Trends in the incidence of endometrial cancer among young women in the United States, 2001 to 2017.

2021 ◽  
Vol 39 (15_suppl) ◽  
pp. 5578-5578
Author(s):  
Fangjian Guo ◽  
Lyuba Levine ◽  
Abbey Berenson

5578 Background: Endometrial cancer at this time is predominantly being looked at as a disease of postmenopausal population. Increased obesity has been identified as an important risk factor for endometrial cancer. An overall increase incidence of endometrial hyperplasia and endometrial carcinoma in obese premenopausal women has been reported. A close examination of the relationship between trends in endometrial cancer incidence and obesity prevalence in young women will provide important information for prevention and early screening of the disease and its precursors. This study was to assess current trends in endometrial cancer incidence in women ages 20-29 and 30-39 years in relationship to obesity in the US. Methods: We used data on US adult women 20-39 years old from the National Program for Cancer Registries and Surveillance, Epidemiology, and End Results Incidence–U.S. Cancer Statistics 2001–2017 database. This database covered essentially all young female population between 2001 and 2017 in the US (Puerto Rico not included). Incidence was age adjusted to the 2020 U.S. standard population. We also examined the trends in obesity prevalence among females 18-34 years old using data from the National Health and Nutrition Examination Survey (NHANES) III and NHANES 1999-2014. Results: There were 24,446 cases of endometrial cancer among young adult women aged 20-39 years during 2001-2017. Endometrial cancer incidence increased from 0.6 per 100,000 in 2001 to 1.2 per 100,000 in 2017 (APC 3.6, 95% CI 2.9-4.4) among young women 20-29 years old, and increased from 4.6 per 100,000 in 2001 to 7.5 per 100,000 in 2017 (APC 3.0, 95% CI 2.7-3.3) among women 30-39 years old. Obesity prevalence also increased significantly from 1988-2014 among females 18-34 years old. Incidence of endometrial cancer and obesity prevalence were both higher in Hispanics than in other racial/ethnic groups. Conclusions: The significant increasing incidence in endometrial cancer among young adult women is in accordance with the concurrent increasing prevalence in obesity in young girls and women in the US. This indicates that endometrial cancer screening might need to be considered at much earlier age among patients with abnormal bleeding and certain ethnic populations.

1975 ◽  
Vol 74 (2) ◽  
pp. 283-287 ◽  
Author(s):  
P. P. Mortimer ◽  
P. Cunningham

SUMMARYA total of 292 children's sera and 706 antenatal sera from different parts of England were tested for the presence of poliovirus neutralizing antibodies. Little variation was found between different areas and types of community, but a lower proportion of the 5–14 year old children had antibody than younger children and young adult women. The proportion of the young population with antibody, and the current acceptance rates for oral poliovirus vaccine are barely satisfactory.


2019 ◽  
Vol 7 (1) ◽  
pp. 41
Author(s):  
Aeshah Hamdan Almutairi ◽  
Shamsul Bahri Bin Md Tamrin ◽  
Rahmita Wirza ◽  
Norliza Binti Ahmad

Introduction: Breast cancer is considered the primary cancer to affect women according to the global context. Due to its crucial escalation, it has become vital to inform the general population regarding breast cancer symptoms, risk factors and earlier detection methods. The main aim of the present study is to conduct a systematic review of breast cancer and the risk factors affecting young adult women. Methods: A systematic literature review was carried out to garner global studies on breast cancer risk factors as well as to understand the degree to which breast cancer and its associated risk factors are understood. The primary study included the exploration of databases and journal websites, PubMed, Google Scholar and Medline. The articles studied for the review was focused on the printed original English articles from the year 2008 to December, 2017. This review highlights the necessity for further studies regarding knowledge of breast cancer and its risk factors among young adult women are understood. Conclusion: Knowledge about breast cancer and its risk factors among young women was inadequate. Furthermore, cultural sensitivities should be adjusted to ensure optimal awareness among the public, in particular teenagers and young adult women. Intensive educational campaigns should be planned to increase breast cancer awareness in order to minimize the observed deficit of knowledge. The role of prevention and procedures to screen breast examinations in clinics as well as mammography should all be highlighted in order to achieve these goals and obtain the required data.


