Trends of Cervical Cancer in Ethiopia

Abate, Sefinew Migbaru

doi:10.4172/2161-0932.s3:103

Cited by 5 publications

(5 citation statements)

References 14 publications

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“…The elimination of women who had visited family planning or gynecology clinics with symptoms of CC may account for the decreased HPV prevalence in the current study. In comparison to prior studies (13.1%, 14.1%, and 12.9% respectively), the current study's overall VIA positive rate of 13.0%, consisting of 10.5% in urban areas and 14.5% in rural areas, is comparable with the data from several Ethiopian regions [21][22][23].…”

Section: Discussionsupporting

confidence: 82%

Genotypic Diversity of Human Papillomavirus (HPV) Types and Its Prevalence With Cervical Cancer (CC) in Central India

Kulkarni¹,

Paliwal²,

Kosta³

2023

Cureus

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BackgroundThe high-risk human papillomavirus (hr-HPV) is linked with cervical cancer (CC), and the distinct proportional impact of each genotype on the prevalence of the disease depends on the area. Therefore, to find out the prevalence of HPV types in women with cervical lesions from central India, the current study was performed. MethodologyAge, prior history of cervical disease, changes in lifestyle characteristics, menopausal status, and HPV vaccination status were all carefully gathered at enrollment for the 736 women (aged 21 to 60) screened in this cross-sectional study who were referred for regular screening of cervical during the study period. Cervix was examined for lesions by visual inspection with acetic acid (VIA) screening and HPV genotypes were identified by real-time polymerase chain reaction (RT-PCR). ResultAmong 736 women 215 (29.2%) were in the 21-30 age group, 321 (43.6%) in the 31-40 age group, 132 (17.9%) in the 41-50 age group, and 68 (9.3%) cases in >50 age group. According to education, there were 398 (54.1 %) with primary and below education, 115 (15.6%) with secondary education, and 223 (30.3%) with college and above education. 18, 31, and 45 each had a prevalence of 29.6%, 11.1%, 12.9%, and 9.2%, respectively, while the overall prevalence of hr-HP) was present in populations at 7.3% in individuals and 37.0% in combinations. Hr-HPV infection and prevalence were provocatively more (79.6%) in the VIApositivity rate with CC. ConclusionIndividual hr-HPV genotype prevalence was shown to be lower than with combinations 18, 31, and 45). The HPV-16 genotype was identified to have a higher prevalence than HPV-18, 31, and 45. However, more awareness programs are needed for a better understanding of CC and HPV testing in central India.

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Section: Discussionsupporting

confidence: 82%

Genotypic Diversity of Human Papillomavirus (HPV) Types and Its Prevalence With Cervical Cancer (CC) in Central India

Kulkarni¹,

Paliwal²,

Kosta³

2023

Cureus

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“…It is the second most frequent cancer among women next to breast cancer. Even though the cause of PCL has been the subject of several studies, factors associated with PCL remain poorly documented [9,12,[15][16][17][18][19]. The 2018 International Agency for Research on Cancer (IARC) and Global Cancer Observation (GLOBOCAN) data show that Ethiopia is still faced with an increase in the absolute number of cases being diagnosed and requiring treatment [8,9].…”

Section: Introductionmentioning

confidence: 99%

Risk factors of precancerous cervical lesions: The role of women’s socio-demographic, sexual behavior and body mass index in Amhara region referral hospitals; case-control study

