scholarly journals Magnitude and associated factors of VIA positive test results for cervical cancer screening among refugee women aged 25–49 years in North Ethiopia

BMC Cancer ◽  
2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Gebretsadik Hailemariam ◽  
Hailay Gebreyesus ◽  
Tewolde Wubayehu ◽  
Tsgehana Gebregyorgis ◽  
Kidanemariam Gebrecherkos ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Associated Factors ◽  
Previous History ◽  
Test Results ◽  
Cervical Lesions ◽  
Sexually Transmitted ◽  
Refugee Women ◽  
History Of ◽  
Precancerous Cervical Lesions

Abstract Background Worldwide cervical cancer is the third most common malignancy in women. It usually arises from the cervical area which is susceptible to Human Papilloma virus induced malignancy changes. In low-resource setting visual inspection with acetic acid (VIA) is an alternative sensitive cervical screening method. Therefore the aim of this study was to assess the magnitude and associated factors of VIA positive test results for Cervical Cancer screening among Eritrean refugee women aged 25–49 years in northern Ethiopia refugee camps. Methods A community based cross-sectional study was conducted among 412 Eritrean refugee women aged 25–49 years from august 10 to September 25, 2018. Study subjects were selected by simple random sampling method. Data were collected using pretested structured questioner through Face-to-face interview and cervical examination. Data were coded and entered to Epi info software version 7 and then exported to Statistical package for Social Science (SPSS) version 21 for analysis. Bivariable and multivariable logistic regression analysis was made to test the association between the independent variables and the outcome variable. P-value of less than 0.05 with 95% CI was considered to declare statistical significance. Result In this study the magnitude of VIA positive precancerous cervical lesions was 9% (95% CI: 6.3–11.8%). Previous history of sexually transmitted infections (STI) [AOR (95%CI) = 2.84(1.07–7.53)] and presence of STI during cervical examination [AOR (95%CI) =3.97(1.75–9.00)] were found significantly associated with VIA positive precancerous cervical lesions. Conclusions In this study the magnitude of VIA positive precancerous cervical lesions was high. Previous history of sexually transmitted infections (STI) and presence of STI during cervical examination were found associated with VIA positive precancerous cervical lesions. Efforts such as early screening for sexually transmitted disease shall be done to prevent precancerous cervical lesions.

Urine test for HPV genotypes as a predictor of precancerous cervical lesions and for cervical cancer screening

2018 ◽  
Vol 141 (3) ◽  
pp. 332-336 ◽  
Author(s):  
Ahmed M. Maged ◽  
Hany Saad ◽  
Emad Salah ◽  
Hadeer Meshaal ◽  
Mostafa AbdElbar ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Urine Test ◽  
Cervical Lesions ◽  
Hpv Genotypes ◽  
Precancerous Cervical Lesions

scholarly journals Determinants of precancerous cervical lesion among women screened for cervical cancer in south Ethiopia: A case-control study

2019 ◽  
Author(s):  
Tesfalidet Tekelab Beyene ◽  
Mohammed Akibu ◽  
Henok Bekele ◽  
Wengelawit Seyoum
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Sexual Behaviour ◽  
Case Control Study ◽  
Case Control ◽  
Sexual Partners ◽  
Cervical Lesions ◽  
Precancerous Cervical Lesions ◽  
Control Study

Abstract Background Nearly 90% of deaths from cervical cancer occurred in low resource setting. In Ethiopia the magnitude of cervical cancer was 17%. Precancerous cervical lesions may progress to cervical cancer. Early screening and treatment of precancerous cervical lesions is a cost effective way to avert the growth of cervical cancer. However, there is a limited research on risk factors of precancerous cervical lesions in Ethiopia. Therefore the aim of this study was to identify determinants of precancerous cervical lesions in south Ethiopia.Method A facility based case-control study was carried out in five health facilities in south Ethiopia between 8 May to 28 September 2018. Interviewer administered questionnaires were used to collect data from 98 cases and 197 controls. Multivariate logistic regression was employed to identify determinants of precancerous cervical lesions.Results Women aged 30-39 years (AOR = 2.51, 95% CI: 1.03 – 6.08), monthly income < 42 USD and 43-66 USD (AOR = 3.41, 95% CI: 1.34 – 6.08; AOR = 3.63, 95% CI: 1.31 – 9.88), initiation of first sexual intercourse at age less than or equal to 20 (AOR = 2.39, 95% CI: 1.14 – 5.47), having more than one life time sexual partners (AOR=4.70, 95% CI:2.02–10.95), having a partner/ husband with more than one lifetime sexual partners (AOR=2.98, 95% CI: 1.35–6.65) had higher odds of precancerous cervical lesions.Conclusion Strategies to prevent precancerous cervical lesions should focus on modification of life style and sexual behaviour. The findings of this study highlight implications for policy makers by suggesting that targeting older women for cervical cancer screening, addressing inequalities and education relating to risky sexual behaviour may reduce precancerous cervical lesions. Further longitudinal study is needed to assess awareness of women about cervical cancer screening.

