Cervical cancer risk factors and prophylaxis among servicewomen
Keywords:
servicewomen, cervical carcinoma, risk factors, prophylaxisAbstract
Abstract. According to the annual reports of the Republic Bulgaria to NATO, the share of servicewomen in our country comprises one fifth of the Armed Forces. The health status of military personnel is a key factor in maintaining combat readiness. Regardless of the field of their professional employment, women suffer from diseases of the reproductive system, including oncological ones. Cervical carcinoma has a well-known etiology; however, Bulgaria remains among the leading countries in morbidity and mortality in the European Union. Therefore, the military medical healthcare system implements and provides all necessary gender-specific health services, taking into account the risk factors related to the nature of military service. Primary and secondary prophylaxis are key for successful prevention, early diagnosis and treatment.
References
WHO International agency for research on cancer. https://www.iarc.who.int/cancer-topics/
Delam H, Izanloo S, Bazrafshan MR, Eidi A. Risk Factors for Cervical Cancer: An Epidemiological Review. Journal of Health Sciences and Surveillance System. 2020, 8. 105-109. 10.30476/jhsss.2020.86539.1092.
Danaei G, Vander Hoorn S, Lopez AD et al. Comparative Risk Assessment collaborating group (Cancers). Causes of cancer in the world: comparative risk assessment of nine behavioural and environmental risk factors. Lancet. 2005 Nov 19;366(9499):1784-93. doi: 10.1016/S0140-6736(05)67725-2.
Ervik M, Lam F, Laversanne M et al. Global Cancer Observatory: cancer over time. Lyon, France: international Agency for Research on Cancer. Accessed December 12, 2024. Available at: https://gco.iarc.fr/overtime/en/about
Arbyn M, Weiderpass E, Bruni L et al. Estimates of incidence and mortality of cervical cancer in 2018: a worldwide analysis. Lancet Glob Health. 2020 Feb;8(2):e191-e203. doi: 10.1016/S2214-109X(19)30482-6. Epub 2019 Dec 4. Erratum in: Lancet Glob Health. 2022 Jan;10(1):e41. doi: 10.1016/S2214-109X(21)00554-4.
Siegel RL, Miller KD, Jemal A. Cancer statistics, 2020. CA Cancer J Clin. 2020 Jan;70(1):7-30. doi: 10.3322/caac.21590. Epub 2020 Jan 8.
Islami F, Fedewa SA, Jemal A. Trends in cervical cancer incidence rates by age, race/ethnicity, histological subtype, and stage at diagnosis in the United States. Prev Med. 2019 Jun;123:316-323. doi: 10.1016/j.ypmed.2019.04.010. Epub 2019 Apr 16.
American Cancer Society. Cervical Cancer Early Detection, Diagnosis, and Staging. cancer.org |1.800.227.2345, Last Revised: July 1, 2025, Available at: https://www.cancer.org/content/dam/CRC/PDF/Public/8601.00.pdf
WHO, Launch of the Global Strategy to Accelerate the Elimination of Cervical Cancer, 17 November 2020, https://www.who.int/publications/i/item/9789240014107
WHA/WHO/ Seventy-Third World Health Assembly (WHA), 73.2, Agenda item 11.4, 3 August 2020, Global strategy to accelerate the elimination of cervical cancer as a public health problem and its associated goals and targets for the period 2020-2030.
Bouras A, Guidara S, Leone M et al. Overview of the Genetic Causes of Hereditary Breast and Ovarian Cancer Syndrome in a Large French Patient Cohort. Cancers 15, no. 13, 2023: 3420. https://doi.org/10.3390/cancers15133420
Yordanov A, Vasileva-Slaveva M, Galai N et al. Cancer of the Cervix in Bulgaria: Epidemiology of a Crisis. Healthcare (Basel). 2023 Jan 20;11(3):318. doi: 10.3390/healthcare11030318.
Bray F, Colombet M, Aitken JF et al. editors. Cancer Incidence in Five Continents, Vol. XII. (2024) IARC Scientific Publication No.169. Lyon, France: International Agency for Research on Cancer. Available from: https://publications.iarc.who.int/641. Licence: CC BY-NC-ND 3.0 IGO.
Bulgarian National Cancer Registry. Bulgaria Cancer Incidence 2016-2017. Sofia, Bulgaria: Bulgarian National Cancer Registry, 2020, GHDx Entry last modified on: Oct 13, 2023, Available at: http://www.sbaloncology.bg/bg/bulgarian-cancer-registry.html
WHO, International agency for research on cancer, https://gco.iarc.fr/today/data/factsheets/populations/100-bulgaria-fact-sheets.pdf
Lei J, Ploner A, Elfström KM et al. HPV Vaccination and the Risk of Invasive Cervical Cancer. N Engl J Med. 2020 Oct 1;383(14):1340-1348. doi: 10.1056/NEJMoa1917338.
Национално сдружение за профилактика на рака на шийката на матката, https://hpvbg.com/. // National Association for the Prevention of Cervical Cancer, https://hpvbg.com/
Наръчник оценка на медицинската обстановка, Ислямска Република Афганистан, Медико-географска справка, Рискови фактори за здравето, ВМА. // Medical Situation Assessment Manual, Islamic Republic of Afghanistan, Medical-Geographical Reference, Health Risk Factors, Military Medical Academy.
Thomson BA, Nielsen PE. Women‘s health care in Operation Iraqi Freedom: a survey of camps with echelon I or II facilities, Military medicine Article 2006, doi: 10.7205/MILMED.171.3.216
Farley JH, Alexander A, Zahn C, et al. Far forward gynecologic care of the female soldier. The Journal of Reproductive Medicine. 2006 Jan;51(1):31-35.
Murphy F, Browne D, Mather S et al. Women in the Persian Gulf War: health care implications for active duty troops and veterans. Mil Med. 1997 Oct;162(10):656-60.
Кунчев М, Гергова И, Мекушинов К. Откриване и разпределение на различни типове човешки папиломни вируси (HPV) чрез полимеразно верижна реакция (PCR), сред жени-военнослужещи, за период 2012-2015г. Превантивна медицина, София, 2016, V, 1 (9), 12-15. // Kunchev M, Gergova I, Mekushinov K. Detection and distribution of different types of human papillomaviruses (HPV) by polymerase chain reaction (PCR) among female military personnel for the period 2012 - 2015. Preventive Medicine, Sofia, 2016, V, 1 (9), 12-15.
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