Belachew, Seble (2015) Assessment of Factors Contributing to Late Diagnosis of Cervical Cancer in Public Hospitals of Addis Ababa, Ethiopia. Masters thesis, Addis Ababa University.
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Abstract
Background: In Sub-Saharan Africa, including Ethiopia cervical cancer is the second commonest cancer and first leading cause of mortality. Study finding from developing setting indicated that 80-90% of cervical cancer cases diagnosis at late stage. Nerveless, a little known about factors associated to late diagnosis of patient with cervical cancer in Ethiopia. Hence, this study conducted to assess factors contributing to late diagnosis of patients with cervical cancer in selected facilities of Addis Ababa city administration, Ethiopia 2015. Methods: Facility based unmatched case-control study design supported by qualitative study were conducted from January to February 2015 on randomly selected 198 (99 case and 99 control) cervical cancer patients in Black Lion, Zewiditu and St. Paulos hospitals in Addis Ababa. Quantitative data was collected using structured questionnaire for interview and from medical records. Collected data were cleaned for incompleteness and inconsistence using Epiinfo 7. Data analysis was carried out using SPSS 21 version. Descriptive statistics were used to summarize socio-demographic and clinical characteristic of study population. Binary logistic regression was used to assess association between outcome variable and predictors. The results were reported by odd ratio (OR) and statistical significance were declared at p-value less 0.05. Result: Out of 198 (99 cases and 99 control) patients were interviewed. The mean ages of the respondent for cases were 51.1+1 years and for controls 47.5+ 1 years. After adjustment for confounders, the odds of late stage diagnosis were lesser among those women who had income between 650 to 1000 EB per month (AOR0.26; 95%CI (0.091-0.74). And higher among women who were unemployed (AOR3.2; 95% CI (1.38, 7.41)), among women who travel more than 48 hours to oncology center (AOR7.15; 95% CI (1.54, 33.22)), women who had long total diagnostic delay (AOR 4.17; 95% CI (1.197, 14.52)). On IDI, symptom misrecognition and interpretation, long waiting time to see a doctor, waiting time for test, being far away and waiting time in treatment center are the main reasons for late diagnosis. Conclusion and recommendation: early diagnosis and treatment is very crucial for cervical cancer, Family monthly income, occupational status, distance from oncology center and total diagnostic delay were predictor factors of late stage diagnosis. It needs a better attention on prevention, control and early treatment mechanisms in every level.
| Item Type: | Thesis (Masters) |
|---|---|
| Subjects: | R Medicine > RA Public aspects of medicine > RA0421 Public health. Hygiene. Preventive Medicine |
| Divisions: | Africana |
| Depositing User: | Emmanuel Ndorimana |
| Date Deposited: | 20 Jul 2018 13:03 |
| Last Modified: | 20 Jul 2018 13:03 |
| URI: | http://thesisbank.jhia.ac.ke/id/eprint/7931 |
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