Prevalence and factors associated with VIA positive result among clients screened at Family Guidance Association of Ethiopia, south west area office, Jimma model clinic, Jimma, Ethiopia 2013: a cross-sectional study

Mulissa, Zewdie; Tesfamichael, Fessahaye Alemseged; Ferede, Henok Assefa

doi:10.1186/s13104-015-1594-x

Cited by 39 publications

(82 citation statements)

References 17 publications

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“…Similar finding was observed in a study conducted in Jimma, Ethiopia that showed clients who started intercourse less than 16 years were 2.2 times more likely to have a precancerous cervical lesion (AOR [95% CI] 2.2 [1.1, 4.3]) [13]. This association was also seen in a case–control study of cervical cancer risk factors in Indian women where the maximum risk of cervical cancer was increased in women with a sexual debut at < 12 years old (OR = 3.5) and also increased in women who had extramarital sexual relationships (OR = 5.5) [14].…”

Section: Discussionsupporting

confidence: 85%

Risk factors associated with precancerous cervical lesion among women screened at Marie Stops Ethiopia, Adama town, Ethiopia 2017: a case control study

Kassa

2018

BMC Res Notes

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ObjectiveAlthough cervical cancer is a preventable disease, it remains a leading cause of death among women in developing countries. In this unmatched case control design, 55 cases and 109 controls were included. The main objective of this study was to assess the risk factors of precancerous cervical lesion in Adama town.ResultsA total of 164 participants were recruited in this study. Of the 109 controls, 64 (61%) and 41 (39%) of cases were using oral contraception. Women who were using oral contraception were two times at risk for developing precancerous cervical lesion than who were not using (COR = 2.059 95% CI 1.006, 4.216; AOR = 2.342). Out of 55 cases, 21 (38.2%) cases had a history STI and out of 109 controls, 24 (22.2%) controls had a history of STI. It was revealed that STI has a significant association for developing of precancerous lesion. Women who had a history of STI were two times at risk of developing precancerous cervical lesion than who had no (COR = 2.187; AOR = 2.485). It was found that initiation of sexual intercourse before the age of 15 years has 5.6 risks to develop precancerous cervical lesion (COR = 5.625 AOR = 6.703).Electronic supplementary materialThe online version of this article (10.1186/s13104-018-3244-6) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 85%

Risk factors associated with precancerous cervical lesion among women screened at Marie Stops Ethiopia, Adama town, Ethiopia 2017: a case control study

Kassa

2018

BMC Res Notes

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“…The overall VIA positivity rate among the women in our study was 4.3%. VIA positivity rates reported by other cross-sectional studies in developing countries range from 4% to 16% [9,16,22,24], which makes the prevalence found in our study among the lowest observed in African women. The variability across studies may be due to other factors than disease prevalence.…”

Section: Discussioncontrasting

confidence: 61%

“…We found no association between VIA positivity and age. Results from previous studies on the association between age and VIA positivity are inconsistent; some have found a higher risk of VIA positivity with increasing age [19,21], while others report the opposite or no association [22,23]. Finally, in line with some others, lifetime number of partners [22] and education [8] were not significantly associated with VIA positivity in our study, whereas other studies found that increasing number of lifetime partners [23] and a low educational level [21,23] increased the likelihood of a positive VIA test.…”

Section: Discussionmentioning

confidence: 88%

Factors associated with a cervical high‐grade lesion on cytology or a positive visual inspection with acetic acid among more than 3300 Tanzanian women

