Racial and gender disparities have been shown in other gastrointestinal cancers. However, there is a paucity of data on racial and gender disparities in anal cancer AC. The aim of this study was to assess racial and gender disparities among patients with AC. Demographic data including age, race and gender were assessed. Patients were stratified based on race and gender. Log binomial regression was used to generate risk ratios. A total of 6,, patients were assessed and 1, 0.
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Anal cancer AC is an uncommon form of cancer with a low prevalence of 0. AC accounts for 1. Symptoms for AC include: rectal bleeding, rectal itching, lump or mass at the anal opening, pain or feeling of fullness in the anal area, changes in bowel movements, abnormal discharge from the anus, and swollen lymph nodes in the anal or groin areas 3 , 4. Incidence of AC has risen over the past 25 years with an estimated 8, new cases and about 1, projected deaths due to AC in 5. Cultural changes have introduced risk factors contributing to the increase in AC. These changes include infection with human papilloma virus HPV , suppressed immune system due to human immunodeficiency virus HIV or organ transplants, smoking, genital or anal warts, anoreceptive intercourse, multiple sex partners, and history of cervical, vulvar, or vaginal cancer 6 - 8. Clinical research in AC describes its relationship with income levels and demographic factors, where lower income levels have more severe cases of AC 9 - Interestingly, other research suggests that higher levels of education are associated with increased incidence in AC for males and females Delay in diagnosis is not uncommon as patients and physicians might attribute symptoms to hemorrhoids or other colorectal complications. Early detection of AC is easily treatable, but complications arise as AC progresses
Recruitment to participate in a 6-month study examining microbicide acceptability was conducted at a school-based health clinic and local colleges in Galveston, Texas and through snowball sampling. Girls reported on their demographic and sexual history at the intake interview. Their mean age was African-American girls were significantly less likely than whites and Hispanics to have had oral sex; no differences were found for anal sex.
I work part time from home and am involved in a church fortunately, but I miss my husband. Made many attempts to do things together, but always get excuses of being tired or not interested. After his mission he lost faith on everything for some reasons.