Prevalence of precancerous cervical lesions in women attending Mezam Polyclinic Bamenda, Cameroon

Nkfusai, Ngwayu Claude; Mubah, Tchakounte Minette; Yankam, Brenda Mbouamba; Tambe, Tabe Armstrong; Cumber, Samuel Nambile

doi:10.11604/pamj.2019.32.174.16895

Cited by 14 publications

(22 citation statements)

References 19 publications

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“…Also consistent with previous reports is multiparity as a risk factor for precancerous cervical lesions 6,24,25 . Among the women studied, having at least three full‐term pregnancies increased the risk of having precancerous lesions by more than three times.…”

Section: Discussionsupporting

confidence: 90%

“…Once diagnosed with cervical cancer, Nigerian women encounter one of the worst prognoses in the world, and the prognosis worsens with HIV infection 6 . This may be true since HIV lowers the immunity level of an individual thereby giving room for opportunistic infections, such as HPV, which has been implicated as one of the major causes of cervical cancer.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

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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Section: Discussionsupporting

confidence: 90%

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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“… 20 On the other hand, this finding was higher than that of studies from Cameroon (3.33%) and Thailand (13.3%). 21 , 22 This discrepancy could be due to the difference in sample size. When the sample size is small, as is in the comparative studies, the chance of obtaining positive result would also be low.…”

Section: Discussionmentioning

confidence: 99%

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

Wakwoya

Gemechu

2020

CMAR

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Purpose: The primary objective of this study was to determine the prevalence of abnormal cervical lesions and associated factors and the secondary objective was to assess adherence to post-cryotherapy treatment recommendations, among women in Harari region, eastern Ethiopia. Materials and Methods: This study was conducted in two public hospitals in Harar city from January 1 to May 30, 2019. A facility-based descriptive cross-sectional study was conducted and a total of 1181 women were included in the study. Structured face-to-face interviews with women aged 25-49 years were used to collect information on precancerous cervical lesion screening and adherence to post-cryotherapy treatment. Visual inspection with acetic acid (VIA) method was used to screen women for precancerous cervical lesions. The collected data were entered into Epi Info software and then exported to SPSS software for analysis. Logistic regression analysis was used to check the association between independent variables and abnormal cervical lesions. Results: The prevalence of abnormal cervical lesions among the participants screened was 24.5% (95% CI = 20.8-27.9%). Having no formal education (AOR = 2.68, 95% CI = 1.32-5.46), lack of awareness of cervical cancer, (AOR = 2.65, 95% CI = 1.68-4.23) and having a husband with history of multiple sexual partners (AOR = 1.75, 95% CI = 1.13-2.7) were independently associated with abnormal cervical lesions. From the respondents who received cryotherapy treatment prior to the study, the majority, 92.9% (95% CI = 76.5-99.1), adhered to the post-cryotherapy treatment recommendations. Conclusion: We found that the prevalence of abnormal cervical lesions in this area was high. Having no formal education, lack of awareness of cervical cancer and having a husband with history of multiple sexual partners were independently associated with having abnormal cervical lesions. The federal ministry of health and other stakeholders should focus on the primary prevention method (HPV vaccination) at an earlier stage to reduce the prevalence of abnormal cervical lesions in the study area. Harari regional health bureau should provide awareness creation activities and special attention should be given to uneducated women.

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“…In this study, the overall prevalence of pre-cancerous cervical lesion among both HIV-infected and uninfected women was found to be 8.8% (95% CI; 8.74–8.91) which is consistent with a previous study from Woldia and Dessie (9.9%), Ethiopia, 15 Adwa, Ethiopia (6.7%), 16 Jimma, Ethiopia (12.9%), 17 Rwanda 5.9%, 18 Northern Nigeria (6%), 19 but higher to finding in Cameron (3.3%). 20 It was also lower than study in southern Ethiopia (22.1%). 21 The source of the discrepancy could be due to differences in demographics of the study participants, variation in lesion detection techniques, population immune difference, and a difference in adherence to ART.…”

Section: Discussionmentioning

confidence: 56%

Prevalence and Determinants of Pre-Cancerous Cervical Lesion and Human Papillomavirus Among HIV-Infected and HIV-Uninfected Women in North-West Ethiopia: A Comparative Retrospective Cross-Sectional Study

Kiros

Belay

Getu

et al. 2021

HIV

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Background The poor socio-economic status, underdeveloped health care system, and the high HIV/AIDS burden have potentially increased the incidence of cervical cancer in sub-Saharan Africa (SSA) including Ethiopia. Studies on the magnitude of pre-cancerous cervical lesion and human papillomavirus (HPV) among HIV-infected women are still limited, particularly in the current study setting. Thus, we determined the prevalence of pre-cancerous cervical lesion and HPV among HIV-infected women in comparison with HIV-uninfected women at Debre Tabor Comprehensive Specialized Hospital (DTCSH), North-West Ethiopia. Methods Hospital-based comparative retrospective cross-sectional study was conducted among 546 women from July 2018 to January 2020 at DTCSH. All records during the study period were collected using a structured checklist. Epi data version 4.02 and SPSS version 25.0 were used for data entry and analysis, respectively. Results The overall prevalence of pre-cancerous cervical lesion among 546 women was 8.8%. The prevalence of pre-cancerous cervical lesion was comparable between HIV-infected (9.3%) and HIV-uninfected women (8.6%) (p = 0.859). Age >45 years old, widowed marital status, multiparous (women ≥ 5 childbirths), and educational status were independent contributing factors of a pre-cancerous cervical lesion. Regarding HPV prevalence, among 109 screened women, 7 (6.4%) were positive for both HPV 16 and 18 strains. Conclusion HIV infection was not statistically correlated with the magnitude of pre-cancerous cervical lesion (p = 0.859). Women in the study setting developed pre-cancerous cervical lesions irrespective of their HIV status. Hence, we recommend routine screening of women for pre-cancerous cervical lesion and HPV infection regardless of their HIV status for early management and prevention of associated morbidity and/or mortality.

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Prevalence of precancerous cervical lesions in women attending Mezam Polyclinic Bamenda, Cameroon

Cited by 14 publications

References 19 publications

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

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

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

Prevalence and Determinants of Pre-Cancerous Cervical Lesion and Human Papillomavirus Among HIV-Infected and HIV-Uninfected Women in North-West Ethiopia: A Comparative Retrospective Cross-Sectional Study

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