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Lemma TM, Bala ET, Hordofa MA, Solbana LK. Precancerous cervical lesions and associated factors among women on antiretroviral therapy at Dukem Health Center, Central Ethiopia: A cross-sectional study. Health Sci Rep 2024; 7:e1972. [PMID: 38476585 PMCID: PMC10928928 DOI: 10.1002/hsr2.1972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2023] [Revised: 01/29/2024] [Accepted: 02/26/2024] [Indexed: 03/14/2024] Open
Abstract
Background and Aims Cervical cancer is a global public health problem and the second most common cancer which leads to morbidity and mortality among women in developing countries like Ethiopia. In Ethiopia, annually 6294 new cervical cancer cases and 4884 deaths are estimated in 2018 alone. This study aimed to assess the prevalence and associated factors of precancerous cervical lesions among women on antiretroviral therapy (ART) at Dukem Health Center, Central Ethiopia. Methods An institution-based cross-sectional study was carried out among randomly selected 257 women receiving ART at Dukem Health Center. Data were collected using a pretested structured questionnaire, medical record review, and visual inspection with acetic acid. Collected data were entered into Epi-info 7.4 and exported to SPSS version 26 for analysis. The prevalence of precancerous cervical lesions and the characteristics of study participants were identified. Utilizing both binary and multivariable logistic regression models, the existence and degree of association with precancerous cervical lesions were determined with a p value < 0.05 and a 95% confidence interval. Results The prevalence of precancerous cervical lesions was 16% (95% CI: 11.7-20.6). Significant association was found between precancerous cervical lesions and a history of STIs (AOR = 4.30, 95% CI: 1.48-12.49), oral contraceptive use (AOR = 6.56, 95% CI: 2.10-20.50), having multiple lifetime sexual partners (AOR = 2.53: 95% CI: 1.05-6.10), and a recent CD4 count of less than 200 cells/mm3 (AOR: 11.33, 95% CI: 2.88-24.58). Conclusion In the study area, the prevalence of precancerous cervical lesions was relatively high. Therefore, concerned bodies are recommended to increase awareness of the prevention of sexually transmitted diseases and limit sexual partners.
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OKUNADE KS, BADMOS KB, SOIBI-HARRY AP, GARBA SR, OHAZURIKE EO, OZONU O, AKANMU AS, OGUNSOLA FT, ABDULKAREEM FB, ANORLU RI. Cervical Epithelial Abnormalities and Associated Factors among HIV-Infected Women in Lagos, Nigeria: A Cytology-Based Study. Acta Cytol 2022; 67:248-256. [PMID: 36516788 PMCID: PMC10238562 DOI: 10.1159/000527905] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Accepted: 10/31/2022] [Indexed: 12/15/2022]
Abstract
INTRODUCTION As it may not be feasible to provide cervical cancer screening services to all HIV-infected women in most resource-limited settings, there is a need to identify those who are most at risk. We determined the prevalence, patterns, and associated factors of cervical cytological abnormalities among HIV-infected women in Lagos, Nigeria. METHODS This descriptive cross-sectional study was conducted among HIV-infected women at the adult HIV treatment and colposcopy clinics of a university teaching hospital in Lagos, Nigeria, between October 2018 and December 2019. A cervical sample was collected from each woman to detect cervical cytological abnormalities. RESULTS Of the 593 enrolled women, cervical cytological abnormalities were present in 40 (6.7%). Most (37.5%) of the women with cytological abnormalities had atypical squamous cells of undetermined significance. Age at coitarche (<20 vs. ≥20 years: adjusted odds ratio, 2.42; 95% confidence interval, 1.21-4.83, p = 0.01) was the only factor that was independently associated with cervical epithelial abnormalities. CONCLUSION The prevalence of cervical cytological abnormalities in our study is lower than most previous reports in Africa. Sexual debut at an early age was significantly associated with cytological abnormalities. It is necessary to confirm the findings of this study through a well-designed and adequately powered longitudinal study.
