Factors Associated with Delayed Diagnosis of Cervical Cancer in Tikur Anbesa Specialized Hospital, Ethiopia, 2019: Cross-Sectional Study.
Factors Associated with Delayed Diagnosis of Cervical Cancer in Tikur Anbesa Specialized Hospital, Ethiopia, 2019: Cross-Sectional Study.
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DOI：
10.2147/cmar.s285621
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发表时间：
2021
影响因子：
3.3
通讯作者：
Wassihun B
中科院分区：
文献类型：
--
作者：
Zeleke S;Anley M;Kefale D;Wassihun B
如果及早发现，宫颈癌是一种可预防和可治愈的疾病。但埃塞俄比亚的一些妇女在疾病已发展到最后阶段时仍在努力寻求治疗。诊断延迟是埃塞俄比亚宫颈癌死亡率的主要原因。本研究的主要目的是评估与埃塞俄比亚 Tikur Anbesa 专科医院宫颈癌延迟诊断相关的因素。进行了一项基于机构的横断面研究。随机选择的 422 名宫颈癌患者接受了采访，并审查了他们的病历。使用 EpiData 3.1 版输入数据，并使用 SPSS 22 版进行分析。进行双变量和多变量分析以检查自变量和结果变量之间的关联。共有 410 名女性参与了这项研究，回应率为 97.1%。女性的平均年龄为 50 岁 (SD ±11.5)。一半的参与者不会读写，66.3%的参与者收入低于500埃塞俄比亚比尔（约14美元）。大约 86.3% 的女性宫颈癌被延迟诊断。收入<500埃塞俄比亚比尔（14美元）（调整后OR=3.79，CI：1.48，9.67）、不了解宫颈癌疾病（调整后OR=1.33，CI：1.05，2.71）和不了解宫颈癌筛查（调整后OR=1.64，CI：1.16，4.07）的女性更有可能延迟诊断宫颈癌。我们的研究报告称，患有宫颈癌的女性延迟诊断的患病率很高。文盲率高、社会经济地位低、缺乏认识、传统治疗师和缺乏常规筛查计划是导致宫颈癌延迟诊断的原因。应促进和倡导定期宫颈癌筛查和扩大、提高认识、增加宫颈癌患者的可及性和改善卫生服务，以减少宫颈癌诊断通常的延误。
Cervical cancer is a preventable and curable disease if detected early enough. But several numbers of women in Ethiopia strive for treatment when the disease has extended to the last stage. Delay in diagnosis is the main reason for cervical cancer mortality in Ethiopia. The main objective of this study was to assess factors associated with delayed diagnoses of cervical cancer in Tikur Anbesa Specialized Hospital, Ethiopia. An institution-based cross-sectional study was conducted. Randomly selected 422 cervical cancer patients were interviewed and their medical records were reviewed. Data were entered using EpiData version 3.1 and analyzed using SPSS version 22. Bivariate and multivariate analyses were conducted to examine the association between independent and outcome variables. A total of 410 women participated in the study with a response rate of 97.1%. The mean age of the women was 50 years (SD ±11.5). Half of the participants cannot read and write, and 66.3% of participants' income was <500 Ethiopian Birr (approximately 14 USD). Around 86.3% of the women had delayed diagnosis of cervical cancer. Women who have <500 Ethiopian Birr (14 USD) income (adjusted OR=3.79, CI: 1.48, 9.67), have no awareness of cervical cancer disease (adjusted OR=1.33, CI: 1.05, 2.71) and have no awareness about cervical cancer screening (adjusted OR=1.64, CI: 1.16, 4.07) were more likely for delayed diagnosis of cervical cancer. Our study reports a high prevalence of delayed diagnosis of women with cervical cancer. A high level of illiteracy, low socioeconomic status, lack of awareness, traditional healers and absence of a routine screening program were accountable for delayed diagnosis of cervical cancer. Regular cervical cancer screening and expansion, raising awareness, increasing access and improving health services for cervical cancer patients should be promoted and advocated to decrease the usual delay in cervical cancer diagnosis.