期刊论文详细信息
BMC Research Notes
Preventing hepatocellular carcinoma in Egypt: results of a Pilot Health Education Intervention Study
Christopher A. Loffredo2  Nancy Crowell2  Judy Huei-yu Wang2  Irene A. Jillson2  Sania Amr3  Doa’a A. Saleh1 
[1] Cairo University, Cairo, Egypt;Department of Oncology, Georgetown University, 3970 Reservoir Rd, Washington DC 20057, USA;University of Maryland, Baltimore, MD, USA
关键词: Pesticides;    Aflatoxin;    Hepatitis C virus;    Prevention;    Liver cancer;   
Others  :  1230442
DOI  :  10.1186/s13104-015-1351-1
 received in 2014-09-16, accepted in 2015-08-17,  发布年份 2015
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【 摘 要 】

Background

Hepatocellular carcinoma (HCC), one of the most fatal malignancies, is particularly prevalent in Egypt, where we previously found deficiencies in knowledge concerning HCC and its risk factors. Hepatitis B and C viral infections are highly prevalent in Egypt, pesticides are very commonly used, and diets are often contaminated by aflatoxin, especially in rural areas.

Methods

We conducted a study to pilot test a health education intervention addressing HCC, its risk factors, and its main modes of prevention. It included four health education modules: HCC, hepatitis viruses, pesticides and aflatoxin. We used a pre- and post-intervention set of questionnaires to assess knowledge gained by the participants.

Results

A total of 25 participants from a village in the Nile Delta area attended the health education session and completed the questionnaires. The education intervention significantly increased the participants’ knowledge on HCC and its risk factors, particularly regarding the use of pesticides at home and aflatoxin contaminated foods (both p < 0.05). Overall, there was a 12 % increase in the number of participants who believed that HCC could be prevented, and they reported their intention to practice prevention for HCC risk factors.

Conclusions

We found that the education intervention we pilot tested was feasible and proved effective in increasing participants’ knowledge. Future efforts should focus on implementing targeted education programs in high-risk populations in Egypt.