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Affiliation(s)
- Kehinde S. OKUNADE
- Department of Obstetrics & Gynaecology, College of Medicine, University of Lagos, Lagos, Nigeria
- Oncology and Pathological Studies Unit, Lagos University Teaching Hospital, Lagos, Nigeria
| | - Kabir B. BADMOS
- Department of Anatomic and Molecular Pathology, College of Medicine, University of Lagos, Lagos, Nigeria
| | - Adaiah P. SOIBI-HARRY
- Oncology and Pathological Studies Unit, Lagos University Teaching Hospital, Lagos, Nigeria
| | - Sunusi-Rimi GARBA
- Oncology and Pathological Studies Unit, Lagos University Teaching Hospital, Lagos, Nigeria
| | - Ephraim O. OHAZURIKE
- Oncology and Pathological Studies Unit, Lagos University Teaching Hospital, Lagos, Nigeria
| | - Oluchi OZONU
- Oncology and Pathological Studies Unit, Lagos University Teaching Hospital, Lagos, Nigeria
| | - Alani S. AKANMU
- Department of Haematology and Blood Transfusion, College of Medicine, University of Lagos, Lagos, Nigeria
| | - Folasade T. OGUNSOLA
- Department of Medical Microbiology, College of Medicine, University of Lagos, Lagos, Nigeria
| | - Fatimah B. ABDULKAREEM
- Department of Anatomic and Molecular Pathology, College of Medicine, University of Lagos, Lagos, Nigeria
| | - Rose I. ANORLU
- Department of Obstetrics & Gynaecology, College of Medicine, University of Lagos, Lagos, Nigeria
- Oncology and Pathological Studies Unit, Lagos University Teaching Hospital, Lagos, Nigeria
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Ephrem Dibisa K, Tamiru Dinka M, Mekonen Moti L, Fetensa G. Precancerous Lesion of the Cervix and Associated Factors Among Women of West Wollega, West Ethiopia, 2022. Cancer Control 2022; 29:10732748221117900. [PMID: 35947527 PMCID: PMC9373178 DOI: 10.1177/10732748221117900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Background Precancerous cervical lesion is an abnormality in the cells of the cervix
that could eventually develop into cervical cancer. Cervical cancer is a
public health problem that contributes to the death of women worldwide. In
line with the high burden of the issue, the Ethiopian government had
attempted to expand cervical cancer screening centers and recommendation of
services to age-eligible as well as high-risk groups of women. Therefore,
the study aimed to assess the prevalence of precancerous lesions of cervix
cancer among women aged 30-49 years and associated factors in West
Wollega. Method Facility-based analytic cross-sectional study design was conducted in
selected hospitals of West Wollega from January 1- February 20, 2022, among
339 women. A face-to-face interview was conducted and the presence or
absence of precancerous cervical lesion was tested by visual inspection with
acetic acid. Data were analyzed by SPSS version 25. Variable with
P-value <.25 in the bi-variable analysis were
entered into multivariable logistic regression. Results with a
P-value ≤ .05 at 95% confidence level were considered
for statistical significance. Result The prevalence of precancerous cervical lesions was 27.4% (95% CI:
22.7%32.1%). The mean standard deviation of participants was 35.22
+6.32 years. More than half (63.4%) and 67.6% of them were regarded as
having good knowledge and a favorable attitude towards precancerous cervical
lesions respectively. History of menstrual irregularity had two folds higher
odds of being diagnosed with the precancerous cervical lesion when compared
with counterparts at, [AOR = 2.29(95% CI:1.29-4.04]. Women with a history of
STI had 3.5 times higher odds of developing precancerous cervical lesion
compared to women with no history of STI [AOR)=3.46(95% CI:1.94-6.18)],
history of bleeding after sexual intercourse was 2.88 times more likely to
have precancerous cervical lesion compared to those without it at
[AOR=2.88(95% CI:1.43-5.78)]. Parity greater than or equal to five had 2.4
times higher odds of developing precancerous cervical lesions compared to
women with parity less than five at [AOR=2.41(95% CI: 1.23-4.75)]. History
of steroid use had 3.5 times higher odds of developing precancerous cervical
lesion compared with opponents at [AOR=3.5(95% CI: 1.32-9.34) and women with
an Unfavorable attitude towards screening for Cervical cancer screening,
prevention, and control methods had 2.2 times higher odds of developing
precancerous cervical lesion compared their counterpart at [AOR=2.15(95% CI:
1.21-3.83)]. Conclusion The precancerous cervical lesions continue to be a significant public health
concern in Ethiopia. It will remain a significant cause of death of women
unless effective screening methods like VIA and vaccination against HPV are
scaled up. Furthermore, having a history of menstrual irregularities, STI,
bleeding after coitus, parity greater than ≥5, steroid use, and having an
unfavorable attitude towards screening factors are significantly associated
with the occurrence of the precancerous lesion. Therefore, effective
prevention approaches have to consider these factors for the control of
cervical cancer in the early phase of the lesion.
