Risk factors for precancerous cervical lesion among women screened for cervical cancer in south Ethiopia: Unmatched case-control study.

<h4>Background</h4>Nearly 90% of deaths from cervical cancer occur in a low resource setting. In Ethiopia, the magnitude of precancerous cervical lesions ranges from 7% to 28%. Precancerous cervical lesions may progress to cervical cancer. Early screening and treatment of precancerous ce...

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Autores principales:	Tesfalidet Beyene, Mohammed Akibu, Henok Bekele, Wengelawit Seyoum
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/dc354fd02c0c4978882bffd046448919
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spelling	oai:doaj.org-article:dc354fd02c0c4978882bffd0464489192021-12-02T20:09:11ZRisk factors for precancerous cervical lesion among women screened for cervical cancer in south Ethiopia: Unmatched case-control study.1932-620310.1371/journal.pone.0254663https://doaj.org/article/dc354fd02c0c4978882bffd0464489192021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254663https://doaj.org/toc/1932-6203<h4>Background</h4>Nearly 90% of deaths from cervical cancer occur in a low resource setting. In Ethiopia, the magnitude of precancerous cervical lesions ranges from 7% to 28%. Precancerous cervical lesions may progress to cervical cancer. Early screening and treatment of precancerous cervical lesions is a cost-effective way to avert the growth of cervical cancer. However, there has been limited research on risk factors for precancerous cervical lesions in Ethiopia. Therefore, this study aimed to identify risk factors for precancerous cervical lesions among women screened for cervical cancer in south Ethiopia.<h4>Method</h4>A facility-based unmatched case-control study was carried out in five health facilities in south Ethiopia between 8 May to 28 September 2018. Interviewer administered questionnaires were used to collect data from 98 cases and 197 controls. Multivariate logistic regression was employed to identify determinants of precancerous cervical lesions.<h4>Results</h4>Women aged 30-39 years (AOR = 2.51, 95% CI: 1.03-6.08), monthly income ≤66 (AOR = 3.51, 95% CI: 1.77-6.97), initiation of first sexual intercourse at age less than or equal to 20 (AOR = 2.39, 95% CI: 1.14-5.47), having more than one lifetime sexual partner (AOR = 4.70, 95% CI: 2.02-10.95), having a partner/ husband with more than one lifetime sexual partner (AOR = 2.98, 95% CI: 1.35-6.65) had higher odds of precancerous cervical lesions.<h4>Conclusion and recommendation</h4>Strategies to prevent precancerous cervical lesions should focus on modification of lifestyle and sexual behaviour. The findings of this study highlight several implications for policymakers: targeting older women for cervical cancer screening, addressing inequalities and education relating to risky sexual behaviour may reduce precancerous cervical lesions. Furthermore, future longitudinal studies are needed to assess the awareness of women about cervical cancer screening.Tesfalidet BeyeneMohammed AkibuHenok BekeleWengelawit SeyoumPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254663 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Tesfalidet Beyene Mohammed Akibu Henok Bekele Wengelawit Seyoum Risk factors for precancerous cervical lesion among women screened for cervical cancer in south Ethiopia: Unmatched case-control study.
description	<h4>Background</h4>Nearly 90% of deaths from cervical cancer occur in a low resource setting. In Ethiopia, the magnitude of precancerous cervical lesions ranges from 7% to 28%. Precancerous cervical lesions may progress to cervical cancer. Early screening and treatment of precancerous cervical lesions is a cost-effective way to avert the growth of cervical cancer. However, there has been limited research on risk factors for precancerous cervical lesions in Ethiopia. Therefore, this study aimed to identify risk factors for precancerous cervical lesions among women screened for cervical cancer in south Ethiopia.<h4>Method</h4>A facility-based unmatched case-control study was carried out in five health facilities in south Ethiopia between 8 May to 28 September 2018. Interviewer administered questionnaires were used to collect data from 98 cases and 197 controls. Multivariate logistic regression was employed to identify determinants of precancerous cervical lesions.<h4>Results</h4>Women aged 30-39 years (AOR = 2.51, 95% CI: 1.03-6.08), monthly income ≤66 (AOR = 3.51, 95% CI: 1.77-6.97), initiation of first sexual intercourse at age less than or equal to 20 (AOR = 2.39, 95% CI: 1.14-5.47), having more than one lifetime sexual partner (AOR = 4.70, 95% CI: 2.02-10.95), having a partner/ husband with more than one lifetime sexual partner (AOR = 2.98, 95% CI: 1.35-6.65) had higher odds of precancerous cervical lesions.<h4>Conclusion and recommendation</h4>Strategies to prevent precancerous cervical lesions should focus on modification of lifestyle and sexual behaviour. The findings of this study highlight several implications for policymakers: targeting older women for cervical cancer screening, addressing inequalities and education relating to risky sexual behaviour may reduce precancerous cervical lesions. Furthermore, future longitudinal studies are needed to assess the awareness of women about cervical cancer screening.
format	article
author	Tesfalidet Beyene Mohammed Akibu Henok Bekele Wengelawit Seyoum
author_facet	Tesfalidet Beyene Mohammed Akibu Henok Bekele Wengelawit Seyoum
author_sort	Tesfalidet Beyene
title	Risk factors for precancerous cervical lesion among women screened for cervical cancer in south Ethiopia: Unmatched case-control study.
title_short	Risk factors for precancerous cervical lesion among women screened for cervical cancer in south Ethiopia: Unmatched case-control study.
title_full	Risk factors for precancerous cervical lesion among women screened for cervical cancer in south Ethiopia: Unmatched case-control study.
title_fullStr	Risk factors for precancerous cervical lesion among women screened for cervical cancer in south Ethiopia: Unmatched case-control study.
title_full_unstemmed	Risk factors for precancerous cervical lesion among women screened for cervical cancer in south Ethiopia: Unmatched case-control study.
title_sort	risk factors for precancerous cervical lesion among women screened for cervical cancer in south ethiopia: unmatched case-control study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/dc354fd02c0c4978882bffd046448919
work_keys_str_mv	AT tesfalidetbeyene riskfactorsforprecancerouscervicallesionamongwomenscreenedforcervicalcancerinsouthethiopiaunmatchedcasecontrolstudy AT mohammedakibu riskfactorsforprecancerouscervicallesionamongwomenscreenedforcervicalcancerinsouthethiopiaunmatchedcasecontrolstudy AT henokbekele riskfactorsforprecancerouscervicallesionamongwomenscreenedforcervicalcancerinsouthethiopiaunmatchedcasecontrolstudy AT wengelawitseyoum riskfactorsforprecancerouscervicallesionamongwomenscreenedforcervicalcancerinsouthethiopiaunmatchedcasecontrolstudy
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Risk factors for precancerous cervical lesion among women screened for cervical cancer in south Ethiopia: Unmatched case-control study.

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