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Prevalence and Associated Factors of Precancerous Cervical Lesions among Women in Ethiopia: A Systematic Review and Meta-Analysis.
Zena, Dereje; Elfu, Berhanu; Mulatu, Kebadnew.
  • Zena D; Family Guidance Association of Ethiopia, North West Branch.
  • Elfu B; Bahir Dar University.
  • Mulatu K; Bahir Dar University.
Ethiop J Health Sci ; 31(1): 189-200, 2021 Jan.
Article in English | MEDLINE | ID: covidwho-1175686
ABSTRACT

BACKGROUND:

Cervical cancer remains the most common cancer of women worldwide. Its burden is more serious in developing countries. It is also the second common cancer deaths of women in Ethiopia followed by breast cancer. The aim of this study was to determine the pooled prevalence and associated factors of precancerous cervical lesions among women in Ethiopia.

METHODS:

We systematically searched published and unpublished articles reported from 2010 to 2019 using a comprehensive search of electronic databases including PubMed and Google scholar for grey literature from August 1 to September 1, 2019. The methodological qualities of included studies were evaluated using Joanna Briggs Institute meta-analysis of Statistics Assessment. The pooled prevalence estimate was calculated using MedCalc software-version 19.0.7, and the pooled odd ratios for predictors was calculated using RevMan software version 5.3.

RESULTS:

The pooled prevalence of precancerous cervical lesions among women in Ethiopia was 13.4% (95% CI10.63% 16.37%). Statistically significant heterogeneity between studies was detected (I2=83.1%, P < 0.001). Among all measured associated factors numbers of women life time sexual partners > 1, OR=2.5 (95% CI3.70,4.76), being HIV positive women, OR=2.4 (95% CI1.33,4.61) and women having history of STI, OR=2.0 (95% CI1.02,3.87) had statistically significant association with precancerous cervical lesions among women in Ethiopia.

CONCLUSION:

The pooled prevalence of precancerous cervical lesions among women in Ethiopia was high as compared to the 5-year worldwide cervical cancer prevalence. Women having more than one life time sexual partners, being HIV positive women and women having history of STI had a statistically significant association with precancerous cervical lesions.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Precancerous Conditions / Uterine Cervical Neoplasms Type of study: Experimental Studies / Observational study / Prognostic study / Reviews / Systematic review/Meta Analysis Limits: Female / Humans Country/Region as subject: Africa Language: English Journal: Ethiop J Health Sci Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Precancerous Conditions / Uterine Cervical Neoplasms Type of study: Experimental Studies / Observational study / Prognostic study / Reviews / Systematic review/Meta Analysis Limits: Female / Humans Country/Region as subject: Africa Language: English Journal: Ethiop J Health Sci Year: 2021 Document Type: Article