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Affiliation(s)
| | | | - Lalisa Mekonen Moti
- Departments of Nursing, School of Nursing and Midwifery, Institute of Health Sciences, 128159Wollega University, Nekemte, Ethiopia
| | - Getahun Fetensa
- Departments of Nursing, School of Nursing and Midwifery, Institute of Health Sciences, 128159Wollega University, Nekemte, Ethiopia.,Department of health, behavior and Societies, Faculty of Public Health, Jimma Medical center, Jimma University, Ethiopia
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Getinet M, Taye M, Ayinalem A, Gitie M. Precancerous Lesions of the Cervix and Associated Factors among Women of East Gojjam, Northwest Ethiopia, 2020. Cancer Manag Res 2021; 13:9401-9410. [PMID: 35002317 PMCID: PMC8721437 DOI: 10.2147/cmar.s338177] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2021] [Accepted: 12/10/2021] [Indexed: 12/02/2022] Open
Abstract
BACKGROUND Cervical cancer is the commonest cancer of women's reproductive system, and is caused by a progression of precancerous lesions of the cervix. Studies on the prevalence and associated factors of precancerous lesions of the cervix are very limited in Ethiopia, particularly in the study area. OBJECTIVE This study aimed to assess precancerous lesions of the cervix and associated factors among women of East Gojjam, northwest Ethiopia in 2020. METHODS A facility-based cross-sectional study was conducted on 340 cervical cancer-screened women in three hospitals of East Gojjam from February to April 2020. Data were collected by six BSc-qualified nurses who were working in the selected hospitals. EpiData Manager and SPSS 26 were used for data management and analysis. After the data had been clean, descriptive analysis was done and multivariate logistic regression used to identify predictors of precancerous lesions of the cervix. Statistical significance was taken to be P<0.05. RESULTS Of the 340 recruited women, 15.3% (95% CI 11.83%-19.54%) had precancerous cervical lesions. Mean age was 37.11±9.3 years. Age 46-55 (AOR 3.8, 95% CI 1.21-12.47) years, age 56-65 (AOR 12.26, 95% CI 3.18-47.18) years, residing rurally (AOR 2.04, 95% CI 1.12-3.7), prolonged use of oral contraceptive pills (AOR 9.11, 95% CI 1.14-72.8), history of sexual transmitted infection (STI; AOR 3.40, 95% CI 1.32-8.78), HIV-positive status (AOR 4.89, 95% CI 1.54-15.49), and number of lifetime sexual partners (AOR 9.87, 95% CI 1.38-70.4) were important factors associated with precancerous lesions of the cervix. CONCLUSION We found relatively high prevalence of precancerous cervical lesions. Age, rural residence, prolonged use of oral contraceptives, STI, multiple sexual partners, and being HIV-positive were important factors associated with precancerous cervical lesions. Women aged >46 years, with a history of STI, being HIV infected, and with a history of multiple sexual partners should be encouraged to get screened for cervical cancer.
