“Knowledge about Risk Factors of Carcinoma Cervix among the Women Attending for VIA Test in a Selected Hospital”
Abstract:
A cross-sectional descriptive
study was conducted with the aim to find out the level of knowledge about the risk
factors of the cervical cancer among the women attending VIA room of Gynae Out Patient
Department, BSMMU on 106 patients selected by purposive sampling technique. Data
were collected using pretested, semi-structured questionnaire by face to face interview
in May, 2008. Mean age of the respondents was 42.9+6.5 years, 83.0% were Muslim.
Majority (17.0%) of the respondents had Primary education. More than one third of
the respondents’ monthly income was taka 5001-10,000. Mean age at first marriage
was 13.96+2.4 years and 26.4% of them were married for 20-24 years ,40.6% of the
patients had history of first birth during their adolescence period. High parity
(more than 2 children) was present in 65.0%. Child birth at lower age (94.44%),
Multiparity (96.29%) and smoking (66.66%) were the major risk factors mentioned
by the respondents. Thirteen percent gave history of Sexually transmitted diseases
which is another remarkable risk factor & among them (42.8%) took treatment
from MBBS doctor and by Doah-Tabiz (28.6%). The respondents mentioned as main symptoms
were lower abdominal pain (98.0%), irregular per vaginal bleeding (57.69%), postcoital
bleeding (32.69%) followed by post-menopausal vaginal discharge (26.92%). The findings
suggest that programmatic approaches to increase the age at first marriage and first
child birth, health education about cervical cancer, its risk factors, symptoms
and its treatment will be more effective to reduce cervical cancer in Bangladesh.
References:
[1].
About cervical cancer_RHO cervical
cancer www.rho.org
[2]. Anderson
SM. Human Papilloma virus and cervical cancer. an update. Advance. June 2005; p:
92-96.
[3]. American
International cancer Institute. What you need to know about cervix cancer. www.cancer.gov.
[4]. Alan
it: Decherney, Lauren Nathan. Current Obstetric & treatment. 9th ed.2003. P-894
[5]. Cervical
intraepithelial neoplasia (5) CIN3.jpg from Wikipedia, the free encyclopedia.
[6]. Cervical
Cancer: The Basics www.oncolink.com
[7]. Cervical
Cancer Original Source: www.Oncologychannel.com
[8]. Chromosomal
imbalances in four new uterine carcinoma derived cell lines http://www.biomedcentral.com
[9]. Cervix,
Cancer Faysal a Saksouk, MD. www.emedicine.com Feb 7, 2008.
[10]. Cervical
cancer Screening in Developing countries, report of a WHO consultation, Geneva
[11]. Cervical
cancer; by Paul S. Frame, MD. (J Am Board fem. pract 11(2): 47-95, 1998 (c) 1988
American Board of Family Practice
[12]. Cervical
cancer control in developing countries, memorandum from a WHO meeting.
[13]. Cramer
DW, Cutter SJ. Incidence and histopathology of malignancies of the female organs
in the united states Am J Obstet Gynecol 1974; 118: 443-460.
[14]. Das
DK, Nurthy NS, Bhatnagar P. Efficacy of a hospital-based cytology screening program.
Indian Journal of Medical Sciences
[15]. Detailed
Guide Cervical Cancer. What Are the Risk Factors for Cervical Cancer? www.cancer.org
[16]. Detailed
Guide: Cervical Cancer (Revised: 03/26/2008) www.cancer.org
[17]. Drain
PK; Holmes KK, Hughes JP. Determinants of cervical cancer rates in developing countries.
Int. J. cancer. 2002 Jul 10; 100(2): 199-205
[18]. Harry
H. W. infectious Disease Service Multifactorial Etiology of Cervical Cancer. A Hypothesis
MedGenMed v.7(4); 2005-p:2
[19]. HPV
and cervical cancer-summary report, Bangladesh-2007. WHO & MOH & FP, Govt.
of the Peoples Republic of Bangladesh, 7-9 August, 1993, p-23
[20]. Linda
Bren Cervical cancer screening FDA consumer magazine January-February 2004 Issue
[21]. Liquid
based cervical screening June 2002. Physicians Reference laboratory web site. Available
at: http://www.Prlnet.com
[22]. .
Accessed July 25, 2007.
[23]. Lagos
T. L, MD, Prevalence and risk factors in positive cervix cytology, MEDICC Review
2006.
[24]. Murthy
NS et al. Estimations of reeducti9on in life time risk of cervical cancer through
one life-time screening. Neoplasma, 1993, 40: 255-258.
[25]. NHS
Cervical Screening Programme info@cancerscreening.nhs.uk
[26]. Parking
Dr. Laara E, Muir CS. Estimates of the world-wide frequency of sixteen major cancers
in 1980. Int. J. cancer 1988; 41:148-97 P.
[27]. Probhakar
AK, cervical cancer in India strategy for control. Indian Journal of cancer, 1992,
104; 29-32 P.
[28]. Preventing
cervical cancer worldwide-Population Reference Bureau-www.prb.org. [12] Alan it: Decherney, Lauren Nathan.
Current
[29]. Obstetric
& treatment. 9th ed.2003. P-894.
[30]. Victor
Mornero, F Xavier Bosch. Effect of oral contraceptive on risk of cervical cancer
in women with HPV infection. A case control study. The lancet Vol. 359, Number 9312.
March-30, 2003.
[31]. What
are the Risk factors for cervical Cancer? Detailed guide: Cervical cancer Information.
[32]. Web
MDC cervical cancer: September 1998; http://my.Webmd.com/cantent/dmk/dmkarticle40017
[33]. What
you need to know about-Cancer of the cervix: National Cancer Institute www.cancer.gov