乳癌、口腔癌 - 财团法人台湾癌症全人关怀基金会.PPT

* * * * 9 Cigarette smoking is the single most preventable cause of cancer in our society. Smoking accounts for 83% of all lung cancer deaths. Those who smoke two or more packs of cigarettes a day have lung cancer incidence rates 15 to 25 times higher than nonsmokers. Smoking is also a cause of cancers of the mouth, pharynx, larynx, throat, esophagus, pancreas, uterine cervix, kidney, and bladder. The successful prevention and control of the smoking related cancers will depend upon the continued reduction of smoking in our society. There are two facets to achieving this reduction: 1) how well we do at helping young people avoid nicotine addiction; and 2) how well we do in helping those already addicted to kick their habits. Collateral efforts like those reflected here (where public policy initiatives restricted advertising, a major tool in recruiting new smokers, enacted heavy taxation which has caused the consumer price to rise 100% in a decade, and most recently attacks on corporate profits throughout law suits). This combination of public policy and community level interventions along with the kinds of physician activities that have been the subject of the afternoon small groups are essential. * The mortality of oral cancer increase around 5 times in last two decades. During the same period, the betel quid consumption increase more than 5 times. The increase of betel quid consumption and the 20-year latent period imply the high association between betel quid chewing and oral cancer. And there will become a more serious issue in the coming 20 years. 國家 (城市) 嚼食率(%) India, Bombay 32 Pakistan, Karachi 6 Sri Lanka 45 Thailand 17 Taiwan 9 Sarawak 49 Cambodia 31 China, Xiangtang city 35 * * * * * * * * * * Selected because 25 thousand women AND because the study was based on a 10% random sample of women in 3 counties in Norway. 2 assessments of activity at an interval of 3-5 y, results combined. Median follow-up 14 y. Leisure time: Grade 1 – re