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Factors associated with cervical cancer among women attending referral hospitals in Dar es salaam, Tanzania

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dc.contributor.author Rweyemamu, K.Y.
dc.date.accessioned 2015-10-19T07:56:07Z
dc.date.available 2015-10-19T07:56:07Z
dc.date.issued 2013
dc.identifier.citation Rweyemamu,(2013) Factors associated with cervical cancer among women attending referral hospitals in Dar es salaam, Tanzania,Factors associated with cervical cancer among women attending referral hospitals in Dar es salaam, Tanzania, Muhimbili University of Health and Allied Sciences: Dar es Salaam. en_GB
dc.identifier.uri http://hdl.handle.net/123456789/1688
dc.description.abstract Background: Cervical cancer is the third most common cancer in women, and fourth cause of cancer death in females worldwide. More than 85% of the global burden occurs in sub-Saharan Africa. In Tanzania 35.3% of cancer patients attending Ocean Road Cancer Institute have cervical cancer. HIV constitutes about 21% among cervical cancer patients at ORCI in 2007. Objective: To determine factors associated with cervical cancer among women attending referral hospitals in Dar es Salaam. Methods: This was a hospital based unmatched case control study with a case to control ratio of 1:1. A case was a woman attending Ocean Road Cancer Institute (ORCI) with a confirmed cervical cancer diagnosis in less than 6 months from the day of recruitment. A control was woman attending the Gynaecology clinic at Muhimbili National Hospital with non-cancer related diagnosis. A standardised structured questionnaire was used; data analysis was performed in Epi Info and STATA. Multiple logistic regression models were used to estimate adjusted odds ratios (AORs). Results: A total of 165 cases and 165 controls were included in the study. The mean age ± standard deviation was 51±12 years and 33 ± 11 years among cases and controls respectively. 98 (59.4%) of cases were peasants while 91 (60.7%) of the controls were employed. The HIV prevalence was 42 (28.3%) among cases. Significant risk factors for cervical cancer in our study included lowest wealth quintile (AOR = 6.29; 95% CI: 2.12 – 18.13), peasant (AOR = 6.20; 95% CI: 1.58 – 25.00), occasional post coital genital wash (AOR= 2.8, 95% CI= 1.01 – 7.72) and oral contraceptive use (AOR= 2.29; 95% CI= 1.09 – 5.23). Conclusion: HIV prevalence among cases was quite high. These data provide further evidence that low socio-economic status, oral contraceptive use and poor genital hygiene conditions were the main risk factors for cervical cancer. Recommendations: Scaling up of cervical cancer prevention and control interventions should address socio-economic, behavioural and HIV infection among the risk population. en_GB
dc.language.iso en en_GB
dc.publisher Muhimbili University of Health and Allied Sciences en_GB
dc.subject Cervical cancer en_GB
dc.subject Tanzania en_GB
dc.subject HIV/AIDS en_GB
dc.subject Gynaecology en_GB
dc.title Factors associated with cervical cancer among women attending referral hospitals in Dar es salaam, Tanzania en_GB
dc.type Thesis en_GB


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