Baldur-Felskov

Mwaiselage

Faber

et al. 2018

Tropical Med Int Health

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Objectives Cervical cancer screening by visual inspection with acetic acid (VIA) is a widely used alternative to cytology in developing countries. This study aimed to evaluate risk factors associated with a positive VIA test and with cervical high‐grade lesions on cytology. Methods We conducted a large cross‐sectional study among 3339 women from urban and rural Tanzania. Study participants were interviewed about socio‐demographic, reproductive and lifestyle factors. Blood samples were tested for HIV, and a gynaecological examination was performed. Human papillomavirus (HPV) status was determined by Hybrid Capture 2, and HPV genotyping was done using the LiPA Extra test. We used multivariable logistic regression to estimate adjusted odds ratios (ORs) and confidence intervals (CIs). Results The strongest risk factors for VIA positivity were positivity to HIV (OR = 3.48; 95% CI: 2.34–5.17) or to high‐risk HPV (HrHPV) (OR = 1.97; 95% CI: 1.37–2.85). HrHPV was by far the strongest predictor of high‐grade cytology (OR = 110.1; 95% CI: 50.4–240.4), while there was no significant association with HIV in the multivariable analysis (OR = 1.27; 95% CI: 0.78–2.08). After adjustment for HrHPV, HIV and age, the risk of high‐grade cytology also increased with increasing age, number of births and low body mass index (BMI), while high BMI decreased the risk of VIA positivity. Conclusions Infection with HrHPV is a major risk factor for high‐grade cytology, while VIA positivity is associated with HIV and to a lesser extent with HrHPV.

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“…An interviewer-administered semi-structured questionnaire was adapted by reviewing similar studies [ 17 , 19 , 22 ]. The questionnaire includes questions about the socio-demographic and economic characteristics, reproductive, lifestyle and sexual behavior of the study participants (See S1 File ).…”

Section: Methodsmentioning

confidence: 99%

Factors associated with cervical precancerous lesions among women screened for cervical cancer in Addis Ababa, Ethiopia: A case control study

et al. 2018

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BackgroundCervical cancer is the second most prevalent cancer among women in the developing countries including Ethiopia. Precancerous lesions can be developed and risk to the development of cervical cancer over time. Early identification of the precancerous lesion and its risk factor is paramount in preventing cervical cancer. However, the determinants of cervical precancerous lesions are not well documented in Ethiopia. Therefore, this study is conducted to determine factors associated with cervical precancerous lesion among women screened for cervical cancer.MethodsA hospital-based unmatched case-control study was conducted in selected health facilities in Addis Ababa from March to April 2016. Data were collected from 114 cases and 229 controls using an interviewer-administered questionnaire, entered to Epi Info version 7, and exported to SPSS version 20 for analysis. Odds ratios with its 95% confidence intervals and two-tailed P-value were calculated. Variables with P-value ≤ 0.2 in the bivariate analysis were included in the multivariate logistic regression model.ResultsWomen aged 40–49 years had 2.4-fold higher odds of precancerous lesions compared to those aged 30–39 (Adjusted Odds Ratio = 2.4, 95% Confidence Interval: 1.27–4.54). Women having history of sexually transmitted infections were significantly associated with cervical precancerous lesion compared to their counterparts (Adjusted Odds Ratio = 3.20, 95% Confidence Interval: 1.26–8.10). Similarly, those women who had two or more lifetime sexual partners (Adjusted Odds Ratio = 2.17 95% Confidence Interval: 1.01–4.67), and women whose husbands had two or more lifetime sexual partners (Adjusted Odds Ratio = 3.03, 95% Confidence Interval: 1.25, 7.33) had higher odds of cervical precancerous lesions.ConclusionsOlder age, history of multiple sexual partners and sexual transmitted infections were associated with increased risk of precancerous lesion. Therefore, women with higher risk of precancerous lesions should be encouraged to be screened more frequently for cervical cancer.

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Prevalence and factors associated with VIA positive result among clients screened at Family Guidance Association of Ethiopia, south west area office, Jimma model clinic, Jimma, Ethiopia 2013: a cross-sectional study

Cited by 39 publications

References 17 publications

Risk factors associated with precancerous cervical lesion among women screened at Marie Stops Ethiopia, Adama town, Ethiopia 2017: a case control study

Risk factors associated with precancerous cervical lesion among women screened at Marie Stops Ethiopia, Adama town, Ethiopia 2017: a case control study

Factors associated with a cervical high‐grade lesion on cytology or a positive visual inspection with acetic acid among more than 3300 Tanzanian women

Factors associated with cervical precancerous lesions among women screened for cervical cancer in Addis Ababa, Ethiopia: A case control study

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