We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
IDENTIFYING THE RISK FACTORS FOR CERVICAL CANCER IN RWANDA: A CASE CONTROL STUDY.
- Authors
Nkurunziza, C.; Wong, R.; Logan, J.; Ntasumbumuyange, D.; El-Khatib, Z.
- Abstract
Background: Identifying the risk factors for cervical cancer in a specific community informs the design of prevention programs adapted to the local context. Published such data are not available in Rwanda. Objective: This study aimed to describe the risk factors for cervical cancer in Rwanda. Design: Case control study Setting: The study was conducted at the gynecologic oncology clinic of a University Teaching Hospital in Kigali. Population: Patients who attended the gyn-oncology clinic from January 2014 to December 2018. Method: Files of patients with histopathology-confirmed cervical cancer (cases) were matched with patients with no cervical cancer diagnosis (controls) by age (± 1 year) at a ratio of one to two and were examined for relevant information. Backward stepwise logistic regression was conducted to detect associations between risk factors and diagnosis of cervical cancer. Results: A total of 243 patient files were reviewed and 94.6% had no prior cervical cancer screening. The odds of cases having a secondary education were 0.15 times (OR=0.15, 95%CI: 0.04-0.058, p<0.01) the odds of the controls. The odds of cases being in moderate socioeconomic class were 0.37 times (OR=0.37, 95%CI: 0.17-0.82, p=0.01) compared to controls. The odds of cases being HIV positive were 10.83 times that of controls (OR=10.83, 95%CI: 3.19-36.78, p<0.01). Conclusion: This study found that the socioeconomic status, including formal education level attained, prior screening, and HIV sero-positivity were associated with development of cervical cancer in Rwanda. Cervical cancer education and screening programs should consider these factors and serve the high-risk population.
- Subjects
RWANDA; CERVICAL cancer; HISTOPATHOLOGY; MEDICAL screening; CANCER education
- Publication
East African Medical Journal, 2020, Vol 96, Issue 10, p3137
- ISSN
0012-835X
- Publication type
Article