Journal of Women's Health Research & Reviews

Abstract: The remaining lifetime risk of colorectal cancer (CRC) for both males and females was estimated according to an individual’s current age and screening history using a recently developed probability-based method and data from the annual screening cohort of the Minnesota Colon Cancer Control Study (MCCCS). The remaining lifetime risk is determined by three key parameters: the screening sensitivity, the transition probability density from the disease-free state to the preclinical state, and the sojourn time in the preclinical state. These parameters were estimated from the MCCCS data and subsequently incorporated into the probability model to calculate the remaining lifetime risk of CRC. The results show that, before age 44, males have a higher remaining lifetime risk of CRC than females of the same age. However, this pattern reverses after age 45, with females exhibiting a higher remaining lifetime risk. Overall, the remaining lifetime risk declines gradually with increasing age in both genders. The clinical incidence of CRC reaches its peak at age 74 in males and age 80 in females.

Abstract: Adolescent pregnancy constitutes a public health problem in Cuba, with significant biological, psychological, and social repercussions. Despite advances in the Cuban healthcare system, fertility rates in this age group have remained stable or have increased in certain regions, reflecting deficiencies in comprehensive sexual education and access to contraceptive methods. This phenomenon disproportionately affects vulnerable sectors, perpetuating cycles of poverty and limiting young women’s educational and occupational development. Consequences include increased risk of abortion, obstetric complications such as preterm delivery and low birth weight, as well as mother-child bonding disorders. Furthermore, it is associated with school dropout, family instability, and overburdening of the healthcare system. Evidence suggests that the lack of effective sexual education programs, together with cultural and economic factors, contribute to the persistence of the problem. A multisectoral approach is required, involving the family, the school, and health services, with emphasis on prevention and psychosocial support. This article reviews the magnitude and social effects of adolescent pregnancy in Cuba, proposing lines of action based on available evidence.