Social Forces ◽  
2018 ◽  
Vol 98 (2) ◽  
pp. 885-914 ◽  
Author(s):  
Adam M Lippert ◽  
Sarah Damaske

AbstractThe transition to adulthood is increasingly characterized by complex paths into the world of work and family, especially for young women. Yet how work and family combine to influence stress among young adult women is not well understood. Using data from the National Longitudinal Study of Adolescent to Adult Health, we leverage new extensions to latent class analysis (LCA) to identify common combinations of work and family circumstances among young adult women, their earlier life and contemporaneous correlates, and associations with two stress measures: a multi-item Perceived Stress Scale (PSS) and Epstein–Barr Viral (EBV) antibody titers, a well-validated biomarker of stress-related immunity impairments. We identify seven different common combinations of latent work–family combinations among young adult women ranging from well-compensated professional workers with and without children, mothers without paid employment, and delayed transitions to work and family. Completing a college degree was associated with a higher likelihood of membership in classes marked by professional work irrespective of motherhood, while being raised in a community with greater female labor opportunities was generally associated with membership in child-free classes. Mothers and child-free women in “pink-collar” work with low wages and decision-marking freedom reported higher stress compared to women in “white-collar” work with higher wages and decision-making freedom. These differences are mostly attenuated following adjustments for poverty-related stressors and work–family conflict. While prior work has emphasized the health benefits for women of combining work and family, our research suggests these benefits may be limited to women of higher socioeconomic status with flexible, well-compensated jobs.


Author(s):  
Vincenzo Restivo ◽  
Claudio Costantino ◽  
Tiziana Francesca Fazio ◽  
Nicolò Casuccio ◽  
Claudio D'Angelo ◽  
...  

In Italy HPV vaccination was implemented for girls since 2007 but its coverage was lower than recommended level. Sicily is one of the Italian administrative regions with lower vaccination coverage, ranging in the birth cohorts 1996–1999 from 59% to 62%. Aim of the study was to investigate factors associated with refusal of anti-HPV vaccination among young adult women of Palermo, Italy. A cross-sectional study was conducted through the administration of a telephone questionnaire, consisting of 23 items on HPV infection and vaccination knowledge based on Health Belief Model framework. The eligible population were young women with at least a previous vaccination among all included in Sicilian Vaccination schedule, without starting or completing anti-HPV vaccination schedule. Overall, 141 young women were enrolled, of them 84.4% were unvaccinated and 15.6% had at least one dose of HPV vaccine. In multivariate analysis, factors associated with the failure to perform the HPV vaccination were degree as school level (OR = 10.2, p = 0.041), lower participation at school seminar on HPV (OR = 0.2, p = 0.047) and lower perception of anti-HPV vaccine benefits (OR = 0.4, p = 0.048). Public health educational program focusing and tailored on benefits perception of anti-HPV vaccine and HPV disease severity, especially if carried out at school, can improve HPV vaccination uptake.


Circulation ◽  
2018 ◽  
Vol 137 (suppl_1) ◽  
Author(s):  
Holly C Gooding ◽  
Courtney Brown ◽  
Caterina Stamoulis ◽  
Anna C Revette ◽  
Sarah D DeFerranti

Introduction: The American Heart Association (AHA) Go Red for Women campaign has substantially improved awareness of heart disease among adult women over the past fifteen years, as demonstrated by triennial surveys of women ages 25 years and older. Little is known about awareness among younger women, who represent a key time in the life course for primordial prevention. We hypothesized that adolescent and young adult women 15 to 24 years of age would have lower rates of heart disease awareness than women 25 years of age and older. Methods: We assessed awareness of heart disease and prevention efforts among young women ages 15-24 years using the AHA National Women’s Health Study survey. Participants were a random convenience sample of 103 women recruited from the waiting rooms of two clinical practices (one community health center and one academic medical center). We performed statistical comparisons of this cohort to responses from the 2012 AHA National Women’s Health Study survey of 168 women ages 25-34 years using the chi-square test (binary responses). Results: Only 13 (13%) adolescent and young adult women correctly identified heart disease as the leading cause of death in women. This was significantly lower than the rate of awareness of adult women overall in 2012 (56% of 2432) and of women ages 25-34 years (44% of 168) (p<0.001 for both comparisons). Almost half of the young women surveyed in the current study [(n= 44 (43%)] said they were not at all informed about heart disease. While physicians emerged as the preferred source of information about heart disease among participants, the majority [n=64 (62%)] had never spoken to a health care professional about their risk of heart disease. Most young women surveyed worried little [n = 44 (43%)] or not at all [n = 40 (39%)] about heart disease; mood disorders were the most common concern in this age group, followed by sexual health issues. Despite a lack of general awareness about heart disease, many young women did report engaging in activities known to reduce the risk of heart disease, including getting regular exercise [n = 81 (79%)], maintaining healthy blood pressure [n = 76 (74%)], reducing sugar intake [n = 48 (47%)], and losing weight [n = 48 (47%)]. A significantly higher proportion of women ages 15-24 years aimed to maintain a healthy blood pressure and get regular exercise compared to those ages 24-34 (p<0.02), whereas a similar proportion aimed to lose weight and reduce sugar intake (p>0.7). Conclusions: Adolescent and young adult women are largely unaware of heart disease as the leading cause of death in women. As the antecedents of heart disease begin in childhood and adolescence, these findings demonstrate a major unmet need. Given most young women are not worried about heart disease at this life stage, campaigns to promote heart healthy behaviors should underscore the benefits of these prevention behaviors to mood and emotional health.


