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EN
Introduction. The dramatic decline in the incidence of lip cancer, which until the 80s of the twentieth century was the cause of significant morbidity, is an example of changes in the structure and trends of cancer incidence both in Poland and in the regions. Aim. Therefore, the aim of this paper is to analyze the changes in the morbidity trend of the lip cancer during the last 50 years, both in Poland and in Podkarpacie. Material and methods. A retrospective analysis of the lip cancer morbidity in the Podkarpackie region and in Poland in the years 1963–2013 was carried out based on data from the literature and our own research. Results and conclusion. A steady decline in the incidence of lip cancer in Podkarpacie has been observed since 1982 for men and 1983 for women. In Poland these trends have been observed since 1972 for men and 1993 for women. In the analyzed period significant changes in the incidence structure in terms of sex are observed – from approximately 1:10 (women / men) in 1963 similarly in Podkarpackie and Poland – to 1:4.6 in Podkarpacie and 1: 2.6 in Poland in 2013.
EN
Introduction. The incidence of head and neck cancers in Poland demonstrated a general tendency to stabilize in the last two decades. However, a global phenomenon in the change of morbidity structure in terms of the specific anatomical location is observed, which will probably increasingly apply also to Poland. Aim. The aim of the study was to present the changes that have occurred in the structure of the incidence of oropharyngeal cancer in comparison to laryngeal cancer in the period from 1980 to 2013, in the region of south-eastern Poland and the whole country. Material and methods. A retrospective analysis of the incidence due to the head and neck organ cancer in 1980-2013 in the region of south-eastern Poland and the whole country was performed based on demographic data from the Provincial Statistical Office in Rzeszow and Podkarpackie Cancer Register as well as the Department of Epidemiology, Oncology Centre in Warsaw. Results and conclusion. In the last three decades, the percentage of laryngeal cancer incidence in women (13% vs 18%) as well as oropharyngeal cancer (18.2 % vs 21.6%) was lower in Podkarpacie than in Poland overall. The incidence of oropharyngeal cancer in men in Podkarpacie was lower in the analyzed period than in Poland overall, and only in the last 3 years of observation has it reached a value close to the average for the country. The incidence of laryngeal cancer in men showed a dramatic downward trend both in Poland and in the Podkarpacie province, whereby both in terms of incidence rates and standardized rates and percentages – it is far more pronounced in the analyzed province.
EN
Skin cancers are a significant oncological problem in the twenty-first century. Global epidemiological studies show 2-fold increase in the incidence in each decade. One of the essential elements of prevention is public knowledge on the etiology of skin cancers. The aim of the study was to assess the attitudes and the demand for education on the prevention of skin cancers in open population. Material and methods. 106 people were enrolled in the study during social action “Festival of Health”. The vast majority of respondents were women from urban areas. The mean age of the respondents was 37,2. The method of diagnostic survey was used in the study and a questionnaire of interview was applied. The results were analyzed statistically by means of chi-square test. Results. The poorest knowledge about risk factors for skin cancers showed the respondents with the lowest level of education, while those with higher education were twice as likely to recognize self-inspection of the skin as a method of prevention in comparison with the respondents with vocational education. In turn, the latter most rarely paid attention to the necessity of self- inspection of the skin, use of protective filters and protection during sunny days. Other respondents showed a greater responsibility in the use of anticancer prevention. The respondents with at least high school education more often had knowledge that change in shape or color of pigmented mole on the skin can signal development of cancer. Conclusions: The study showed that the level of education is the most important factor differentiating the level of knowledge about the prevention of skin cancer. The frequency of consultations with a specialist in connection with the presence of alarming moles on the skin was not associated with gender and the level of education.
PL
Nowotwory skóry są istotnym problemem onkologicznym XXI wieku. Badania epidemiologiczne wskazują na 2-krotny wzrost liczby zachorowań przypadający na każde 10-lecie, oceniany w skali światowej. Jednym z istotnych elementów profilaktyki jest wiedza społeczeństwa na temat etiologii nowotworów skóry. Celem pracy jest próba oceny postaw i zapotrzebowania na edukację w zakresie profilaktyki nowotworów skóry w populacji otwartej. Materiał i metoda: Badanie zostało przeprowadzone w grupie 106 osób podczas akcji społecznej „Festiwal Zdrowia”. Zdecydowaną większość respondentów stanowiły kobiety, mieszkanki miast. Średnia wieku ankietowanych wynosiła 37,2 lata. W badaniach wykorzystano metodę sondażu diagnostycznego z użyciem kwestionariusza wywiadu. W statystycznym opracowaniu uzyskanych wyników wykorzystano test chi-kwadrat. Wyniki: Najsłabszą wiedzą na temat czynników ryzyka zachorowania na nowotwory skóry wykazali się ankietowani posiadający najniższe wykształcenie, natomiast osoby z wykształceniem wyższym dwukrotnie częściej uznały samoobserwację skóry jako metodę profilaktyki w porównaniu z respondentami z wykształceniem zawodowym. Z kolei ci ostatni najrzadziej zwracali uwagę na konieczność samoobserwacji skóry, stosowanie filtrów ochronnych oraz ochronę podczas dni słonecznych. Pozostali respondenci wykazali się większą odpowiedzialnością w stosowaniu zabiegów profilaktyki przeciwnowotworowej. Respondenci posiadający przynajmniej średnie wyksztalcenie częściej posiadali wiedzę, że zmiana kształtu czy barwy znamienia na skórze może sygnalizować rozwój nowotworu. Wnioski: W badaniu wykazano, że stopień wykształcenia jest najważniejszym czynnikiem różnicującym poziom wiedzy na temat profilaktyki nowotworów skóry. Nie stwierdzono, aby częstość korzystania z porad lekarza specjalisty w związku z obecnością niepokojących zmian na skórze związana była z płcią i stopniem wykształcenia.
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