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Affiliation(s)
- Mamaru Getinet
- Department of Biomedical Sciences, College of Medicine and Health Sciences, Debre Markos University, Debre Markos, Ethiopia
| | - Molla Taye
- Department of Human Anatomy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Abebe Ayinalem
- Department of Human Anatomy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
| | - Menberesibhat Gitie
- Department of Human Anatomy, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
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Kasa AS, Dagget T, Beyene Y, Dessie G, Endalamaw A, Workineh Y, Ayalew E, Zeleke B, Kerie S, Mulat G, Animaw W. Precancerous cervical lesion in Ethiopia: systematic review and meta-analysis. Syst Rev 2021; 10:287. [PMID: 34724978 PMCID: PMC8561933 DOI: 10.1186/s13643-021-01840-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/30/2020] [Accepted: 10/19/2021] [Indexed: 11/18/2022] Open
Abstract
BACKGROUND Though cervical cancer is largely preventable, it is still the second most common female cancer globally and the leading cause of cancer deaths among females in African. Though many efforts have been done to study the burden of the disease in Ethiopia, primary studies examining the prevalence of precancerous cervical lesions are fragmented. Hence, this systematic review and meta-analysis is aimed at estimating the pooled prevalence of precancerous cervical lesion and its trends in Ethiopia. METHODS This systematic review and meta-analysis was conducted using the following electronic databases. PubMed, Web of Science, SCOPUS, Science Direct, Google Scholar, African Index Medicus (AIM), African Journals Online databases, and Addis Ababa and Bahir Dar Universities research repositories were searched following the Preferred Items for Systematic Review and Meta-analysis (PRISMA) Guideline. STATA 15 statistical software was used to analyze the data. The quality of the included studies was assessed using the Joanna Briggs Institute (JBI) quality appraisal tool for meta-analysis. Heterogeneity between studies was assessed using the Cochrane Q test and I2 test statistics based on the random effects model. A random effects model was computed to estimate the pooled prevalence of precancerous cervical lesion in Ethiopia. Finally, the trend of precancerous cervical lesion in the country was presented. RESULT Seventeen studies with a total of 26,112 participants were included in the analysis. The pooled prevalence of precancerous cervical lesion was 15.16 (95% CI 10.16-19.70). The subgroup analysis by region showed the highest prevalence of precancerous cervical lesion at the Southern Nations and Nationalities Peoples Region (19.65%; 95% CI 15.51-23.80). The trend of precancerous cervical lesion prevalence showed an increased pattern over time. CONCLUSION Approximately one among six of the study participants had precancerous cervical lesion. The trend also showed that there is still an increasing precancerous cervical lesion in Ethiopia. Best practices in achieving high vaccination coverage shall be informed by practices in other successful countries.