【 授权许可】

   
2015 Saleh et al.

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【 参考文献 】
  • [1]Schutte K, Bornschein J, Malfertheiner P: Hepatocellular carcinoma–epidemiological trends and risk factors. Dig Dis Sci 2009, 27:80-92.
  • [2]Beasley RP, Hwang LY, Lin CC, Chien CS: Hepatocellular carcinoma and hepatitis B virus. A prospective study of 22 707 men in Taiwan. Lancet 1981, 2:1129-1133.
  • [3]Liang TJ, Jeffers LJ, Reddy KR, De Medina M, Parker IT, Cheinquer H, Idrovo V, Rabassa A, Schiff ER: Viral pathogenesis of hepatocellular carcinoma in the United States. Hepatology 1993, 18:1326-1333.
  • [4]Chang MH, You SL, Chen CJ, Liu CJ, Lee CM, Lin SM, Chu HC, Wu TC, Yang SS, Kuo HS, Chen DS: Taiwan Hepatoma Study Group: decreased incidence of hepatocellular carcinoma in hepatitis B vaccines: a 20-year follow-up study. J Natl Cancer Inst 2009, 101:1348-1355.
  • [5]Saleh DA, Shebl FM, El-Kamary SS, Magder LS, Allam A, Abdel-Hamid M, Mikhail N, Hashem M, Sharaf S, Stoszek SK, Strickland GT: Incidence and risk factors for community-acquired hepatitis C infection from birth to 5 years of age in rural Egyptian children. Trans R Soc Trop Med Hyg 2010, 104:357-363.
  • [6]Mohamed MK, Abdel-Hamid M, Mikhail NN, Abdel-Aziz F, Medhat A, Magder LS, Fix AD, Strickland GT: Intrafamilial transmission of hepatitis C in Egypt. Hepatology 2005, 42:683-687.
  • [7]International Agency for Research on Cancer: Some traditional herbal medicines, some mycotoxins, naphthalene and styrene. World Health Organization, Lyon; 2002.
  • [8]Turner PC, Loffredo C, Kafrawy SE, Ezzat S, Eissa SA, Daly ME, Nada O, Abdel-Hamid M: Pilot survey of aflatoxin–albumin adducts in sera from Egypt. Food Addit Contam Part A 2008, 25:583-587.
  • [9]Polychronaki N, Wild CP, Mykkanen H, Amra H, Abdel-Wahhab M, Sylla A, Diallo M, El-Nezami H, Turner PC: Urinary biomarkers of aflatoxin exposure in young children from Egypt and Guinea. Food Chem Toxicol 2008, 46:519-526.
  • [10]Anwar WA, Khaled HM, Amra HA, El-Nezami H, Loffredo CA: Changing pattern of hepatocellular carcinoma (HCC) and its risk factors in Egypt: possibilities for prevention. Mutat Res 2008, 659:176-184.
  • [11]Ezzat S, Abdel-Hamid M, Eissa SA, Mokhtar N, Labib NA, El-Ghorory L, Mikhail NN, Abdel-Hamid A, Hifnawy T, Strickland GT, Loffredo CA: Associations of pesticides, HCV, HBV, and hepatocellular carcinoma in Egypt. Int J Hyg Environ Health 2005, 208:329-339.
  • [12]Wild CP, Montesano R: A model of interaction: aflatoxins and hepatitis viruses in liver cancer aetiology and prevention. Cancer Lett 2009, 286:22-28.
  • [13]Saleh DA, Amr S, Jillson IA, Wang JH-Y, Khairy WA, Loffredo CA: Knowledge and perceptions of hepatitis C infection and pesticides use in two rural villages in Egypt. BMC Public Health 2014, 14:501. BioMed Central Full Text
  • [14]Centers for Disease Control and Prevention: Viral Hepatitis. 2015. http://www.cdc.gov/hepatitis/. Accessed 26 Aug 2015.
  • [15]Environmental Protection Agency: Citizen’s Guide to Pest Control and Pesticide Safety. 2015. http://www.epa.gov/oppfead1/Publications/Cit_Guide/. Accessed 26 Aug 2015.
  • [16]Strosnider H, Azziz-Baumgartner E, Banziger M, Bhat RV, Breiman R, Brune MN, DeCock K, Dilley A, Groopman J, Hell K, Henry SH, Jeffers D, Jolly C, Jolly P, Kibata GN, Lewis L, Liu X, Luber G, McCoy L, Mensah P, Miraglia M, Misore A, Njapau H, Ong CN, Onsongo MT, Page SW, Park D, Patel M, Phillips T, Pineiro M: Workgroup report: public health strategies for reducing aflatoxin exposure in developing countries. Environ Health Perspect 2006, 114:1898-1903.
  • [17]Ferenci P, Fried M, Labrecque D, Bruix J, Sherman M, Omata M, Heathcote J, Piratsivuth T, Kew M, Otegbayo JA, Zheng SS, Sarin S, Hamid S, Modawi SB, Fleig W, Fedail S, Thomson A, Khan A, Malfertheiner P, Lau G, Carillo FJ, Krabshuis J, Le Mair A: World Gastroenterology Organisation Guidelines and Publications Committee: World Gastroenterology Organisation Global Guideline. Hepatocellular carcinoma (HCC): a global perspective. J Gastrointest Liver Dis 2010, 19:311-317.
  • [18]Krishanani MK, Qidwai W, Qidwai W, Ali BS, Khuwaja AK: Educational intervention among barbers about liver cancer-inducing viruses: a pilot study from a developing country. J Cancer Educ 2010, 25:632-636.
  • [19]Abd El Aziz HM, Akl OA, Ibrahim HK: Impact of a health education intervention program about breast cancer among women in a semi-urban area in Alexandria, Egypt. J Egypt Public Health Assoc 2009, 84:219-243.
  • [20]Gozum S, Karayurt O, Kav S, Platin N: Effectiveness of peer education for breast cancer screening and health beliefs in eastern Turkey. Cancer Nurs 2010, 33:213-220.
  • [21]Tucker A, Tucker SP: Increasing colorectal cancer screening compliance through community education. Gastroenterol Nurs 2012, 35:416-419.
  • [22]Shalaby S, Kabbash IA, El Saleet G, Mansour N, Omar A, El Nawawy A: Hepatitis B and C viral infection: prevalence, knowledge, attitude and practice among barbers and clients in Gharbia governorate, Egypt. East Mediterr Health J 2010, 16:10-17.
  • [23]Wu CA, Lin SY, So SK, Chang ET: Hepatitis B and liver cancer knowledge and preventive practices among Asian Americans in the San Francisco Bay Area, California. Asian Pac J Cancer Prev 2007, 8:127-134.
  • [24]Chen JJ, Chang ET, Chen YR, Bailey MB, So SK: A model program for hepatitis B vaccination and education of schoolchildren in rural China. Int J Public Health 2012, 57:581-588.
  • [25]Gaber S, Abdel-Latif SH: Effect of education and health locus of control on safe use of pesticides: a cross sectional random study. J Occup Med Toxicol 2012, 7:3. BioMed Central Full Text
  • [26]Farahat TM, Farahat FM, Michael AA: Evaluation of an educational intervention for farming families to protect their children from pesticide exposure. East Mediterr Health J 2009, 15:47-56.
  • [27]James B, Adda C, Cardwell K, Annang D, Hell K, Korie S, Edorh M, Gbeassor F, Nagatey K, Houenou G: Public information campaign on aflatoxin contamination of maize grains in market stores in Benin, Ghana and Togo. Food Addit Contam 2007, 24:1283-1291.
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