scholarly journals Low-Cost Technology for the Prevention of Cervical Cancer in Cameroon

2020 ◽  
Vol 6 (Supplement_1) ◽  
pp. 8-8
Author(s):  
Nkegoum Blaise ◽  
Mboumtou Liliane
Keyword(s):  
Cervical Cancer ◽  
Predictive Value ◽  
Large Scale ◽  
Low Cost ◽  
Screening Method ◽  
Previous History ◽  
Pap Smears ◽  
Cervical Lesions ◽  
History Of ◽  
Large Scale Screening

PURPOSE Our aim was to assess the accuracy of visual inspection with acetic acid (VIA) as a screening method for cervical lesions. METHODS VIA and cytologic smears were carried out on the cervices of nonpregnant women age 30 to 60 years with no previous history of cervical cancer. Cervices with acetowhite lesions or positive Pap smears, as well as 1 in 10 negative cervices (control), were biopsied. RESULTS Of patients, 10,020 women were enrolled and 9,626 (96.1%) were screened. With screening, 9,534 patients (99.0%) had adequate cytology smears, 1,148 (11.9%) underwent colposcopy, and 3,486 biopsies were obtained, of which 1,056 were controls. Sensitivity of VIA was 70.4% versus 47.7%, specificity was 77.6% versus 94.2%, positive predictive value was 44.0% versus 67.2%, and negative predictive value was 91.3% versus 87.8% for Papanicolau test, respectively. CONCLUSION VIA has acceptable test qualities and is now well implemented as a large-scale screening method in Cameroon.

scholarly journals Syphilis in riverine communities: prevalence and associated factors

2022 ◽  
Vol 56 ◽  
Author(s):  
Wynne Pereira Nogueira ◽  
Matheus Figueiredo Nogueira ◽  
Jordana de Almeida Nogueira ◽  
Maria Eliane Moreira Freire ◽  
Elucir Gir ◽  
...  
Keyword(s):  
Associated Factors ◽  
Previous History ◽  
Rapid Test ◽  
Screening Tests ◽  
Rapid Screening ◽  
Weight Of Evidence ◽  
Transmitted Infection ◽  
Cross Sectional ◽  
Sexually Transmitted ◽  
History Of

Abstract Objective: To estimate the prevalence of syphilis and associated factors in riverine communities. Method: This is a cross-sectional and analytical study carried out with 250 riverside dwellers living in five communities in the city of João Pessoa, state of Paraíba. Data were collected through interviews and rapid screening tests to investigate syphilis. Bivariate, logistic regression and weight of evidence analysis were performed to identify the association between risk factors and behavior variables and rapid test positivity. Results: he prevalence of syphilis was 11.6% (95%CI: 7.5–15.6). Riverside dwellers who have a previous history of Sexually Transmitted Infection (OR 8.00; 95%CI: 2.76–23.2), history of imprisonment (OR 7.39; 95%CI: 1.61–33.7) and who reported having more than two sexual partners in the last 12 months (OR 4.31; 95%CI: 1.55–11.9) were more likely to be positive for syphilis. Conclusion: High prevalence of syphilis among riverside dwellers and the presence of behavioral factors that increase vulnerability to acquiring the infection. The need to invest in preventive and screening strategies for syphilis in populations considered vulnerable is highlighted.

scholarly journals Risk factors for precancerous cervical lesion among women screened for cervical cancer in south Ethiopia: Unmatched case-control study

PLoS ONE ◽  
2021 ◽  
Vol 16 (7) ◽  
pp. e0254663
Author(s):  
Tesfalidet Beyene ◽  
Mohammed Akibu ◽  
Henok Bekele ◽  
Wengelawit Seyoum
Keyword(s):  
Risk Factors ◽  
Cervical Cancer ◽  
Cancer Screening ◽  
Case Control Study ◽  
Case Control ◽  
Cervical Lesions ◽  
South Ethiopia ◽  
Lifetime Sexual Partner ◽  
Precancerous Cervical Lesions ◽  
Control Study

