Minia Journal of Medical Research, VOL. 24, NO. 1, JAN., 2013
CRC is a worldwide problem; its absolute number of cases will increase over the next two decades as a result of the aging and expansion of populations in both the developed and developing countrie
Smoking is considered as one of lifestyle factors which significantly associated with colorectal cancer (CRC) incidence and mortality; smoking increases the risk of developing CRC by about 18% and the risk of dying by about 25%
. Aim of the study:
To determine the relation between smoking as a lifestyle factor and development of CRC among CRC patients attending El-Minia oncology center comparing them with their control.
Research hypothesis is that CRC is strongly related to smoking, thus we need to accept or reject this hypothesis.
Subjects and methods:
This is case control study, which carried out in El- Minia governorate during the period from
October 2010 to August 2011. It was conducted among 150 CRC patients (attending El-Minia oncology center during the period from
October 2010 to June 2011) and 300 age and sex matched controls selected randomly from community where the cases are belonging to during the period from June 2011 to August 2011. Data were collected using an interview-administered questionnaire included socio demographic data, medical data concerning CRC and its treatment, smoking history detailed smoking history and smoking index.
There was a significant difference (p=0.005) between CRC cases and controls regarding history of smoking, about one third (34%) of cases were smokers compared to18.7% of controls and smoking index was significantly higher (769.8±763.3) among CRC cases than controls (463.8±423.2). there was statistically significant positive associations were observed between smoking and risk of CRC (OR= 4.4, 95% CI = 2.9 to 6.6).
There was a strong relation between smoking and development of CRC.
Increase awareness about CRC among general population and the role that could be played by smoking as an important risk factors in its occurrence, Prevention by educational programs can be applied in the form of mass media campaigns and public lectures and intervention program can be carried out to motivate population to quit smoking
This study was carried out in a governmental school for mentally disabled children in El Minia. We assessed maternal adaptation and the relationship between maternal sociodemographic factors and adaptation as well as examining maternal distress. All 100 mothers with children aged 6-18 years attending the school were recruited in the study. Three tools were used: demographic data sheet, adaptation scale to assess the nature of mothers' interaction and patterns of psychosocial adaptation and depression scale to detect the presence of psychiatric disorders among the mothers. Only 35.0% of the mothers adapted positively to their child's condition; 62.9% of those had female children. Negatively adapted mothers were slightly older than positively adapted mothers and had more children. Maternal education and occupation were significantly associated with psychosocial adaptation. Knowledge of mothers about their child's condition significantly affected adaptation as well as the dependency of children in eating, drinking and sleeping. Two-thirds of mothers had high levels of psychopathology.