Assessment Of Prevalence And Risk Factors For Cervical Precancerous Lesion And Cervical Cancer Among Women Screened In Bishoftu General Hospital, Oromia Regional State, Ethiopia

Abstract

Cervical Cancer Is The Second Most Prevalent Cancer Among Women In The Developing Countries Including Ethiopia Following Breast Cancer And The Largest Killer Cancer Among Women In Those Countries. The Most Common Factors That Contribute For Cervical Cancer And Hinder Its Prevention Include Inadequate Knowledge About The Disease, Early Initiation Of Sexual Intercourse And Having Multiple Sexual Partners. Hospital Based Case Control Study Was Conducted From January To May 2017, With The Aim Of Assessment Of The Prevalence Of Cervical Precancerous Lesion And Associated Risk Factors Among Women Screened In Bishoftu General Hospital. Bivariate And Multivariate Logistic Regression Analysis Was Conducted To Examine The Factors Associated With Pre Cancer Lesion And Cervical Cancer By Using Spss Version 24. Being In The Age Group Of 40-49 Years Increased The Risk Of Developing Cervical Precancerous Lesion By 4.77 Times Than Being In Age Group Of 21-29 Years (Cor=4.77, 95%Ci (1.394-16.33). Women Having History Of Sexually Transmitted Infections By 3.36 Times More Likely To Develop Cervical Precancerous Lesion Than Those Who Do Not Have History Of Sexual Transmitted Infection (Cor=3.364, 95%Ci (1.8766.03)). Women Who Had Two Or More Lifetime Sexual Partners Increased The Risk Of Developing Cervical Precancerous Lesion By 2.477 Times As Compared With Women Who Had One Sexual Partner (Cor= 2.477, 95%Ci (1.303-4.710)). Having Greater Than Three History Of Abortion Were Significantly Associated With Cervical Precancerous Lesion As Compared With Those Who Did Not Have History Of Abortion (Cor=9.705, 95% Ci (3.642-25.861). Having Irregular History Of Menstruation Increased The Risk Of Cervical Precancerous Lesion By 4.17 Times As Compared With Those Who Have Regular History Of Menstruation (Cor=4.177, 95% Ci (1.76-9.94). Generally For Women Aged 40-49 Years, Lifetime History Of Sexual Transmitted Infections, Two Or More Lifetime Sexual Partners, Early Sexual Intercourse, Irregular Menstruation Cycle, Positive Hiv Status, Having History Of Abortion More Than Three And Having History Of Smoking Increase The Risk Of Cervical Precancerous Lesion And Were Found Significantly Associated With Cervical Precancerous Lesion. Therefore, Women Above The Age Of 30 Years, With History Of Sexually Transmitted Infections And History Of Multiple Sexual Partners Should Be Encouraged To Be Screened For Cervical Cancer.