2011 ◽  
Vol 23 (4) ◽  
pp. 367-381 ◽  
Author(s):  
Katherine Andrinopoulos ◽  
Gretchen Clum ◽  
Debra A. Murphy ◽  
Gary Harper ◽  
Lori Perez ◽  
...  

2018 ◽  
Vol 4 (3) ◽  
pp. 205630511879076 ◽  
Author(s):  
Daniel K. Cortese ◽  
Glen Szczypka ◽  
Sherry Emery ◽  
Shuai Wang ◽  
Elizabeth Hair ◽  
...  

Our research provides social scientists with areas of inquiry in tobacco-related health disparities in young adult women and opportunities for intervention, as Instagram may be a powerful tool for the public health surveillance of smoking behavior and social norms among young women. Social media has fundamentally changed how to engage with health-related information. Researchers increasingly turn to social media platforms for public health surveillance. Instagram currently is one of the fastest growing social networks with over 53% of young adults (aged 18-29) using the platform and young adult women comprise a significant user base. We conducted a content analysis of a sample of smoking imagery drawn from Instagram’s public Application Programming Interface (API). From August 2014 to July 2015, 18 popular tobacco- and e-cigarette-related text tags were used to collect 2.3 million image posts. Trained undergraduate coders (aged 21-29) coded 8,000 images ( r = .91) by type of artifact, branding, number of persons, gender, age, ethnicity, and the presence of smoke. Approximately 71.5% of images were tobacco-relevant and informed our research. Images of cigarettes were the most popular (49%), followed by e-cigarettes (32.1%). “Selfies while smoking” was the dominant form of portrait expression, with 61.4% of images containing only one person, and of those, 65.7% contained images of women. The most common selfie was women engaged in “smoke play” (62.4%) that the viewer could interpret as “cool.” These “cool” images may counteract public health efforts to denormalize smoking, and young women are bearing the brunt of this under-the-radar tobacco advertising. Social media further normalizes tobacco use because positive images and brand messaging are easily seen and shared, and also operates as unpaid advertising on image-based platforms like Instagram. These findings portend a dangerous trend for young women in the absence of effective public health intervention strategies.


1997 ◽  
Vol 82 (1) ◽  
pp. 156-163 ◽  
Author(s):  
D. A. Smith ◽  
J. Dollman ◽  
R. T. Withers ◽  
M. Brinkman ◽  
J. P. Keeves ◽  
...  

Smith, D. A., J. Dollman, R. T. Withers, M. Brinkman, J. P. Keeves, and D. G. Clark. Relationship between maximum aerobic power and resting metabolic rate in young adult women. J. Appl. Physiol. 82(1): 156–163, 1997.—The literature is inconclusive as to the chronic effect of aerobic exercise on resting metabolic rate (RMR), and furthermore there is a scarcity of data on young women. Thirty-four young women exhibiting a wide range of aerobic fitness [maximum aerobic power (V˙o 2 max) = 32.3–64.8 ml ⋅ kg−1 ⋅ min−1] were accordingly measured for RMR by the Douglas bag method, treadmillV˙o 2 max, and fat-free mass (FFM) by using Siri’s three-compartment model. The interclass correlation ( n = 34) between RMR (kJ/h) and V˙o 2 max(ml ⋅ kg−1 ⋅ min−1) was significant ( r = 0.39, P < 0.05). However, this relationship lost statistical significance when RMR was indexed to FFM and when partial correlation analysis was used to control for FFM differences. Furthermore, multiple linear-regression analysis indicated that only FFM emerged as a significant predictor of RMR (kJ/h). When high- ( n = 12) and low-fitness ( n = 12) groups were extracted from the cohort on the basis ofV˙o 2 max scores, independent t-tests revealed significant between-group differences ( P < 0.05) for RMR (kJ ⋅ kg−1 ⋅ h−1) andV˙o 2 max(ml ⋅ kg−1 ⋅ min−1) but not for RMR (kJ/h), RMR (kJ ⋅ kg FFM−1 ⋅ h−1), and FFM. Analysis of covariance of RMR (kJ/h) with FFM as the covariate also showed no significant difference ( P = 0.56) between high- and low-fitness groups. Thus the results suggest that 1) FFM accounts for most of the differences in RMR between subjects of varyingV˙o 2 max values and 2) the RMR per unit of FFM in young healthy women is unrelated toV˙o 2 max.


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