AimTo provide an overview of the lung cancer incidence trends in the City of Zagreb (Zagreb), Split-Dalmatia County (SDC), and Croatia in the period from 2001 to 2013.MethodIncidence data were obtained from the Croatian National Cancer Registry. For calculating incidence rates per 100 000 population, we used population estimates for the period 2001-2013 from the Croatian Bureau of Statistics. Age-standardized rates of lung cancer incidence were calculated by the direct standardization method using the European Standard Population. To describe incidence trends, we used joinpoint regression analysis.ResultsJoinpoint analysis showed a statistically significant decrease in lung cancer incidence in men in all regions, with an annual percentage change (APC) of -2.2% for Croatia, 1.9% for Zagreb, and -2.0% for SDC. In women, joinpoint analysis showed a statistically significant increase in the incidence for Croatia, with APC of 1.4%, a statistically significant increase of 1.0% for Zagreb, and no significant change in trend for SDC. In both genders, joinpoint analysis showed a significant decrease in age-standardized incidence rates of lung cancer, with APC of -1.3% for Croatia, -1.1% for Zagreb, and -1.6% for SDC.ConclusionThere was an increase in female lung cancer incidence rate and a decrease in male lung cancer incidence rate in Croatia in 2001-20013 period, with similar patterns observed in all the investigated regions. These results highlight the importance of smoking prevention and cessation policies, especially among women and young people.
Background Inappropriate habits and behaviour patterns are risk factors for most chronic non-communicable diseases. Prevention and education are one of the continuous tasks of public health professionals. Primary preventive care requires an active approach from the health professionals. Methods This program includes preventive examination and certain laboratory tests persons older than 55 who did not visit their family doctor at least two years. 721 persons were examined and interviewed from 2014 to 2018. The paper shows analytic results expressed in percentages of the prevalence and 95% confidence interval (CI). Results A total of 721 patients were included. Sex ratio male:female was 0.47. The age (mean) was 61.4 years [standard deviation (SD) = 9.1]. Up to three alcoholic drinks per week consumed 22.1% respondents (37.1% male and 11.9% female). There were 24.1% smokers and 14.6% former smokers. Overweight (BMI 25-30) were 44.4% male and 36.3% female. Obese (BMI>30) were 27.6% male and 30.3% female. Digitorectal examination was performed in 582 persons and detected pathological phenomena in 10.3% female and 19.4% male. Hypertension was found in 14.9% male and 18.2% female. Isolated systolic hypertension was found in 19.8% male and 16.7% female, and isolated diastolic hypertension in 3.9% male and 3.5% female. Suspicion on one or more newly diagnosed disease was placed in 55.9% (95% CI 52.3-59.5) respondents. In total, there was a suspicion of 696 newly diagnosed diseases. Newly diagnosed diseases were disorders of lipoprotein metabolism (n = 156, 21.6%), followed by hypertension (n = 69, 9.6%), obesity (n = 52, 7.2%) and independent of insulin diabetes (n = 51, 7,1%). 53 persons [7,4% (95% CI 5,4-9,3)] had suspected neoplasm and they were immediately referred for further diagnostic evaluation. Conclusions The public health significance of such programs with active approach and detecting malignant state as early as possible is extremely important. Key messages Primary preventive care requires an active approach from the health professionals. Detecting chronic non-communicable diseases in earlier phase is important and confirms the public health significance of prevention programs.
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