• Login
    View Item 
    •   UNZA Repository Home
    • Theses and Dissertations
    • Medicine
    • View Item
    •   UNZA Repository Home
    • Theses and Dissertations
    • Medicine
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Predictors of abnormal cervical lesions among women(15-49 years old) in Zambia: A cross-sectoral study

    Thumbnail
    View/Open
    Main Document (972.5Kb)
    Date
    2015
    Author
    Hamoonga, Euphemia Twaambo
    Type
    Thesis
    Language
    en
    Metadata
    Show full item record

    Abstract
    Background: Cervical cancer has been identified as the second most common female malignancy and leading cause of death among women in the world. Despite concerted efforts through the Cervical Cancer Prevention Program in Zambia (CCPPZ), there has been observed low uptake of the service, with 80% of women presenting very late when only palliative care can be given. This study aimed at determining the predictors of abnormal cervical lesions among women (15-49 years old) in Zambia. Methods: The study was a cross-sectional study. 14,301 women (15-49 years old) from 6 provinces of Zambia were recruited. Secondary data from the CCPPZ was used for the study. SPSS version 21 was used for data analysis. Descriptive statistics using the chi2 test were used to explore proportions of women by their various socio-economic, demographic, medical and obstetric characteristics. Univariate logistic regression analysis was used to explore associations between the outcome variable (cervical lesions) and various predisposing factors. Finally, multiple logistic regression analysis was used to control for confounding, and thereby determine the predictors of abnormal cervical lesions in the final model. Results: The prevalence of abnormal cervical lesions was 10.7% (n=14,301). The predictors of abnormal cervical lesions were; education [AOR 0.684; 95% CI 0.505, 0.925; p=0.014] where women with tertiary education had a reduced risk compared to those with no formal education, marital status (married vs. never married) [AOR 0.776; 95%CI 0.624, 0.964; p= 0.022]. Other predictors were cigarette smoking (yes vs. no) [AOR 1.657; 95% CI 1.182, 2.322; p=0.003], condom use [0.652; 95% CI 0.434, 0.979; p=0.039] where women who always used a condom had a reduced risk compared to women who never used one, and HIV (positive vs. negative) [AOR 1.969; 95% CI 1.681, 2.305; p<0.001]. Conclusion: One in every ten women who screened for cervical cancer had abnormal cervical lesions. Education, marital status, smoking, condom use with regular partner and HIV status were significantly associated with having abnormal cervical lesions. There is, therefore, need for concerted efforts to design cervical cancer awareness programs targeting the high risk populations, including lobbying for a policy to make cervical cancer screening mandatory and routine for early detection and prevention of the development of cervical cancer.
    URI
    http://dspace.unza.zm/handle/123456789/4363
    Publisher
    The University of Zambia
    Subject
    Cancer--Zambia
    Cervix uteri--Cancer--Diagnosis--Zambia
    Cervix uteri--Cancer--Symptoms
    Collections
    • Medical Theses and Dissertations [525]
    • Medicine [955]

    DSpace software copyright © 2002-2016  DuraSpace
    UNZA homepage | UNZA Library | Contact Us | Send Feedback
    Theme by 
    Atmire NV
     

     

    Browse

    All of UNZA RepositoryCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjects

    My Account

    LoginRegister

    Statistics

    View Usage Statistics

    DSpace software copyright © 2002-2016  DuraSpace
    UNZA homepage | UNZA Library | Contact Us | Send Feedback
    Theme by 
    Atmire NV