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Affiliation(s)
- Ayele Semachew Kasa
- Department of Adult Health Nursing, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia
| | - Tadesse Dagget
- Department of Adult Health Nursing, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia
| | - Yeshiwork Beyene
- Department of Adult Health Nursing, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia
| | - Getnet Dessie
- Department of Adult Health Nursing, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia
| | - Aklilu Endalamaw
- Department of Pediatrics and Child Health Nursing, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia
| | - Yinager Workineh
- Department of Pediatrics and Child Health Nursing, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia
| | - Emiru Ayalew
- Department of Adult Health Nursing, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia
| | - Balew Zeleke
- Department of Pediatrics and Child Health Nursing, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia
| | - Sitotaw Kerie
- Department of Adult Health Nursing, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia
| | - Getasew Mulat
- ALKAN Health Science Business and Technology College, Bahir Dar, Ethiopia
| | - Worku Animaw
- Department of Adult Health Nursing, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia
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Lemu LG, Woldu BF, Teke NE, Bogale ND, Wondimenew EA. Precancerous Cervical Lesions Among HIV-Infected Women Attending HIV Care and Treatment Clinics in Southwest Ethiopia: A Cross-Sectional Study. Int J Womens Health 2021; 13:297-303. [PMID: 33688268 PMCID: PMC7937384 DOI: 10.2147/ijwh.s295137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/01/2020] [Accepted: 02/04/2021] [Indexed: 12/09/2022] Open
Abstract
Background Despite being one of the few cancers that can be prevented with simple testing, cervical cancer is the fourth most common cancer in women. HIV-positive women showed a median three-fold higher incidence of cervical lesions. Aim This study aims to assess the prevalence and factors associated with precancerous cervical lesions among HIV-infected women attending care and treatment clinic in selected hospitals of Southwestern Ethiopia. Methods Institution-based cross-sectional study was conducted from February 1 to July 30, 2018. A systematic random sampling technique was employed to select 454 HIV-infected women. Pretested interviewer-administered questionnaire and medical record review were used for data collection. Visual inspection with Acetic acid was done for participants to detect precancerous cervical lesions. Data were analyzed by SPSS version 20. Binary and multiple logistic regression analyses were done. The presence and strength of association were determined using AOR with its 95% CI. Variables with a P value of less than 0.05 were considered as statistically significant. Results The prevalence of precancerous cervical lesion was 18.7% [95% CI; (15.1–22.4%)]. Currently, not being on highly active antiretroviral treatment [AOR= 2.31, 95% CI: 1.23–4.39], age (20–29 years) [AOR= 0.185, 95% CI: 0.036,0.939], has no history of sexually transmitted infection [AOR=0.026, 95% CI: 0.006–0.116], has no history of genital wart [AOR= 0.261, 95% CI: 0.073–0.934] and having one lifetime sexual partner [AOR=0.133, 95% CI: 0.024–0.726] were found to be significantly associated with precancerous cervical lesion. Conclusion The prevalence of Precancerous Cervical lesion was found to be high in this study. Expansion of screening services and undertaking preventive measures against sexually transmitted infection need to be emphasized.
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Affiliation(s)
- Lidiya Gutema Lemu
- Department of Midwifery, College of Health Science, Mizan Tepi University, Mizan-Aman, Ethiopia
| | - Biruktawit Fekade Woldu
- Department of Midwifery, College of Medicine and Health Science, Wachemo University, Hossana, Ethiopia
| | - Natnael Eshetu Teke
- Department of Midwifery, College of Medicine and Health Science, Wolkite University, Wolkite, Ethiopia
| | - Nardos Delelegn Bogale
- Department of Midwifery, College of Health Science, Mizan Tepi University, Mizan-Aman, Ethiopia
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Chen H, Wang X, Jia H, Tao Y, Zhou H, Wang M, Wang X, Fang X. Bioinformatics Analysis of Key Genes and Pathways of Cervical Cancer. Onco Targets Ther 2020; 13:13275-13283. [PMID: 33402836 PMCID: PMC7778384 DOI: 10.2147/ott.s281533] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2020] [Accepted: 11/30/2020] [Indexed: 01/02/2023] Open
Abstract
Background and Objective Globally, cervical cancer (CC) is the fourth most common cancer affecting women. Although effective screening reduces its incidence, it remains one of the most serious cancers threatening the health of women. Therefore, the purpose of this study is to find new genes that can be used as potential biomarkers for the prognosis of CC. Methods and Results After downloading three datasets such as GSE6791, GSE63678, and GSE63514 from the Gene Expression Omnibus (GEO), we combined the expression matrixes and analyzed them to obtain the differential expressed genes (DEGs). Next, using the STRING website, we performed the protein interaction network analysis. Subsequently, hub genes were screened using the R and Cytoscape software. Then, the expression difference and survival analyses of the hub genes were confirmed using GIPIA. Here, we established that the KNTC1 gene was correlated to the overall survival prognosis of CC. Besides, the expression of the KNTC1 gene in the GSE63514 dataset was significantly different from that of the normal cervix, cervical pre-cancerous lesions, and CC. Consequently, immunohistochemistry analysis showed that the results have a definite diagnostic value. Conclusion The KNTC1 gene could be linked with the pathophysiology of CC and maybe one of the early diagnostic markers for the diagnosis of cervical pre-cancerous lesions.
