A Study of Cervical Cancer In Ethiopian Women

Abstract

In common with many African countries, Ethiopia has a very limited cytological service, smears are only taken in a hospital or clinic setting and until very recently most had to be sent abroad for analysis. We describe the results of a clinical and cytological investigation of 2111 women attending hospitals and clinics in Addis Ababa: 33 invasive or microinvasive cancers and 10 dysplasias (CIN) were detected. The prevalence of invasive cervical cancer in that population was 15.6/1000. Risk factors were shown to be age over 35 (especially over 50), parity over six (especially more than 10), very low income or subsistence economy, particularly in those from the rural areas, and prostitution. Less significant factors, possibly related to age, were sexual activity of more than 20 years and first coitus before the age of 15; and more than five sexual partners. Most (66%) of women with invasive cancer were at stage 3 or 4.

Patient side cost and its predictors for cervical cancer in Ethiopia: a cross sectional hospital based study

“…The time for single trip to reach health services varies from minimum of twelve minutes to maximum of ninety six hours (with mean (SD) and median of 5.7 [9] and 3 hours respectively.…”

“…Similar studies in Addis Ababa and Yirgalem Hospital (Southern Ethiopia) have also shown that it accounted for 32% [7] and 25.8% [8] of female malignancies, respectively. A study done on 2,111 women attending hospitals and clinics in Addis Ababa has also reported the prevalence of invasive cancer to be 15.6/1000 of the studied population [9]. …”

Opting off the New South Wales Pap Test Register in a sexual health setting

“…8,15 In addition, Asian women working in the commercial sex industry in Sydney use condoms less often and have a higher incidence of STIs than their Caucasian counterparts. 16 Consequently, the failure of these women to opt on to the PTR in the medium term may result in an increase in cervical abnormalities and possibly cervical cancer.…”

Simulation of Primary Cervical Cancer Screening by the PAPNET System in an Unscreened, High-Risk Community

“…18 It is the most common cancer in South African women. 2,6,7,16,18,19,22 Of all cancer deaths in South African black females, 38% are due to cervical cancer.…”

“…18 It is the most common cancer in South African women. 2,6,7,16,18,19,22 Of all cancer deaths in South African black females, 38% are due to cervical cancer. 19 A previous study of detection rates by cervical cancer screening, conducted on a high-risk population in the Johannesburg area, yielded detection rates of 28/1,000 for cervical intraepithelial neoplasia grade 3 and 13/1,000 for invasive squamous carcinoma.…”