Original Research Article
Year: 2019 | Month: July | Volume: 9 | Issue: 7 | Pages: 78-86
Factors Associated with Precancerous Cervical Lesion among Women Attending Cervical Cancer Screening Camps
Basanta Thapa1, Mina Kumari Ranabhat2, Babita Devi Dahal 3, Govinda Prasad Dhungana4, Laxmi Rajbanshi5
1Associate Professor, Chitwan Medical College, School of Nursing, Nepal.
2Nursing Officer, BP Koirala Memorial Cancer Hospital
3Lecturer, Shree Medical and Technical College, Nepal.
4Assistant Professor, Birendra Multiple Campus, Department of Statistics, Nepal.
5Professor, Chitwan Medical College, School of Nursing, Nepal.
Corresponding Author: Basanta Thapa
ABSTRACT
Introduction -Cervical cancer ranks as the 1st most frequent cancer among womenin Nepal. The cervical cancer screeningwith 5% acetic acid is a good option for early detection of cervical neoplasia in settings where good quality cytology is not available.
Aim & Objective - To find out the incidence and precancerous cervical lesion among women.
Material and Method – A descriptive cross-sectional study design was used to collect data from 1050 women who undergone through Visual Inspection with Acetic Acidprocedure in 15 screening camps of Nepal by using non-probability purposive sampling technique.Data was analyzed using SPSS version 20.0 and interpreted in terms of descriptive and inferential statistics.
Result –The incidence of Precancerous Cervical Lesion (PCL) in our study is 2%. PCL is significantly associated with age (p=<0.001) and occupation (p=0.005) of women. Though the lesion is not significantly associated with other variables, majority of women whose VIA result was positive were married before the age of 20 and gave first child birth before that age and majority were multiparous.
Conclusion –Based on findings of the study, it is concluded that women with sexually active age are more at risk of precancerous cervical lesion and also at risk who married early, gave early and many birth to child. So governmental, non-governmental organizations, public should strictly emphasize on delay marriage and childbirth. The researchers also recommend cervical screening should start before 30 years of age though national guideline recommends the cervical screening between 30- 60 years of age.
Key words: Precancerous Cervical Lesion; Screening Camp; VIA, Women