Cancer incidence in Ho Chi Minh City, Viet Nam, 1995–1996

Quoc, Nguyen Manh; Hung, Nguyen Chan; Dm, Parkin

doi:10.1002/(sici)1097-0215(19980518)76:4<472::aid-ijc5>3.0.co;2-o

Cited by 34 publications

(12 citation statements)

References 18 publications

(14 reference statements)

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“…9 Because the average time interval between initial infection with HPV and the diagnosis of invasive cervical cancer may exceed 20 years, 10 2,4 in the absence of organized cervical screening efforts, while during the same time interval cervical cancer rates have remained consistently high among women living in southern Vietnam. 3,5 Moderation of the male factor has been suggested as a contributing factor to otherwise unexplained declines in cervical cancer mortality among unscreened female populations during the 20th century. 12 Correspondingly, our findings suggest a relationship between the decline after 1955 in cervical cancer rates among women in northern Vietnam and the withdrawal of foreign expeditionary forces mandated for the whole of Vietnam by the 1954 Geneva Accords, 13 which were not rigorously observed south of the 17th parallel.…”

Section: Resultsmentioning

confidence: 99%

“…4 Cervical cancer remains the most common form of cancer among women in southern Vietnam, with agestandardized incidence rates of 26 in 100,000. 5 It is generally accepted that cervical cancer is caused by persistent infection of uterine cervical epithelium by high-risk subtypes of human papillomavirus (HPV), a sexually acquired pathogen. 6 In Vietnam, regional differences in HPV prevalence correlate closely with regional differences in cervical cancer rates.…”

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Association between war and cervical cancer among Vietnamese women

Huynh

Raab

Suba

2004

Intl Journal of Cancer

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Decades ago, cervical cancer was the leading form of cancer among women in both North Vietnam and South Vietnam. Currently, cervical cancer rates are considerably lower in the northern region of the country. We performed a case-control study to measure factors associated with the development of cervical cancer among Vietnamese women. Questionnaire-based interviews were conducted with 202 women in southern Vietnam and 97 women in northern Vietnam. Case subjects were women hospitalized with cervical cancer. Control subjects were women hospitalized with extrauterine neoplasms. Data were analyzed using logistic regression, and odds ratios for the development of invasive cervical cancer were measured. The development of invasive cervical cancer was significantly associated with military service by husbands during the Second Indochinese War and with parity status. Odds ratio for the development of cervical cancer among southern Vietnamese women whose husbands had served in the armed forces was 2.6 (95% CI ‫؍‬ 1.2-5.5). Odds ratio for the development of cervical cancer among northern women whose husbands had served in the armed forces was 3.9 (95% CI ‫؍‬ 1 Key words: cervical cancer; male factor; Second Indochinese War; VietnamCarcinoma of the uterine cervix is a public health problem of considerable significance in many developing countries. 1 Incidence rates of cervical cancer among women in Vietnam have been reported to display marked temporal and regional variation. Hospital-based tumor registries indicate that, several decades ago, cervical cancer was the most common form of cancer among women living in both northern 2 and southern 3 Vietnam. More recent population-based tumor registry studies indicate that cervical cancer is now the 4th most common form of cancer among women in northern Vietnam, with age-standardized incidence rates of 4.4 in 100,000. 4 Cervical cancer remains the most common form of cancer among women in southern Vietnam, with agestandardized incidence rates of 26 in 100,000. 5 It is generally accepted that cervical cancer is caused by persistent infection of uterine cervical epithelium by high-risk subtypes of human papillomavirus (HPV), a sexually acquired pathogen. 6 In Vietnam, regional differences in HPV prevalence correlate closely with regional differences in cervical cancer rates. 7 We undertook a questionnaire-based case control study to identify additional factors associated with the development of cervical cancer among women in Vietnam. MATERIAL AND METHODSInterviews were conducted between 1 June 1996 and 18 September 1996 at the Ho Chi Minh City Cancer Center in Ho Chi Minh City and at the National Cancer Institute in Hanoi. Women interviewed as case subjects were patients with biopsy-confirmed diagnoses of invasive cervical squamous cell carcinoma who were hospitalized at either cancer center. Case subjects were enrolled consecutively as they entered the cancer centers for treatment and included 41 northern women (40, or 98%, of whom responded to the questionnaire) and 72 southern ...

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Section: Resultsmentioning

confidence: 99%

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confidence: 99%

Association between war and cervical cancer among Vietnamese women

Huynh

Raab

Suba

2004

Intl Journal of Cancer

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“…However, studies based on smaller samples from older registry-based studies have found that incidence ranged from 6.8 cases per 100,000 women in the north of Vietnam [13] to 26 cases per 100,000 women in the south of Vietnam [14]. As estimated, cervical cancer is the main cause of female cancer mortality Ho Chi Minh City and the second main cause in Hanoi [15].…”

Section: Introductionmentioning

confidence: 99%

Cervical cancer treatment costs and cost-effectiveness analysis of human papillomavirus vaccination in Vietnam: a PRIME modeling study

Minh

Jit

2017

BMC Health Serv Res

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BackgroundCervical cancer is currently the leading cause of cancer mortality among women in South Vietnam and the second leading cause of cancer mortality in North Vietnam. Human papillomavirus (HPV) vaccination has the potential to substantially decrease this burden. The World Health Organization (WHO) recommends that a cost-effectiveness analysis of HPV vaccination is conducted before nationwide introduction.MethodsThe Papillomavirus Rapid Interface for Modeling and Economics (PRIME) model was used to evaluate the cost-effectiveness of HPV vaccine introduction. A costing study based on expert panel discussions, interviews and hospital case note reviews was conducted to explore the cost of cervical cancer care.ResultsThe cost of cervical cancer treatment ranged from US$368 – 11400 depending on the type of hospital and treatment involved. Under Gavi-negotiated prices of US$4.55, HPV vaccination is likely to be very cost-effective with an incremental cost per disability-adjusted life year (DALY) averted in the range US$780 - 1120. However, under list prices for Cervarix and Gardasil in Vietnam, the incremental cost per DALY averted for HPV vaccination can exceed US$8000.ConclusionHPV vaccine introduction appears to be economically attractive only if Vietnam is able to procure the vaccine at Gavi prices. This highlights the importance of initiating a nationwide vaccination programme while such prices are still available.

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“…The significant differences in cancer incidence and mortality rates between the south and north of Viet Nam have been well addressed. [7][8][9][10][11][12] This fact may also relate to the findings of Le et al 3 because cancer incidence data among the Vietnamese migrant population (south) were compared to those of Hanoi City (north).…”

Section: Geographic Variation Of Cancer Incidence and Mortality Ratesmentioning

confidence: 99%

A nonrandom migrant population: Comparison of cancer incidence rates between it and the country of origin

Yoshimura

2003

Intl Journal of Cancer

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Cancer incidence in Ho Chi Minh City, Viet Nam, 1995–1996

Cited by 34 publications

References 18 publications

Association between war and cervical cancer among Vietnamese women

Association between war and cervical cancer among Vietnamese women

Cervical cancer treatment costs and cost-effectiveness analysis of human papillomavirus vaccination in Vietnam: a PRIME modeling study

A nonrandom migrant population: Comparison of cancer incidence rates between it and the country of origin

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