Review of the Cervical Cancer Disease Burden in Mainland China

Li, Jing;Kang, Le-Ni;Qiao, You-Lin

  • Published : 20110500

Abstract

Human papillomavirus (HPV) infection is a common sexually transmitted infection (STI) worldwide. HPV may cause several reproductive tract diseases and cervical cancer is the most serious health problem due to persistent high risk HPV infection. Although cervical cancer showed a declining trend over the past three decades in China, it remains a major health problem in Chinese women especially women living in rural China. The disease burden is believed to be underestimated given the relatively high HPV prevalence shown in recent studies. To date, prophylactic vaccination as a primary prevention of cervical cancer are available in many countries and regions of the world; yet, they are not yet accessible in mainland China. Before introduction of HPV vaccines, screening remains the predominant method of prevention. Selected population based screening sites are available in every province of China, yet, an organized screening program operating nationwide still does not exist. A better understanding of the disease burden is likely to help develop a comprehensive intervention policy for future management of cervical cancer in China. It is important to review the disease burden of cervical cancer and the current status of cervical cancer screening in mainland China.

Keywords

References

  1. Chen J. G, Zhang Y. H, Zhu J , et al (2004). Analysis on incidence for cervical cancer in Qidong during 1972 - 2000]. Zhonghua Fu Chan Ke Za Zhi, 39, 505-7.
  2. Curado M. P, Edwards B, Shin H. R, et al (2007). Cancer incidence in five continents, Vol. IX, Lyon: International Agency for Research on Cancer.
  3. Editorial (2009). Women's health in rural China. Lancet, 374, 358.
  4. Ministry of Health of the People's Republic of China (2003- 2008). China's Health Statistics Yearbook]. Peking Union Medical College Press, Beijing.
  5. Ministry of Health of the People's Republic of China (2008). Third national retrospect spot-check of death-causation. Peking Union Medical College Press, Beijing.
  6. National Office for Cancer Prevention and Control (1980) [Investigation of China cancer mortality (1973-1975)]. People's Medical Publishing House, Beijing.
  7. National Office for Cancer Prevention and Control (2008) [Investigation of China cancer mortality (1990-1992)]. People's Medical Publishing House, Beijing.
  8. National Office for Cancer Prevention and Control, National Center for Cancer Registries & Disease Prevention and Control Bureau (2007). Cancer incidence and mortality in selected cities and counties in China, 1998-2002 Volume III]. People's Medical Publishing House, Beijing.
  9. National Office for Cancer Prevention and Control, National Central Cancer Registries, Disease Prevention and Control Bureau & Ministry of Health (2008) China Cancer Registration Annual Report 2004. Peking Union Medical College Press, Beijing.
  10. National Office for Cancer Prevention and Control, National Central Cancer Registry, Disease Prevention and Control Bureau & Ministry of Health (2009) Chinese Cancer Registry Annual Report 2008. Military Medical Science Press, Beijing.
  11. Parkin DM, Bray F, Ferlay J, et al (2005). Global cancer statistics, 2002. CA Cancer J Clin, 55, 74-108. https://doi.org/10.3322/canjclin.55.2.74
  12. Shi JF, Qiao YL, Smith JS, et al (2008). Epidemiology and prevention of human papillomavirus and cervical cancer in China and Mongolia. Vaccine, 26, M53-9. https://doi.org/10.1016/j.vaccine.2008.05.009
  13. Wen C (2005). China's plans to curb cervical cancer. Lancet Oncol, 6, 139-41. https://doi.org/10.1016/S1470-2045(05)01761-4
  14. World Health Organization (2007). WHO Guide for Effective Programmes: Cancer Control Planning. World Health Organization, Geneva.
  15. Yang L, Huangpu XM, Zhan SW, et al (2003). Changes of mortality rate for cervical cancer during 1970's and 1990's periods in China]. Zhongguo Yi Xue Ke Xue Yuan Xue Bao, 25, 386-90.
  16. Yang L, Li LD, Chen YD, et al (2006). Time trends, estimates and projects for breast cancer incidence and mortality in China]. Zhonghua Zhong Liu Za Zhi, 28, 438-40.
  17. Zhao FH, Hu SY, Zhang SW, et al (2010). Cervical cancer mortality in 2004 - 2005 and changes during last 30 years in China. Zhonghua Yu Fang Yi Xue Za Zhi, 44, 408-12.
  18. Zhu J, Chen JG, Zhang YH (2006). An analysis of cancer incidence from 2001 to 2005 in Qidong, Jiangsu. China Cancer, 15, 646-9.
  19. Zhu X Y, Qiu J, Lai XJ (2004). An analysis of in-patients cancer type distribution in a period of 10 years in Xinjiang cancer hospital. China Cancer, 13, 712-4.