Japanese attitudes to cancer: part 1 of 2

What is your impression of cancer? graph of japanese statistics[part 1][part 2]

The Cabinet Office Japan recently published the results of a survey they performed into cancer issues.

Demographics

Between the 13th and 23th of September 2007 3,000 adults selected at random from the whole Japanese population were visited for the purpose of face-to-face interviews. 1,767 people, or 58.9% were available and consented to be interviewed. 53.6% were female, 9.4% were in their twenties, 16.6% in their thirties, 15.1% in their forties, 19.9% in their fifties, 21.6% in their sixties, and 17.3% aged seventy or older. Furthermore, 74.3% had either themselves had cancer or had had family, relations or close colleagues who had experienced cancer.

Once again there is a complete failure to mention the cancer that in 2020 will become the second most common cancer in Japan for men, namely prostate cancer, according to official projections of incidence of cancer amongst the general population. Breast cancer is much more sexy, as it were, for television, as even women would agree they’d much prefer to watch a mammary gland self-examination than a prostate one…

In Q2, I was suprised by the high percentage of people not eating burnt food - I thought the risks from this were rather minimal, but I suppose rather safe than sorry. I don’t really know what the mold one is though.

Research results

Q1: What is your impression of cancer? (Sample size=1,767)

Not scary 14.3%
Not really scary 9.7%
Can’t say either way 10.5%
A little scary 18.4%
Scary 46.7%
Don’t know 0.5%

Q2: What are you doing in your daily life to prevent cancer? (Sample size=1,767, multiple answer)

Don’t smoke, giving up smoking 41.4%
Try to eat balanced meals 38.8%
Don’t eat burnt bits 38.4%
Watch out for mold 34.5%
Reduce salt intake 31.4%
Get regular cancer screening 29.7%
Drink moderately 29.3%
Take some exercise 28.1%
Keep body clean 27.4%
Avoid eating fat 26.5%
Don’t overeat 24.4%
Eat food with enough vitamins and lots of fibre 24.1%
Try not to get too much sun 18.1%
Try to vary menu every day 16.2%
Let food cool before eating 13.1%
Other 1.6%
Nothing in particular 16.5%

The survey question did say “prevent”, although the activities would be more correctly described as reducing one’s risk factors for contracting cancer.

Q3: From where do you get general information about causes and prevention of cancer? (Sample size=1,767, multiple answer)

Television, radio programs 70.5%
Newspapers 48.0%
Friends 31.6%
Posters, pamphlets 25.6%
Magazines 20.1%
Internet 10.5%
Books 8.5%
Other 2.0%
Nowhere in particular 4.8%
Don’t know 0.1%

Q4: The National Cancer Centre provides not just information on causes and prevention of cancer but also information on hospitals and explanations of treatment methods, etc, and a Cancer Information Service site on the internet. Did you know about this? (Sample size=1,767, multiple answer)

Have made use of the information 2.7%
Haven’t used them, but know about it 17.4%
Don’t know about it 78.9%
Don’t know 1.0%

Q5: Do you think that cancer screening is important because it can detect early cancer signs, and allow early treatment? (Sample size=1,767)

Think so 81.9%
Perhaps think so 12.8%
Not sure either way 2.7%
Perhaps don’t think so 1.2%
Don’t think so at all 0.9%
Don’t know 0.5%

Q6A: Have you had stomach cancer screening? (Sample size=1,767)

Within the last year 29.5%
Within the last two years 7.9%
More than two years ago 15.9%
Never 46.2%
Don’t know 0.4%

Q6B: Have you had lung cancer screening? (Sample size=1,767)

Within the last year 34.7%
Within the last two years 4.5%
More than two years ago 8.0%
Never 52.0%
Don’t know 0.8%

Q6C: Have you had colon cancer screening? (including stool tests) (Sample size=1,767)

Within the last year 27.1%
Within the last two years 5.3%
More than two years ago 12.0%
Never 54.7%
Don’t know 0.9%

Q6D: Have you had uterus cancer screening? (Sample size=947, women only)

Within the last year 29.1%
Within the last two years 9.8%
More than two years ago 22.4%
Never 37.9%
Don’t know 0.7%

Q6E: Have you had breast cancer screening? (Sample size=947, women only)

Within the last year 23.7%
Within the last two years 8.8%
More than two years ago 16.3%
Never 50.2%
Don’t know 1.2%

Q6F: Have you had other cancer screening? (Sample size=1,767)

Within the last year 9.1%
Within the last two years 1.4%
More than two years ago 3.7%
Never 78.7%
Don’t know 7.2%

Q6SQ1: Regarding these cancer screenings, what was the main occasions for taking up the examinations? (Sample size=1,253, those having had cancer screenings within the last two years, multiple answer)

Local government mass screening 28.7%
Local government individual screening 14.1%
Workplace mass screening 27.8%
Workplace individual screening 12.4%
Recommendation by doctor 25.2%
Chose to attending “Human Dock” screening at local hospital 13.6%
Other 3.8%
Don’t know 0.8%

Q6SQ2: Why have you not gone for cancer screening recently? (Sample size=1,584, those not having had cancer screening within the last two years, multiple answer)

Just haven’t got round to it 28.8%
Have confidence in my health, so didn’t feel it was necessary 17.3%
If I have a worry I can go to the doctor any time 16.9%
Didn’t have time 15.9%
Bothersome to get examination 15.4%
Not at the age where it’s needed 11.6%
Don’t feel it’s necessary to go every year 10.3%
Couldn’t afford it 7.6%
Don’t want to take because worried about the results 5.2%
Worried about the examination being painful, etc 4.6%
Didn’t know about screening 4.5%
Too far to go 1.3%
Other 5.5%
No particular reason 7.7%

[part 1][part 2]

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  • 4 Comments »

    1. Janne said,

      November 16, 2007 @ 10:33

      In all fairness, blind screening for prostate cancer isn’t effective today (it’s too unreliable), while mammography is pretty efficient. And unlike breast cancer, prostate cancer often has a slow progression and hits older men. Combine that with the relatively low effectiveness and serious side effects of treatment, and frequently a perfectly reasonable treatment alternative is to do nothing. Chances are you’ll die of other age-related causes long before the cancer gets you. So screening the general population today just doesn’t make a lot of sense.

    2. Ken Y-N said,

      November 16, 2007 @ 21:52

      Janne, thanks for the information! However, a quick Google gave me this:

      http://www.sciencedaily.com/releases/2005/07/050708054659.htm

      In North America, prostate cancer is the most frequently diagnosed cancer in men and the second leading cause of death by cancer in men, often as a result of the cancer spreading or metastasizing to other parts of the body.

      Talking about screening effectiveness, the chest X-ray is pretty pointless, so I hear, as once lung cancer shows up in X-rays you’re pretty much a goner, and if it’s for TB, there are simpler blood tests that detect susceptibility and other countries only use X-rays if you’re already exhibiting typical symptoms.

    3. MF said,

      November 18, 2007 @ 00:26

      I’ve heard that in Japan, if someone is diagnosed with cancer, it is common for the doctor not to tell them, and from family members to keep it from them. Is this really true, and how much of the public agrees with this? Has anyone done a survey on this?

    4. MF said,

      November 18, 2007 @ 00:26

      I’ve heard that in Japan, if someone is diagnosed with inoperable cancer, it is common for the doctor not to tell them, and from family members to keep it from them. Is this really true, and how much of the public agrees with this? Has anyone done a survey on this?

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