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Precancerous Cervical Lesion Among Women in Public Hospitals of Addis Ababa, Ethiopia

Received: 1 September 2020    Accepted: 19 September 2020    Published: 16 December 2020
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Abstract

Background: Cervical cancer is one of the leading causes of death among women in the world and particularly in Africa. Countries of the glob adopted proven the importance of precancerous lesion screening. However, cervical cancer remains one of the leading causes of cancer morbidity and mortality in sub-Saharan Africa including Ethiopia. This study assessed the prevalence and associated factors of precancerous cervical lesions among women screened at public hospitals in Addis Ababa, Ethiopia. Methods: Institutional based cross-sectional study was conducted among 234 women screened in five public hospitals of Addis Ababa selected by systematic sampling technique. Data were collected by interview using a structured and pre-tested questionnaire. The association of the variable was done by using binary and multiple logistic regressions and a 95% confidence interval were computed to determine the level of significance. Variable with P-value <0.05 was considered as statistically significant. Results: The prevalence of cervical precancerous lesion was 14.1% [(95% CI: (9.4, 18.8)]. Having multiple sexual partners ((AOR = 4.17, 95% CI: (1.3, 13.36)], Being human immune virus positive (HIV) [AOR = 8.16, 95% CI: (2.08, 32.09)], early initiation of sex (before 18 years old) [AOR = 2.34, 95% CI: (1.13, 5.7)], having history of sexual transmitted disease [AOR = 9.97, 95% CI: (2.98, 33.4) and, having a husband with history of sexual transmitted disease [AOR = 4.07, 95% CI: (1.35, 12.3)] were factors significantly associate with the risk of being positive with precancerous cervical lesion. Conclusion: A significant number of women were positive for visual inspection with acetic acid screening (precancerous cervical lesion). Enhancing early cervical cancer screening and addressing community awareness on comprehensive sexual and reproductive health issues tailored to age and culture and early treatment of sexually transmitted diseases are important measures to decrease the problem.

Published in Cancer Research Journal (Volume 8, Issue 4)
DOI 10.11648/j.crj.20200804.15
Page(s) 94-99
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Precancerous, Cervical Lesion, Visual Inspection of Acetic Acid, Addis Ababa, Ethiopia

References
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[17] Berraho M, Amarti-Riffi A, El-Mzibri M, Bezad R, Benjaafar N, Benideer A. HPV and cofactors for invasive cervical cancer in Morocco: a multicentre case-control study. BMC cancer. 2017; 17 (1): 435-45.
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  • APA Style

    Tesfay Temesgen, Girmay Adhena, Zerihun Figa. (2020). Precancerous Cervical Lesion Among Women in Public Hospitals of Addis Ababa, Ethiopia. Cancer Research Journal, 8(4), 94-99. https://doi.org/10.11648/j.crj.20200804.15

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    ACS Style

    Tesfay Temesgen; Girmay Adhena; Zerihun Figa. Precancerous Cervical Lesion Among Women in Public Hospitals of Addis Ababa, Ethiopia. Cancer Res. J. 2020, 8(4), 94-99. doi: 10.11648/j.crj.20200804.15

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    AMA Style

    Tesfay Temesgen, Girmay Adhena, Zerihun Figa. Precancerous Cervical Lesion Among Women in Public Hospitals of Addis Ababa, Ethiopia. Cancer Res J. 2020;8(4):94-99. doi: 10.11648/j.crj.20200804.15

