&lt;p&gt;Prevalence of Abnormal Cervical Lesions and Associated Factors Among Women in Harar, Eastern Ethiopia&lt;/p&gt;

Wakwoya, Elias Bekele; Gemechu, Kasiye Shiferaw

doi:10.2147/cmar.s279712

Cited by 2 publications

(6 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Women having STI had 3.5 times higher odds of developing precancerous cervical lesions compared to women with no history of STI [AOR) = 3.46(95%CI:1.94-6.18)], which is similar to research conducted in the Debre Markos town, 30 Southern Ethiopia, 25 and three referral hospital in Amhara region. 5 This association might be due to that the fact that cervical cancer occurs in the cervix, which is the entrance to the uterus.…”

Section: Discussionsupporting

confidence: 74%

Precancerous Lesion of the Cervix and Associated Factors Among Women of West Wollega, West Ethiopia, 2022

Dibisa¹,

Dinka²,

Moti

et al. 2022

Cancer Control

View full text Add to dashboard Cite

Background Precancerous cervical lesion is an abnormality in the cells of the cervix that could eventually develop into cervical cancer. Cervical cancer is a public health problem that contributes to the death of women worldwide. In line with the high burden of the issue, the Ethiopian government had attempted to expand cervical cancer screening centers and recommendation of services to age-eligible as well as high-risk groups of women. Therefore, the study aimed to assess the prevalence of precancerous lesions of cervix cancer among women aged 30-49 years and associated factors in West Wollega. Method Facility-based analytic cross-sectional study design was conducted in selected hospitals of West Wollega from January 1- February 20, 2022, among 339 women. A face-to-face interview was conducted and the presence or absence of precancerous cervical lesion was tested by visual inspection with acetic acid. Data were analyzed by SPSS version 25. Variable with P-value <.25 in the bi-variable analysis were entered into multivariable logistic regression. Results with a P-value ≤ .05 at 95% confidence level were considered for statistical significance. Result The prevalence of precancerous cervical lesions was 27.4% (95% CI: 22.7%32.1%). The mean standard deviation of participants was 35.22 +6.32 years. More than half (63.4%) and 67.6% of them were regarded as having good knowledge and a favorable attitude towards precancerous cervical lesions respectively. History of menstrual irregularity had two folds higher odds of being diagnosed with the precancerous cervical lesion when compared with counterparts at, [AOR = 2.29(95% CI:1.29-4.04]. Women with a history of STI had 3.5 times higher odds of developing precancerous cervical lesion compared to women with no history of STI [AOR)=3.46(95% CI:1.94-6.18)], history of bleeding after sexual intercourse was 2.88 times more likely to have precancerous cervical lesion compared to those without it at [AOR=2.88(95% CI:1.43-5.78)]. Parity greater than or equal to five had 2.4 times higher odds of developing precancerous cervical lesions compared to women with parity less than five at [AOR=2.41(95% CI: 1.23-4.75)]. History of steroid use had 3.5 times higher odds of developing precancerous cervical lesion compared with opponents at [AOR=3.5(95% CI: 1.32-9.34) and women with an Unfavorable attitude towards screening for Cervical cancer screening, prevention, and control methods had 2.2 times higher odds of developing precancerous cervical lesion compared their counterpart at [AOR=2.15(95% CI: 1.21-3.83)]. Conclusion The precancerous cervical lesions continue to be a significant public health concern in Ethiopia. It will remain a significant cause of death of women unless effective screening methods like VIA and vaccination against HPV are scaled up. Furthermore, having a history of menstrual irregularities, STI, bleeding after coitus, parity greater than ≥5, steroid use, and having an unfavorable attitude towards screening factors are significantly associated with the occurrence of the precancerous lesion. Therefore, effective prevention approaches have to consider these factors for the control of cervical cancer in the early phase of the lesion.

show abstract

Section: Discussionsupporting

confidence: 74%

Precancerous Lesion of the Cervix and Associated Factors Among Women of West Wollega, West Ethiopia, 2022

Dibisa¹,

Dinka²,

Moti

et al. 2022

Cancer Control

View full text Add to dashboard Cite

show abstract

“…Studies revealed the uptake of cervical cancer screening in sub-Saharan Africa was 12.87%; 15 in Botswana, 72% of the women screened for cervical cancer ever by Pap smear; 16 20.6% of the women in Uganda screened for cervical cancer; 17 in other studies, only 29% screened for cervical cancer; 18 in a study conducted in Kenya, 16.4% of women screened; 19 and in Hara region, Ethiopia, 24.5% screened. 20 Furthermore, the previous study in Kenya showed that 46% screened; 21 in Guraga zone, Ethiopia, only 3.8% screened; 22 in Urban areas, Somali, 32.7% tested; 23 and other national level studies conducted in Kenya indicated that (19.4%) of women screened, 24 and only 5% underwent screening. 25 Determinants identified in previous literature with the uptake of cervical cancer were age, 19,[26][27][28] residence, 19,29 marital status, 28,30 occupation, 19,29 educational status, 15,19,20 wealth, 17,19,30 knowledge on cervical cancer, 15,17,25,31 age at first sex, 22,28,32 human immune deficiency virus status, 15,25,33 and awareness.…”

