Cervical intraepithelial neoplasia: Prevalence, risk factors, and utilization of screening services among an urban population in Nigeria

Utoo, BT; Utoo, PM; Ngwan, SD; Anzaku, Ajen Stephen; Daniel, MA

doi:10.4103/0189-5117.199810

Cited by 11 publications

(19 citation statements)

References 1 publication

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“…Early initiation of intercourse increased the risk of precervical cancer by 6.6 times which is comparable with study from Nigeria [12], India [9], and Brazil [15]. Early onset of sexual activity is thought to be associated with high risk because, during puberty, cervical tissue undergoes physiologic changes, transformation zone on the ecto-cervix is enlarged, and exposure to HPV at such times may facilitate infection which may make this area more vulnerable to development of dysplasia, a cervical squamous precancer.…”

Section: Discussionsupporting

confidence: 82%

“…[95%CI] (24.1-31.4] and the finding is similar with study conducted in India (27.7%) [9], but higher than study finding from south west Ethiopia (12.9%) [5], north Ethiopia Mekele zone (6.7%) [10], Madagascar (11.3%) [11], Malawi (12.4%) [11], and Nigeria (16% [12]. However, it is lower than study findings from Lusaka Zambia among HIV infected women (76%) [13].…”

Section: Discussionsupporting

confidence: 82%

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Magnitude and Factors Associated with Precervical Cancer among Screened Women in Southern Ethiopia

Teka

Kote

Kejela

et al. 2019

Advances in Public Health

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Background. Cervical cancer is one of the major noncommunicable public health problems among the female population affecting not only the women but also the whole community. Annually, more than half a million new patients are diagnosed with it and over 270,000 deaths occur worldwide. There are very few research efforts conducted on prevalence and associated factors of specific target group in the region. So, this study tries to show the magnitude on all women screened for precervical cancer and serves as a secondary data for other research. Objective. The aim of the study was to assess magnitude of precervical cancer and associated factors among screened women in Arba Minch town and zuria woreda health institutions, southern Ethiopia. Methods. A facility based cross-sectional study was conducted in three health facilities at Arba Minch town and zuria woreda, southern Ethiopia, from June 2015 to June 2017. Data were collected by two nurses that are working in the area of expertise and one health officer as supervisor. Data of 528 screened clients were entered into Epi data version 3.1 using checklist, double data entry verification done and exported to SPSS version 20.0. After cleaning the data, descriptive analysis was done and multivariable logistic regression model was employed to identify predictors of precervical cancer. Finally, statistical significance was declared at P < 0.05. Result. In this study, the magnitude of precervical cancer is 27.7% [95%CI] (24.1-31.4)]. Having primary educational status (AOR [95% CI]) = 0.2 [0.1, 0.96)] and secondary educational status (AOR[95% CI]) = 0.1 [0.02,0.3]), having history of smoking [AOR (95% CI) = 3.7 (1.4-9.9)], having two and more than two life time sexual partners [AOR (95% CI) = 2.2 (1.1-4.7)], having age at first sexual intercourse less than eighteen years [AOR (95% CI) = 6.6 (3.14-13.0)] were significantly associated with precervical cancer. Conclusion and Recommendation. The magnitude of precervical cancer is 27.7% as shown in the result of the present study. Level of education, age at first sexual intercourse, history of smoking, and number of sexual partners were predictors of precervical cancer in this study. Thus, any cervical cancer prevention and control effort at the study area should address those predictors pointed out in the present study and should encourage to screen for precervical cancer.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionsupporting

confidence: 82%

Magnitude and Factors Associated with Precervical Cancer among Screened Women in Southern Ethiopia

Teka

Kote

Kejela

et al. 2019

Advances in Public Health

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“…Various studies have identified age as a risk factor for cervical cancer and that the disease usually develops after the age of 40 years 10 . Other significant risk factors for cervical cancer in SSA include long‐lasting HPV infections and HIV/AIDS, which are endemic in the sub‐region; debut of sexual activity before the age of 20, multiple sexual partners, tobacco smoking, contraceptive pills used for more than 5 years, and a family history of cervical cancer have been reported 11,12 …”

Section: Introductionmentioning

confidence: 99%

“…Several studies have also been carried out in different parts of Nigeria on the prevalence of precancerous cervical lesions among women infected with HIV 11,13,14 . However, there remain few documented reports on the current state of precancerous cervical lesions among women with HIV in Jos, north‐central Nigeria, such as a report by Agaba 14 who found a prevalence of cervical dysplasia of 29.0% in women with HIV.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and predictors of precancerous cervical lesions among HIV‐positive women in Jos, north‐central Nigeria

Daniel

Musa

Akindigh

et al. 2020

Intl J Gynecology & Obste

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“…Regular screening by VIA and treating precancerous lesion, even by single visit screen and treat approach is recommended in resource poor settings to prevent cervical cancer. 7,8 In rural Andhra Pradesh, South India, a total of 18,869 women screened by a single round of VIA, the prevalence of cervical intraepithelial neoplasia (CIN) 2+ lesion rate was 1.05%,with a VIA positive rate of 10.75%. 9 In China high risk HPV(HR-HPV) positive was 31.4%, age standardized prevalence of CIN II 1.5 % and 0.7% , |CIN 3 1.2% and 0.6% respectively in rural and urban location .…”

mentioning

confidence: 99%

Prevalence of Cervical Intraepithelial Neoplasia (CIN) at Khulna Division of Bangladesh

Khanam¹,

Jesmin²,

Begum³

et al. 2019

Bangladesh J Obstet Gynaecol

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Back ground: Cervical cancer is the most common genital tract cancer and the important cause of cancer death among Bangladeshi women. Information about actual number of women living with preinvasive phase of cervical cancer and their diagnosis and treatment is limited. For strengthening the programme and policy for cervical cancer prevention , the baseline prevalence of cervical intraepithelial neoplasia ( CIN) need to be assessed. Methods: This population based study aimed to determine the prevalence of CIN among women of Khulna division of Bangladesh. Data has been collected from four upazila of four districts of Khulna division. VIA and colposcopy and histopathology was used for detection of cervical pre-cancers and early cancers among 1232 women of the mentioned population. Results: Crude prevalence of CIN was 5.84 %,CIN-II 1.1% and CIN- III .73% in colposcopically directed biopsy. Ninety two participants with CIN received treatment at the Colposcopy Clinic of Obstetrics and Gynaecology department of Khulna Medical College Hospital (KMCH). Conclusion: This population based prevalence study of CIN and socio demography would have conducive effect on future cervical cancer prevention programme. Bangladesh J Obstet Gynaecol, 2018; Vol. 33(1) : 21-28

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Cervical intraepithelial neoplasia: Prevalence, risk factors, and utilization of screening services among an urban population in Nigeria

Cited by 11 publications

References 1 publication

Magnitude and Factors Associated with Precervical Cancer among Screened Women in Southern Ethiopia

Magnitude and Factors Associated with Precervical Cancer among Screened Women in Southern Ethiopia

Prevalence and predictors of precancerous cervical lesions among HIV‐positive women in Jos, north‐central Nigeria

Prevalence of Cervical Intraepithelial Neoplasia (CIN) at Khulna Division of Bangladesh

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