Browsing by Author "Teame, Hirut"

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    Factors Associated With Cervical Precancerous Lesion among Women Screened for Cervical Cancer in Addis Ababa, Ethiopia 2016
    (Addis Ababa University, 2016-06) Teame, Hirut; Addissie, Adamu (PhD)
    Background: Cervical cancer is the second most prevalent cancer among women in the developing countries including Ethiopia. Identifying the factors associated with cervical precancerous lesion may help us to address the cervical cancer related problem. Studies on the issues of factors associated with cervical precancerous lesion in women are limited in Ethiopia. Objective: To determine factors associated with cervical precancerous lesion among women screened for cervical cancer in Addis Ababa. Methods: Hospital based unmatched case control study was conducted in selected health facilities of Addis Ababa city from March to April 2016. Data was collected from 114 cases and 229 controls using interviewer administered questionnaire and entered to Epi Info version 7 and exported to SPSS version 20 for analysis. The odds ratio with their 95% confidence interval and two-tailed P value were calculated. Variables with P value ≤ 0.2 in the bivariate analysis were included in the multivariate logistic regression. Statistical significance was declared if P value < 0.05. Result: The magnitude of cervical precancerous lesion was 12.8%. Being in the age group of 40-49 years (44.9%) were significantly associated with cervical precancerous lesion than being in age group of 30-39 years (39.07%) (AOR=2.40, 95%CI (1.27-4.54)). Women having history of sexually transmitted infections (18.08%) were significantly associated with cervical precancerous lesion than those who did not have history of sexual transmitted infection (81.92%) (AOR=3.20, 95%CI (1.26-8.10)). Women who had two or more lifetime sexual partners (AOR= 2.17 95%CI (1.01-4.67)) and those whose husband had two or more other lifetime sexual partners (AOR=3.03, 95%CI (1.25, 7.33) were significantly associated with cervical precancerous lesion. Conclusions: Age group of 40-49 years, lifetime history of sexual transmitted infections, two or more life time sexual partners of the women and two or more other lifetime sexual partners of the husband were increasing risk of cervical precancerous lesion. Women above the age of 40 years, with history of sexually transmitted infections and history of multiple sexual partners should be encourage to be screened for cervical cancer. Key Words: cervical cancer, cervical precancerous lesion, Addis Ababa and Ethiopia.