting a failure to establish comprehensive cervical-cancer control programs. Effective interventions are available to control cervical cancer but are not all affordable in low-income settings. Disease awareness saves lives by risk-reduction as witnessed in reducing mortality of HIV/AIDS and smoking-related cancers. Subjects and Methods: We initiated a community-based awareness program on cervical cancer in two low-income Muslim Uyghur townships in Kashi (Kashgar) Prefecture, Xinjiang, China in 2008. The education involved more than 5,000 women from two rural townships and awareness was then evaluated in 2010 and 2011, respectively, using a questionnaire with 10 basic knowledge questions on cervical cancer. Demographic information was also collected and included in an EpiData database. A 10-point scoring system was used to score the awareness. Results: The effectiveness and feasibility of the program were evaluated among 4,475 women aged 19-70 years, of whom >92% lived on/below US$1.00/day. Women without prior education showed a poor average awareness rate of 6.4% (164/2,559). A onetime education intervention, however, sharply raised the awareness rate by 4-fold to 25.5% (493/1,916). Importantly, low income and illiteracy were two reliable factors affecting awareness before or after education intervention. Conclusions: Education intervention can significantly raise the awareness of cervical cancer in low-income women. Economic development and compulsory education are two important solutions in raising general disease awareness. We propose that implementing community-based awareness programs against cervical cancer is realistic, locally affordable and sustainable in low-income countries, which may save many lives over time and, importantly, will facilitate the integration of comprehensive programs when feasible. In this context, adopting this strategy may provide one good example of how to achieve "good health at low cost".

• 한국식품영양학회지
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• 제29권3호
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• pp.301-306
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• 2016

본 연구는 국내에서 많이 재배되는 농산물과 특수하게 재배되는 농산식품 자원(잎 및 채소류 9종, 과일류 16종, 곡류 및 특용작물 11종)을 선정하여 비타민 $K_1$의 함량 분석하여 기초데이터를 마련하고, 실험에 사용한 분석법을 검증하여 결과의 신뢰도를 확보하고자 하였다. 각 식품군의 비타민 $K_1$은 용매추출법을 이용하여 추출하였고, 형광 검출기를 이용하여 HPLC를 통해 정량하였다. 잎채소류 내 비타민 $K_1$의 범위는 $107.03{\sim}682.73{\mu}g$/100 g였으며, 구기자 잎에서 $682.73{\mu}g$/100 g으로 가장 높게 검출되었고, 대왕토란과 고구마는 각각 $1.83{\mu}g$/100 g과 $2.72{\sim}2.74{\mu}g$/100 g으로 낮은 함량을 보였다. 과일류의 비타민 $K_1$ 함량 범위는 $0.17{\sim}28.22{\mu}g$/100 g으로 분석되었고, 마른 반시에서 $28.22{\mu}g$/100 g으로 가장 높은 수치를 보였으며, 청포도 $14.97{\mu}g$/100 g, 키위류 $13.54{\sim}16.36{\mu}g$/100 g으로 다른 과일들과 비교해서 비교적 높은 함량을 보였다. 곡류의 비타민 $K_1$ 함량 범위는 $1.14{\sim}3.47{\mu}g$/100 g이었고, 느타리버섯, 이슬송이버섯, 초석잠에서는 모두 비타민 $K_1$이 검출되지 않았다. 검량선의 상관계수는 0.999로 높은 유의 수준을 보여 분석에 적합함을 알 수 있었으며, 반복성과 재현성의 변동계수 값은 각각 8.95%, 5.28%로 우수하였다. 따라서, 본 연구에서 분석된 자료는 국내에서 재배되는 지역농산물의 비타민 $K_1$ 기초데이터로 이용될 수 있을 것으로 판단된다.