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Affiliation(s)
- Huan Chen
- Department of Obstetrics and Gynecology, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, People's Republic of China
| | - Xi Wang
- Department of Obstetrics and Gynecology, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, People's Republic of China
| | - Huanhuan Jia
- Guangdong Laboratory Animals Monitoring Institute, Guangdong Key Laboratory of Laboratory Animals, Guangzhou, Guangdong 510663, People's Republic of China
| | - Yin Tao
- Department of Obstetrics and Gynecology, Zhu Zhou Hospital Affiliated to Xiangya School of Medicine, CSU, Zhuzhou, Hunan 412007, People's Republic of China
| | - Hong Zhou
- Department of Obstetrics and Gynecology, Zhu Zhou Hospital Affiliated to Xiangya School of Medicine, CSU, Zhuzhou, Hunan 412007, People's Republic of China
| | - Mingyuan Wang
- Department of Pathophysiology, School of Basic Medical Science, Central South University, Changsha, Hunan, 410013, People's Republic of China
| | - Xin Wang
- Department of Obstetrics and Gynecology, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, People's Republic of China
| | - Xiaoling Fang
- Department of Obstetrics and Gynecology, The Second Xiangya Hospital of Central South University, Changsha, Hunan 410011, People's Republic of China
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Precancerous lesions of the cervix and its determinants among Ethiopian women: Systematic review and meta-analysis. PLoS One 2020; 15:e0240353. [PMID: 33112875 PMCID: PMC7592780 DOI: 10.1371/journal.pone.0240353] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2020] [Accepted: 09/24/2020] [Indexed: 01/22/2023] Open
Abstract
Introduction Precancerous lesions of the cervix are changes in cervical cells that make them more likely to develop into cancer. Understanding the prevalence and determinants of the precancerous lesions of the cervix among women helps to take an action like vaccination programs, improving screening coverage, and close management and follow-up which could decrease the morbidity and mortality caused by cervical cancer. Materials and methods The international databases, PubMed/MEDLINE, Web of Science, EMBASE, CINAHL, Google Scholar, Science Direct and Cochrane Library and unpublished reports were systematically searched. Two authors independently extracted all necessary data using a standardized data extraction format. STATA 14 statistical software was employed to analyse the data. The Cochrane Q test statistics and I2 tests were used to assess the heterogeneity between the studies. A random-effect model was computed to estimate the pooled prevalence of precancerous lesions of the cervix in Ethiopia. Determinants of the precancerous lesion of cervix (early initiation of sexual intercourse, multiple sexual partners, and history of sexually transmitted infection) were analysed. Results Thirteen studies fulfilled the inclusion criteria and included in the meta-analysis. The I2 test result showed high heterogeneity (I2, 93.2%, p = <0.001). Using the random effect analysis, the pooled prevalence of precancerous lesions of the cervix among women in Ethiopia was 14.21% (95% CI (10.49, 17.94). After adjusting of publication bias using trim-and-fill method, the pooled prevalence was 9.43% (95% CI (5.23, 13.62). Women who had multiple sexual partners in their lifetime (OR:2.67 CI: 1.49,4.79) and had a history of sexually transmitted infections (OR:6.22 CI: 2.99,12.92) were more likely to have a precancerous lesion of the cervix. Conclusion The pooled prevalence of the precancerous lesions of the cervix among Ethiopian women was 9.43%. It was associated with having multiple sexual partners and a history of sexually transmitted infections.
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Tumwine JK. Infections, NCDS, and the scourge of cyclones and Ebola in sub-Saharan Africa. Afr Health Sci 2019; 19:i-iv. [PMID: 31149013 PMCID: PMC6531948 DOI: 10.4314/ahs.v19i1.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
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