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2013年埃塞俄比亚吉马家庭指导协会西南地区办公室吉马示范诊所筛查客户中VIA检测阳性结果的患病率及相关因素:一项横断面研究

Prevalence and factors associated with VIA positive result among clients screened at Family Guidance Association of Ethiopia, south west area office, Jimma model clinic, Jimma, Ethiopia 2013: a cross-sectional study.

作者信息

Deksissa Zewdie Mulissa, Tesfamichael Fessahaye Alemseged, Ferede Henok Assefa

机构信息

Columbia University, International Center for AIDS Care and Treatment Program, Addis Ababa office, P.O. Box 5566, Addis Ababa, Ethiopia.

Department of Epidemiology, College of Public Health and Medical Sciences, Jimma University, P.O. Box 1274, Jimma, Ethiopia.

出版信息

BMC Res Notes. 2015 Oct 29;8:618. doi: 10.1186/s13104-015-1594-x.

Abstract

BACKGROUND

Cervical cancer is the 2nd most frequent and top killer cancer among women in Ethiopia. Prevalence and factors associated with visual inspection with acetic acid (VIA) positive result is not studied yet at the study area.

METHODS

A cross-sectional study was conducted at Jimma model clinic of Family Guidance Association of Ethiopia, from September 11, 2013 to October 11, 2013. Pertinent data of 334 screened clients were transferred to Epidata version3.1 using checklist, double data entry verification done and exported to SPSS version16.0. After cleaning the data, descriptive analysis was done and logistic regression model employed to identify predictors of VIA positive result. Statistical significance was declared at P < 0.05.

RESULTS

Out of 334 screened clients, 43 (12.9%) had VIA positive result. Initiation of sexual intercourse earlier than 16 years was found to be an independent predictor increasing the risk of VIA positive by 2.2 times as compared to clients who started at the age of 16 or more years (AOR [95% CI] = 2.2 [1.1, 4.3]).

CONCLUSIONS

Early initiation of sexual intercourse was an independent predictor of VIA positive result in this study. Thus, any cervical cancer prevention and control effort at the study area should address the problem of early initiation of sexual intercourse.

摘要

背景

宫颈癌是埃塞俄比亚女性中第二常见且致死率最高的癌症。在研究区域,尚未对醋酸肉眼观察法(VIA)阳性结果的患病率及相关因素进行研究。

方法

于2013年9月11日至2013年10月11日在埃塞俄比亚家庭指导协会的吉马示范诊所开展了一项横断面研究。使用检查表将334名筛查对象的相关数据录入Epidata 3.1版本,进行双数据录入验证后导出至SPSS 16.0版本。清理数据后,进行描述性分析,并采用逻辑回归模型确定VIA阳性结果的预测因素。P < 0.05时具有统计学意义。

结果

在334名筛查对象中,43人(12.9%)VIA结果呈阳性。与16岁及以上开始性行为的对象相比,16岁之前开始性行为被发现是一个独立的预测因素,使VIA阳性风险增加2.2倍(优势比[95%置信区间] = 2.2 [1.1, 4.3])。

结论

在本研究中,过早开始性行为是VIA阳性结果的一个独立预测因素。因此,研究区域的任何宫颈癌防控措施都应解决过早开始性行为的问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71a1/4627428/948c600bae24/13104_2015_1594_Fig1_HTML.jpg

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