Section: Introductionmentioning

confidence: 94%

“…20 Furthermore, the previous study in Kenya showed that 46% screened; 21 in Guraga zone, Ethiopia, only 3.8% screened; 22 in Urban areas, Somali, 32.7% tested; 23 and other national level studies conducted in Kenya indicated that (19.4%) of women screened, 24 and only 5% underwent screening. 25 Determinants identified in previous literature with the uptake of cervical cancer were age, 19,[26][27][28] residence, 19,29 marital status, 28,30 occupation, 19,29 educational status, 15,19,20 wealth, 17,19,30 knowledge on cervical cancer, 15,17,25,31 age at first sex, 22,28,32 human immune deficiency virus status, 15,25,33 and awareness. 17,20,22,[25][26][27] Besides, other literature identified awareness on services, 23,27 history of STI, 27,[32][33][34] multiple sexual partners, 20,…”

Section: Introductionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 94%

“…25 Determinants identified in previous literature with the uptake of cervical cancer were age, 19,[26][27][28] residence, 19,29 marital status, 28,30 occupation, 19,29 educational status, 15,19,20 wealth, 17,19,30 knowledge on cervical cancer, 15,17,25,31 age at first sex, 22,28,32 human immune deficiency virus status, 15,25,33 and awareness. 17,20,22,[25][26][27] Besides, other literature identified awareness on services, 23,27 history of STI, 27,[32][33][34] multiple sexual partners, 20,22,25 contraceptive use, 15,18 provider recommendation, frequency of facility visit and history of vaginal examination, 34 binge drinkers, high sugar consumption, and insufficient physical activity. 19 Furthermore, concern about the gender of the health care professional, encour...…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Determinants of Cervical Cancer Screening Among Women Aged 30–49 Years Old in Four African Countries: A Cross-Sectional Secondary Data Analysis

Alie,

Negesse,

Ayenew

2023

Cancer Control

View full text Add to dashboard Cite

Background Early-stage cervical cancer screening is essential for providing women with a better chance of receiving effective treatment for precancerous and cancer stages. Delay in cervical cancer screening results in late presentation and cancer metastasis. National-level cervical cancer screening in resource-limited countries was scarce and not well studied in Africa based on national data specifically in Kenya, Cameroon, Nambia, and Zimbabwe. Objective To determine the prevalence and determinants of cervical cancer screening among eligible women in Kenya, Cameroon, Nambia, and Zimbabwe. Methods This study analyzed demographic and health survey data from Kenya, Cameroon, Nambia, and Zimbabwe. The data were extracted and analyzed by STATA version 15 and further analysis was done. Intraclass correlation coefficient, median odds ratio, and proportional change in variance were calculated to check the appropriateness of multilevel analysis. Variables with P-value < .25 were selected for multivariable multilevel logistic regression analysis. Finally, statistical significance between dependent and independent variables was assessed by odds ratios and 95% confidence intervals. Results The prevalence of cervical cancer screening in 4 African countries (Nambia, Kenya, Cameroon, and Zimbabwe) was 23.4 [95%CI: 22.8-24.1]. The determinants identified in this study were women of age 41–50 years [AOR = 1.47; 95% CI 1.24, 1.73], rural residence [AOR = .67; 95% CI .55, .81], women who have their own work [AOR = 1.1; 95% CI 1.0, 1.37], smoking status [AOR = 1.89; 95% CI 1.17, 3.0], age at first birth >=35 [AOR = 5.27; 95% CI 1.29-21.52], condom use [AOR = 1.79; 95% CI 1.46,2.19], husbands having worked [AOR = 1.5; 95% CI 1.08,2.11], rich household wealth [AOR = 1.43; 95% CI 1.13,1.8], and having health insurance [AOR = 2.2; 95% CI 1.8,2.7]. Conclusion The prevalence of cervical cancer screening in Kenya, Cameroon, Nambia, and Zimbabwe was low as compared to World Health Organization (WHO) recommendations. Age, residence, work status, smoking status, women’s age at first birth, condom use, husbands having work, wealth status, and health insurance were the identified determinants of cervical cancer screening. Programme and policy interventions could address younger, rural residence women, poor wealth status women, women without work, and those who never use health insurance for the uptake of cervical cancer screening.

show abstract

<p>Prevalence of Abnormal Cervical Lesions and Associated Factors Among Women in Harar, Eastern Ethiopia</p>

Cited by 2 publications

References 26 publications

Precancerous Lesion of the Cervix and Associated Factors Among Women of West Wollega, West Ethiopia, 2022

Precancerous Lesion of the Cervix and Associated Factors Among Women of West Wollega, West Ethiopia, 2022

Determinants of Cervical Cancer Screening Among Women Aged 30–49 Years Old in Four African Countries: A Cross-Sectional Secondary Data Analysis

Contact Info

Product

Resources

About