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  • @article{10.11648/j.crj.20200804.15,
      author = {Tesfay Temesgen and Girmay Adhena and Zerihun Figa},
      title = {Precancerous Cervical Lesion Among Women in Public Hospitals of Addis Ababa, Ethiopia},
      journal = {Cancer Research Journal},
      volume = {8},
      number = {4},
      pages = {94-99},
      doi = {10.11648/j.crj.20200804.15},
      url = {https://doi.org/10.11648/j.crj.20200804.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.crj.20200804.15},
      abstract = {Background: Cervical cancer is one of the leading causes of death among women in the world and particularly in Africa. Countries of the glob adopted proven the importance of precancerous lesion screening. However, cervical cancer remains one of the leading causes of cancer morbidity and mortality in sub-Saharan Africa including Ethiopia. This study assessed the prevalence and associated factors of precancerous cervical lesions among women screened at public hospitals in Addis Ababa, Ethiopia. Methods: Institutional based cross-sectional study was conducted among 234 women screened in five public hospitals of Addis Ababa selected by systematic sampling technique. Data were collected by interview using a structured and pre-tested questionnaire. The association of the variable was done by using binary and multiple logistic regressions and a 95% confidence interval were computed to determine the level of significance. Variable with P-value Results: The prevalence of cervical precancerous lesion was 14.1% [(95% CI: (9.4, 18.8)]. Having multiple sexual partners ((AOR = 4.17, 95% CI: (1.3, 13.36)], Being human immune virus positive (HIV) [AOR = 8.16, 95% CI: (2.08, 32.09)], early initiation of sex (before 18 years old) [AOR = 2.34, 95% CI: (1.13, 5.7)], having history of sexual transmitted disease [AOR = 9.97, 95% CI: (2.98, 33.4) and, having a husband with history of sexual transmitted disease [AOR = 4.07, 95% CI: (1.35, 12.3)] were factors significantly associate with the risk of being positive with precancerous cervical lesion. Conclusion: A significant number of women were positive for visual inspection with acetic acid screening (precancerous cervical lesion). Enhancing early cervical cancer screening and addressing community awareness on comprehensive sexual and reproductive health issues tailored to age and culture and early treatment of sexually transmitted diseases are important measures to decrease the problem.},
     year = {2020}
    }
    

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  • TY  - JOUR
    T1  - Precancerous Cervical Lesion Among Women in Public Hospitals of Addis Ababa, Ethiopia
    AU  - Tesfay Temesgen
    AU  - Girmay Adhena
    AU  - Zerihun Figa
    Y1  - 2020/12/16
    PY  - 2020
    N1  - https://doi.org/10.11648/j.crj.20200804.15
    DO  - 10.11648/j.crj.20200804.15
    T2  - Cancer Research Journal
    JF  - Cancer Research Journal
    JO  - Cancer Research Journal
    SP  - 94
    EP  - 99
    PB  - Science Publishing Group
    SN  - 2330-8214
    UR  - https://doi.org/10.11648/j.crj.20200804.15
    AB  - Background: Cervical cancer is one of the leading causes of death among women in the world and particularly in Africa. Countries of the glob adopted proven the importance of precancerous lesion screening. However, cervical cancer remains one of the leading causes of cancer morbidity and mortality in sub-Saharan Africa including Ethiopia. This study assessed the prevalence and associated factors of precancerous cervical lesions among women screened at public hospitals in Addis Ababa, Ethiopia. Methods: Institutional based cross-sectional study was conducted among 234 women screened in five public hospitals of Addis Ababa selected by systematic sampling technique. Data were collected by interview using a structured and pre-tested questionnaire. The association of the variable was done by using binary and multiple logistic regressions and a 95% confidence interval were computed to determine the level of significance. Variable with P-value Results: The prevalence of cervical precancerous lesion was 14.1% [(95% CI: (9.4, 18.8)]. Having multiple sexual partners ((AOR = 4.17, 95% CI: (1.3, 13.36)], Being human immune virus positive (HIV) [AOR = 8.16, 95% CI: (2.08, 32.09)], early initiation of sex (before 18 years old) [AOR = 2.34, 95% CI: (1.13, 5.7)], having history of sexual transmitted disease [AOR = 9.97, 95% CI: (2.98, 33.4) and, having a husband with history of sexual transmitted disease [AOR = 4.07, 95% CI: (1.35, 12.3)] were factors significantly associate with the risk of being positive with precancerous cervical lesion. Conclusion: A significant number of women were positive for visual inspection with acetic acid screening (precancerous cervical lesion). Enhancing early cervical cancer screening and addressing community awareness on comprehensive sexual and reproductive health issues tailored to age and culture and early treatment of sexually transmitted diseases are important measures to decrease the problem.
    VL  - 8
    IS  - 4
    ER  - 

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Author Information
  • Department of Midwifery, College of Health Science, Dilla University, Dilla, Ethiopia

  • Department of Reproductive Health, Tigray Regional Health Bureau, Tigray, Ethiopia

  • Department of Midwifery, College of Health Science, Dilla University, Dilla, Ethiopia

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