Annals of Thoracic Medicine Official publication of the Saudi Thoracic Society, affiliated to King Saud University
 
Search Ahead of print Current Issue Archives Instructions Subscribe e-Alerts Login 
Home Email this article link Print this article Bookmark this page Decrease font size Default font size Increase font size


 
Table of Contents   
LETTER TO THE EDITOR
Year : 2020  |  Volume : 15  |  Issue : 3  |  Page : 180-181
Smoking in users of a cervical cancer screening center of the Mexican government at Mexico City


Department of Surgery, Hospital General Tacuba, ISSSTE, Mexico City, Mexico

Date of Web Publication18-Jun-2020

Correspondence Address:
Dr. Carlos Manuel Ortiz-Mendoza
Department of Surgery, Hospital General Tacuba, ISSSTE, Mexico City
Mexico
Login to access the Email id


DOI: 10.4103/atm.ATM_102_20

Rights and Permissions



How to cite this article:
Ortiz-Mendoza CM. Smoking in users of a cervical cancer screening center of the Mexican government at Mexico City. Ann Thorac Med 2020;15:180-1

How to cite this URL:
Ortiz-Mendoza CM. Smoking in users of a cervical cancer screening center of the Mexican government at Mexico City. Ann Thorac Med [serial online] 2020 [cited 2020 Sep 19];15:180-1. Available from: http://www.thoracicmedicine.org/text.asp?2020/15/3/180/287134




Sir,

Worldwide, there were >18 million new cases of cancer in 2018; lung cancer is one of the most frequent and lethal.[1] Tobacco is carcinogenic and a well-known risk factor for at least 16 different forms of cancer.[2] Uterine cervix carcinoma is also related to smoking.[3]

In Mexico, cervical cancer is still a major cause of death from malignant neoplasms.[4] This cancer has different screening methods; nevertheless, the  Pap smear More Details is widely accepted by the Mexican women.[5] In addition, during the interview for cytology collection, it is systematically asked if there is a smoking habit.

Given the importance of smoking in the development of many cancers, and because its occurrence is unknown in Pap smear users of medical units for workers of the Mexican government, we did this study.

The Pap reports analyzed were those safeguarded in the service of Pathology at the “Hospital General Tacuba” that is a reference center for the diagnosis of Pap smears taken from the ISSSTE units (medical facilities of the Mexican government) in the Western part of Mexico City. This was a retrospective investigation of the Pap reports taken during 2017 in four family medicine clinics and the gynecology service of a general hospital. The study protocol was approved by the institutional research and ethics committees (# 659.2018).

The Pap smears were taken in insured patients (workers, pensioners, or beneficiaries) and in noninsured patients (this is because this is a priority service) in an opportunistic way. In the units where the cervical cytology was taken, identity, demographic data, collection instrument, and smoking history were detailed. Reports with illegible or incomplete data were excluded.

With the information acquired, we assessed whether the frequency of smoking was related to the medical insurance condition (ISSSTE-insured or no-insured) or by age (<50 or ≥50-years-old). Data were analyzed with Pearson's “Chi-square;” for all analyses, the statistic program OpenEpi version 3 (Dean AG, Sullivan KM, Soe MM. OpenEpi: Open Source Epidemiologic Statistics for Public Health, Versión. www. OpenEpi.com. USA) was used. All values of P < 0.05 were considered statistically significant.

From 5645 Pap reports, whole information was obtained from 4643 [Table 1]. In those latter, there was a history of smoking in 807 (17.38%). In no-insured patients (n = 386; average age 35.7 ± 13.4) smoking was reported in 106 (27.46%), and in ISSSTE-insured patients (n = 4257; average age 49.7 ± 12.9) in 701 (16.47%); this difference was statistically significant (P < 0.0000001; odds ratio [OR]: 1.92, 95% confidence interval [CI]: 1.51–2.43). When analyzing the ISSSTE-insured patients (n = 4,257), we identified that in those younger than 50 year-old (n = 1983) 381 (19.21%) smoked. Meanwhile, in patients aged ≥50 year-old (n = 2274) only 320 (14.07%) reported this habit; this difference was also statistically significant (P < 0.000006; OR: 1.45, 95% CI: 1.23–1.70).
Table 1: Patients' characteristics (n=4643)

Click here to view


When comparing all women aged <50 year-old, in the group no-insured (n = 320) 94 (29.38%) smoking was reported. Meantime, in the ISSSTE-insured patients (n = 1983), 381 (19.21%) smoking was informed; this difference was significant again (P < 0.00001; OR: 1.74, 95% CI: 1.33–2.27).

In Mexico, in 2012, 9.9% of adult women reported smoking.[5] Therefore, the general frequency of 17.38% found from this study is higher. Remarkably, in women noninsured younger than 50-year-old, the rate of smoking increased to 29.38%.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Globocan: Cancer Facts Sheets; 2018. Available from: http://gco.iarc.fr/today/fact-sheets-cancers, http://canceratlas.cancer.org/?_ga=1.94994329.465927236.1429465038. [Last accessed on 2019 Nov 12].  Back to cited text no. 1
    
2.
World Health Organization-IARC. IARC monographs on the evaluation of carcinogenic risks to humans; 83. Tobacco Smoke and Involuntary Smoking. Lyon, France: World Health Organization; 2004. Available from: https://publications.iarc.fr/101. [Last accessed on 2019 Nov 12].  Back to cited text no. 2
    
3.
U.S. Department of Health and Human Services. How Tobacco Smoke Causes Disease: The Biology and Behavioral Basis for Smoking-Attributable Disease: A Report of the Surgeon General; 2010. Available from: http://www.ncbi.nlm.nih.gov/books/NBK53017/. [Last accessed on 2019 Nov 12].  Back to cited text no. 3
    
4.
Aldaco-Sarvide F, Pérez-Pérez P, Cervantes-Sánchez G, Torrecillas-Torres L, Erazo-Valle-Solís AA, Cabrera-Galeana P, et al. Mortality from cancer in Mexico: 2015 update. GAMO.2018;17:28-34.  Back to cited text no. 4
    
5.
Gutiérrez JP, Rivera-Dommarco J, Shamah-Levy T, Villalpando-Hernández S, Franco A, Cuevas-Nasu L, et al. National Survey of Health and Nutrition 2012. National Results. Cuernavaca, México: Instituto Nacional de Salud Pública (MX); 2012. Available from: https://ensanut.insp.mx/encuestas/ensanut2012/doctos/informes/ENSANUT2012ResultadosNacionales.pdf. [Last accessed on 2019 Nov 12].  Back to cited text no. 5
    



 
 
    Tables

  [Table 1]



 

Top
Print this article  Email this article
 
  Search
 
  
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Article in PDF (439 KB)
    Citation Manager
    Access Statistics
    Reader Comments
    Email Alert *
    Add to My List *
* Registration required (free)  


    References
    Article Tables

 Article Access Statistics
    Viewed183    
    Printed9    
    Emailed0    
    PDF Downloaded41    
    Comments [Add]    

Recommend this journal