DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20200256

Cancer burden and alarm signals: a community based study from Kerala, India

Geethu Mathew, Shaliet Rose Sebastian, Anoop I. Benjamin, Vinay Goyal, Abey Sushan, Jiju Joseph, Sheeja A. L.

Abstract


Background: Cancer is emerging as a major public health concern in many countries including India. Kerala state has the highest burden of cancer in the country. Objective of this study was to estimate the prevalence of diagnosed cancers, warning signs and selected risk factors of cancer in Kadapra Panchayath of Pathanamthitta district, Kerala.

Methods: A total of 16,391 population was covered by door to door survey using a structured questionnaire. The questionnaire collected information on the sociodemographic variables of the residents, source of water supply, warning signs of cancer and details of diagnosed cancer cases.

Results: The mean age of the population was 40.9+21 years. The prevalence of diagnosed cases of cancer in our study population was 776/100,000 population. Breast cancer was the most common cancer (43.5%) identified in the population. The prevalence of any warning sign among the study population was 220/100,000 population. Breast lump was the common warning sign identified. Increasing age and female gender were the factors found to be significantly associated with cancer.

Conclusions: As prevalence of cancer was found to be high in this population, an active community based screening along with teaching self-breast examination to the women in the community are required. Improving community awareness could help in early diagnosis, treatment and prevention. Soil and water testing for carcinogens is recommended.


Keywords


Alarm signals, Cancer burden, Community study, Risk factors

Full Text:

PDF

References


Chatterjee S, Chattopadhyay A, Senapati SN, Samanta DR, Elliott L, Loomis D, et al. Cancer Registration in India - Current Scenario and Future Perspectives. Asian Pac J Cancer Prev. 2016;17(8):3687-96.

Rajpal S, Kumar A, Joe W. Economic burden of cancer in India: Evidence from cross-sectional nationally representative household survey, 2014. PLoS One. 2018;13(2):e0193320.

Parambil NA, Philip S, Tripathy JP, Philip PM, Duraisamy K, Balasubramanian S. Community engaged breast cancer screening program in Kannur District, Kerala, India: A ray of hope for early diagnosis and treatment. Indian J Cancer. 2019;56(3):222-7.

Collaborators IS-LDBIC. The burden of cancers and their variations across the states of India: the Global Burden of Disease Study 1990-2016. Lancet Oncol. 2018;19(10):1289-306.

Nagai H, Kim YH. Cancer prevention from the perspective of global cancer burden patterns. J Thorac Dis. 2017;9(3):448-51.

Murthy N, Mathew A. Cancer epidemiology, prevention and control. Current Science. 2004;86(4):518-27.

Sanitha V, Noushad A. Migration Impact on Left-Behind Elderly's Labour Participation in Kerala. Indian J Econ Devel. 2018;6(3):1-6.

Cherian T, Mahadevan P, Chandramathi S, Govindan J, Mathew I. Increasing cancer incidence in a tertiary care hospital in a developing country, India. Indian J Cancer. 2015;52(1):133.

Narod S, Iqbal J, Jakubowska A, Huzarski T, Sun P, Cybulski C, et al. Are two-centimeter breast cancers large or small? Current oncology. 2013;20(4):205.

Punia A, Verma M, Punia MS. Awareness regarding breast self-examination among rural women--A community-based cross-sectional study. Int J Med Sci Public Health. 2018;7(3):198-203.

Louis LM, Lerro CC, Friesen MC, Andreotti G, Koutros S, Sandler DP, et al. A prospective study of cancer risk among Agricultural Health Study farm spouses associated with personal use of organochlorine insecticides. Environmental Health. 2017;16(1):95.

Kachuri L, Harris MA, MacLeod JS, Tjepkema M, Peters PA, Demers PA. Cancer risks in a population-based study of 70,570 agricultural workers: results from the Canadian census health and Environment cohort (CanCHEC). BMC Cancer. 2017;17(1):343.