[Incidence rate trends for colorectal cancer in Navarre (North of Spain) in the 1990-2005 period]. / Tendencias en las tasas de incidencia de cáncer colorrectal en Navarra en el periodo 1990-2005.

BACKGROUND: In Spain, an increase in the incidence of colorectal cancer (CRC) has been observed in both sexes in recent years, probably due to an improved diagnostic, the westernization of dietary habits, and worse obesity levels, among others factors. In this work, the CRC incidence rate trends in different health areas in Navarre (northern Spain) are studied during the 1990-2005 period. METHODS: An estimated incidence trend curve for each health area and the corresponding confidence bands were obtained for each gender using P-spline models. RESULTS: These results show an increasing trend of CRC in most of the areas in both sexes, being less pronounced in women than in men. In the central area of Pamplona (the capital) a decreasing trend has been observed for men during the period studied. CONCLUSIONS: Primary prevention is the best strategy to change the increasing trend observed in most areas of the province of Navarre. However, a healthy lifestyle has long-term results, so it is important to have an early detection program that would serve as a short-term prevention strategy.

[Tobacco and health professionals]. / El tabaco y los profesionales de salud: situación actual.

INTRODUCTION: This work reviews current literature on the subject published in Spanish journals that study the attitudes, understanding and behaviour of health professionals concerning tobacco consumption. MATERIAL AND METHODS: 15 papers were selected that had been carried out using surveys similar to the WHO questionnaire for health professionals. RESULTS: A classification was made of the characteristics and results obtained, there has been a significant decline in the number of consumers, with no significant difference between professions. Differences are found by sex and by age, with a greater number of women smoking. This prevalence is higher in hospitals than in primary health care. CONCLUSIONS: A positive evolution in tobacco consumption amongst professionals, with figures that are lower than those for groups of the same age amongst the general population. The need to improve understanding in dealing with individuals who smoke.