Ogunbowale Tosin, Lawoyin Taiwo O
Department of Health Services, Olabisi Onabanjo University, Ogun State, Nigeria.
Aust J Rural Health. 2008 Dec;16(6):338-42. doi: 10.1111/j.1440-1584.2008.01013.x.
This study identified predictors of cervical dysplasia and assessed the prevalence of risk factors for cervical cancer among women of different socioeconomic classes in Ogun State, Nigeria.
In a two-phase study, self-reported information on cervical cancer awareness, risk factors and cervical cancer screening practices was obtained from 278 randomly selected working women. A random subset was screened for dysplasia using visual inspection with acetic acid (VIA).
Of the 278 women, 126 (45.3%) were semi-skilled while 152 (54.7%) were skilled and professional workers. Median age at first sexual intercourse was 19 years (range 13-29) and lower than the median age at first marriage (25 years). Gonorrhoea and genital warts were the commonest reported sexually transmitted infections. Only 12.2% of the women used male condoms as their primary method of birth control and 4.7% of the women had ever had a Papanicolaou smear, a practice that was significantly higher among the professional/skilled compared with semi-skilled workers (P = 0.031). Of the 125 screened, 20 (16%) had positive VIA. Young age at first sex (< or = 17 years) (OR = 3.7 (95% CI, 1.07-12.8)) and early first marriage (< 25 years) (3.3 (1.00-10.9)) were associated with a positive VIA. Women with lower parity (0-3) had borderline significantly increased risk of having a positive VIA (3.1 (0.9-10.6)). Women currently over 34 years and those without a history of sexually transmitted infections had lower risk of positive VIA (P > 0.05).
Acceptable screening services and cervical cancer awareness campaigns that address modifiable risk factors are urgently needed in this community.
本研究确定了宫颈发育异常的预测因素，并评估了尼日利亚奥贡州不同社会经济阶层女性中宫颈癌危险因素的流行情况。
在一项分两阶段的研究中，从278名随机挑选的职业女性中获取了关于宫颈癌知晓情况、危险因素和宫颈癌筛查做法的自我报告信息。使用醋酸目视检查法（VIA）对一个随机子集进行发育异常筛查。
在这278名女性中，126名（45.3%）为半熟练工人，152名（54.7%）为熟练工人和专业人员。首次性交的中位年龄为19岁（范围13 - 29岁），低于初婚中位年龄（25岁）。淋病和尖锐湿疣是报告最多的性传播感染。只有12.2%的女性将男用避孕套作为主要避孕方法，4.7%的女性曾进行过巴氏涂片检查，专业/熟练工人中这一比例显著高于半熟练工人（P = 0.031）。在接受筛查的125名女性中，20名（16%）VIA检查呈阳性。首次性行为年龄较小（≤17岁）（比值比[OR]=3.7（95%可信区间[CI]，1.07 - 12.8））和早婚（<25岁）（3.3（1.00 - 10.9））与VIA检查阳性相关。生育次数较少（0 - 3次）的女性VIA检查阳性风险有临界显著增加（3.1（0.9 - 10.6））。目前年龄超过34岁的女性以及无性传播感染病史的女性VIA检查阳性风险较低（P>0.05）。
该社区迫切需要可接受的筛查服务和针对可改变危险因素的宫颈癌宣传活动。
