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Social Medicine

Sociomedical and psychological aspects of gastric cancer incidence in working age

Alexandar Nikolov


Despite the recorded in last decades trend of decline in morbidity and mortality from gastric neoplasms, the gastric cancer remains one of the most common causes of death worldwide. Morbidity and mortality are particularly elevated in the active, working age - from 18 to 64 years. Stomach neoplasms have a strong impact on the quality of life of patients, changing their ability to work, social life and attitudes toward family and loved ones. These changed relationships  have also an impact on the social life and status of the patient's relatives.

The aim of the study is to present some of the social and psycho-emotional aspects of the gastric cancer morbidity of people in active and working age.

The results of the conducted studies proved the connection of the morbidity and mortality from oncological diseases and in particular of the neoplasms of the stomach with the sex and age of the patients. Gastric oncological diseases have a significant negative impact on the psyche, ability to work and social life of patients. The high number of patients in working age is a prerequisite for the implementation in many countries of screening programs for early diagnosis, which is also recommended for the Republic of Bulgaria.


cancer morbidity, work capacity, malignant gastric tumors, screening programs, distress

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