2021

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Background Cervical cancer remains one of the major public health challenges in low and middle-income countries including Ethiopia. There was a scarce of evidence regarding the effect of woman’s socio-demographic characteristics and body mass index on the development of precancerous cervical lesions in Ethiopia. Therefore, the current study aimed at identifying the risk factors of precancerous cervical lesions among women visiting referral hospitals for cervical cancer screening in Amhara national regional state. Methods A hospital-based case-control study was conducted from 22 December 2019 to 8 April 2020 among 200 women including 67 visual inspections with acetic acid (VIA) positive women (i.e., cases) and 133 visual inspections with acetic acid (VIA) negative women (i.e., controls). The study was conducted at randomly selected referral hospitals in Amhara national regional state. Data were collected mainly through face to face interview and chart review using structured questionnaire and checklist respectively. Data were then entered to EpiData version 4.6 and exported to SPSS version 25 for analysis. Binary logistic regression model was fitted and variables with p-value of < 0.2 at bivariable logistic regression analysis were candidates for the multivariable analysis. Level of significance was claimed based on adjusted odds ratio (AOR) with 95% confidence interval (CI) at p-value of ≤ 0.05. Results This study illustrates that the odds of being positive for precancerous cervical lesion (PCL) were higher among women who had body mass index (BMI) of <18.5 kg/m2 (AOR = 3.83; 95% CI: 1.26, 8.76), early coitarche (AOR = 3.15; 95% CI: 1.50, 11.49, history of using oral contraceptive pills (AOR = 2.74; 95% CI: 1.6, 7.4), lifetime sexual transmitted infections (AOR = 3.73; 95% CI: 2.5, 12.28) and multiple sexual partners (AOR = 3.23; 95% CI: 1.82, 9.29). On the other hand, participants’ BMI of ≥25 kg/m2 (AOR = 0.46; 95% CI: 0.36, 0.75) and level of education of college and above (AOR = 0.29; 95% CI: 0.23, 0.77) were identified to be protective factors of PCL. Conclusion Most of the determinants of precancerous cervical lesions were modifiable and mainly related to women’s socio-demographic characteristics, sexual behaviors and body mass index. Therefore, strengthening awareness on safe sexual practices and healthy life styles through information, education and communication (IEC), and behavioral change communication (BCC) would decrease the incidence of precancerous cervical lesions.

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Section: Introductionmentioning

confidence: 99%

“…Barriers to the uptake of screening in LMICs include a low level of awareness, cost, limited access to screening services, poor infrastructure, lack of trained and skilled professionals, poor knowledge, and illiteracy. 9,[12][13][14][15][16] The national cancer control program in Ethiopia has a strategy to lower cancer burden through primary prevention, lifestyle modification, screening, and early detection to target 80% screening coverage. This strategy is included in the Ethiopian Health Sector Transformational Plan (HSTP).…”

Section: Introductionmentioning

confidence: 99%

Cervical Cancer Screening Practice Among Women: A Community Based Cross-Sectional Study Design

Tadesse¹,

Megerso

Mohammed

et al. 2023

INQUIRY

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Early detection of cervical cancer through screening practice in developing countries is still low. The study is aimed to determine cervical cancer screening practice and associated factors among women of age 25 to 59 years old. Community-based study design was employed and systematic sampling was used to get 458 samples. The data were entered into Epi info version 7.2.1.0 and exported to SPSS version 20 for cleaning and analysis. Binary and Multivariable Logistic regression was used and adjusted odds ratio with 95% CI at P-value <.05 was reported as significant value. Cervical screening practice among the study participants was 15.5%. Women’s age 40 to 49 (AOR = 2.95, 95% CI = 0.94, 9.28), educational status (AOR = 4.19, 95% CI = 1.31, 13.37), employed women (AOR = 2.59, 95% CI = 1.01, 6.68), parity above 4 (AOR = 3.09, CI = 1.03, 9.31), sexual partners 2 to 3 (AOR = 5.32, CI = 2.33, 12.14), good knowledge about cervical cancer (AOR = 3.88; 95% CI = 1.83, 8.23) and positive attitude toward cervical cancer (AOR = 5.92, CI = 2.53, 13.87) were independently associated with cervical cancer screening practices. The study revealed that the utilization of cervical cancer screening was very low. Educational status, Women’s age, number of sexual partners, knowledge, and attitude were significantly associated with cervical cancer screening practice. Therefore, intervention programs intended at improving cervical cancer screening practice among women should focus on the significant factors.

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Trends of Cervical Cancer in Ethiopia

Abstract: Introduction: Cervical cancer is a leading cause of mortality worldwide. According to the 2009 World Health Organization (WHO) report in Ethiopia 7619 annual number of new cases and 6081 deaths every year. Despite this fact, very few women receive screening services in Ethiopia.

Cited by 5 publications

References 14 publications

Genotypic Diversity of Human Papillomavirus (HPV) Types and Its Prevalence With Cervical Cancer (CC) in Central India

Genotypic Diversity of Human Papillomavirus (HPV) Types and Its Prevalence With Cervical Cancer (CC) in Central India

Risk factors of precancerous cervical lesions: The role of women’s socio-demographic, sexual behavior and body mass index in Amhara region referral hospitals; case-control study

Cervical Cancer Screening Practice Among Women: A Community Based Cross-Sectional Study Design

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