Background Nearly 90% of deaths from cervical cancer occur in a low resource setting. In Ethiopia, the magnitude of precancerous cervical lesions ranges from 7% to 28%. Precancerous cervical lesions may progress to cervical cancer. Early screening and treatment of precancerous cervical lesions is a cost-effective way to avert the growth of cervical cancer. However, there has been limited research on risk factors for precancerous cervical lesions in Ethiopia. Therefore, this study aimed to identify risk factors for precancerous cervical lesions among women screened for cervical cancer in south Ethiopia. Method A facility-based unmatched case-control study was carried out in five health facilities in south Ethiopia between 8 May to 28 September 2018. Interviewer administered questionnaires were used to collect data from 98 cases and 197 controls. Multivariate logistic regression was employed to identify determinants of precancerous cervical lesions. Results Women aged 30–39 years (AOR = 2.51, 95% CI: 1.03–6.08), monthly income ≤66 (AOR = 3.51, 95% CI: 1.77–6.97), initiation of first sexual intercourse at age less than or equal to 20 (AOR = 2.39, 95% CI: 1.14–5.47), having more than one lifetime sexual partner (AOR = 4.70, 95% CI: 2.02–10.95), having a partner/ husband with more than one lifetime sexual partner (AOR = 2.98, 95% CI: 1.35–6.65) had higher odds of precancerous cervical lesions. Conclusion and recommendation Strategies to prevent precancerous cervical lesions should focus on modification of lifestyle and sexual behaviour. The findings of this study highlight several implications for policymakers: targeting older women for cervical cancer screening, addressing inequalities and education relating to risky sexual behaviour may reduce precancerous cervical lesions. Furthermore, future longitudinal studies are needed to assess the awareness of women about cervical cancer screening.

scholarly journals Prevalence and Associated Factors of Precancerous Cervical Lesions among Women in Ethiopia: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 31 (1) ◽  
Author(s):  
Dereje Zena ◽  
Berhanu Elfu ◽  
Kebadnew Mulatu
Keyword(s):  
Associated Factors ◽  
Meta Analysis ◽  
Life Time ◽  
Hiv Positive ◽  
Cervical Lesions ◽  
Common Cancer ◽  
Hiv Positive Women ◽  
Pooled Prevalence ◽  
History Of ◽  
Precancerous Cervical Lesions

BACKGROUND፡ Cervical cancer remains the most common cancer of women worldwide. Its burden is more serious in developing countries. It is also the second common cancer deaths of women in Ethiopia followed by breast cancer. The aim of this study was to determine the pooled prevalence and associated factors of precancerous cervical lesions among women in Ethiopia.METHODS: We systematically searched published and unpublished articles reported from 2010 to 2019 using a comprehensive search of electronic databases including PubMed and Google scholar for grey literature from August 1 to September 1, 2019. The methodological qualities of included studies were evaluated using Joanna Briggs Institute meta-analysis of Statistics Assessment. The pooled prevalence estimate was calculated using MedCalc software-version 19.0.7, and the pooled odd ratios for predictors was calculated using RevMan software version 5.3.RESULTS: The pooled prevalence of precancerous cervical lesions among women in Ethiopia was 13.4% (95% CI:10.63% 16.37%). Statistically significant heterogeneity between studies was detected (I2=83.1%, P < 0.001). Among all measured associated factors: numbers of women life time sexual partners > 1, OR=2.5 (95% CI:3.70,4.76), being HIV positive women, OR=2.4 (95% CI:1.33,4.61) and women having history of STI, OR=2.0 (95% CI:1.02,3.87) had statistically significant association with precancerous cervical lesions among women in EthiopiaCONCLUSION: The pooled prevalence of precancerous cervical lesions among women in Ethiopia was high as compared to the 5- year worldwide cervical cancer prevalence. Women having more than one life time sexual partners, being HIV positive women and women having history of STI had a statistically significant association with precancerous cervical lesions.

scholarly journals Proportions of Pre-Cancerous Cervical Lesions and Its Associated Factors among Women Clients in the Age Group of 30-49yrs in Gynecology Ward of Dessie Referral Hospital and FGAE, North-East Ethiopia, 2016

2019 ◽  
pp. 1-15 ◽  
Author(s):  
Kibir Temesgen ◽  
Amare Workie ◽  
Tenagnework Dilnessa ◽  
Mengistu Abate
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Associated Factors ◽  
Precancerous Lesions ◽  
Women Clients ◽  
Age Group ◽  
Common Cancer ◽  
Cervical Precancerous Lesions ◽  
History Of ◽  
Dessie Referral Hospital

Introduction: Globally, cervical cancer is the second most common cancer in women; in 2008 there were an estimated 530,000 new cases and more than 270,000 women die from it [1]. In Ethiopia, cervical cancer is the second most common cancer following breast cancer and the leading cause of death from cancer. Annually, an estimated number of 4648 women develop the cancer and 3,235 die from it. Low-resource countries experience 85% of the global burden and in regions such as Eastern Africa and South-Central Asia. Low perception of risks and lack of awareness about cervical cancer screening amongst women and challenges of access to cervical cancer screening for early detection of disease have been reported amongst factors responsible for increasing incidence and mortality due to cervical cancer in developing countries [2]. Objective: The general objective of this study was to determine the proportions of cervical precancerous lesions and to assess associated factors among women clients (30-49) in Gynecology OPD of Dessie referral hospital and FGAE, 2016. Methods: An institution based cross-sectional study design involving quantitative method was employed. For the quantitative survey 422 women in the age group of 30-49 were participated. The sample size was computed by using single population proportion formula for finite population with 95% confidence level, prevalence of 50% and marginal error of 2%. Pretested and structured questionnaire was used in order to facilitate reliable response. Questionnaires for each item were adapted from previously done similar studies. Pretest was done on five percent of study population. Results: Among 422 study participants who were currently screened, 390(92.4%) were negative for cervical precancerous lesions when tested by visual inspection with acetic acid (VIA), 29(6.9%) were positive for cervical precancerous lesions and 3(0.7%) were suspicious for cancer. The majority (69.9%) of the study subjects did not ever screen for cervical cancer in their life time. Concerning the reasons for not screening, 98(33.3%) of them said that it is painful while 54(18.3%) and 37(12.5%) of them said I am health and it is expensive respectively. Conclusion: The proportion of cervical precancerous lesion was 6.9%. In multivariate regression analysis increased age(>46), high parity(>4), first intercourse at <20 years, having > two sexual partners, positive HIV status, History of Human papilloma virus (HPV) infection, History of sexually transmitted infection (STI), Smoking, History of abortion, nonuse of condom and family history of cervical cancer were significantly associated with the development of cervical precancerous lesions.

scholarly journals Cervical Cancer Screening Service Utilization and Associated Factors among Women in the Shabadino District, Southern Ethiopia

2020 ◽  
Vol 2020 ◽  
pp. 1-6 ◽  
Author(s):  
Jeylan Kasim ◽  
Abdurehman Kalu ◽  
Bekele Kamara ◽  
Haileselasie Berhane Alema
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Cervical Cancer Prevention ◽  
Southern Ethiopia ◽  
Screening Service ◽  
Multiple Sexual Partners ◽  
Sexually Transmitted ◽  
History Of ◽  
High Cervical

Background. Cervical cancer is the major cause of morbidity and mortality among women worldwide with an estimated 528,000 new cases and 266,000 deaths annually. In Ethiopia, there are 7095 new cases and 4732 deaths of cervical cancer every year. But cervical cancer screening utilization remains limited. Therefore, the aim of the study was to assess cervical cancer screening utilization and associated factors among women in the Shabadino district, Southern Ethiopia. Methods. A community-based cross-sectional study was conducted in the Shabadino district, Southern Ethiopia, using a structured questionnaire. A systematic random sampling method was used to recruit 536 study participants. The collected data were entered and analyzed using SPSS version 22.0. Bivariate and multivariate logistic regressions were used to assess factors associated with cervical cancer screening utilization at a 95% level of significance and a p value of less than 0.05. Results. The study revealed that among 506 women, only 52 (10.3%) have been screened for cervical cancer. Women who are educated (completed primary school and above) (AOR=1.9; 95% CI=1.18-3.05), who have a history of the presence of sexually transmitted diseases (AOR=2.6; 95% CI=1.26-5.23), who have multiple sexual partners (AOR=4.0; 95% CI=1.86-8.66), and who knew methods of cervical cancer prevention (AOR=4.3; 95% CI=1.18-13.05) were significantly associated with high cervical cancer screening utilization. Conclusion. The magnitude of cervical cancer screening utilization among women was very low. Educational status, history of multiple sexual partners, history of sexually transmitted diseases, and knowing methods of prevention were significant factors of high cervical cancer screening utilization. Recommendation. It is very crucial to implement an appropriate awareness creation method. Additionally, the STI clinic should be linked to the cervical cancer screening service to increase the knowledge of cervical cancer prevention and the utilization of cervical cancer screening.

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