TITLE:
Screening for Precancerous Cervical Lesions in Women of Reproductive Age in the Kara Region of Togo in 2022
AUTHORS:
Gatibe Yendu-Suglpak Gnatou, Zézé Onivogui, Latame Komla Adoli, Fifonsi Adjidossi Gbeasor-Komlanvi, Arnold Junior Sadio, Yao Rodion Konu, Martin Kouame Tchankoni, Wendpouiré Ida Carine Zida-Compaore, Amegnona Agbonon, Didier Koumavi Ekouevi
KEYWORDS:
Precancerous Lesions, Cervix, Visual Inspection, Togo
JOURNAL NAME:
Open Journal of Epidemiology,
Vol.13 No.4,
November
3,
2023
ABSTRACT: Introduction: Worldwide, cervical cancer is the 4th most common cancer in women and is a public health problem. The objective of this study was to estimate the prevalence of precancerous cervical lesions and to describe its associated factors among women of reproductive age in the Kara region of Togo. Methods: A cross-sectional study was conducted from March 6 to 14, 2022 in 11 health centers in Kara. Data were collected using a standardized questionnaire and screening for precancerous cervical lesions was performed by visual inspection of the cervix, after application of 5% acetic acid and Lugol’s. Logistic regression analysis was performed to describe factors associated with precancerous lesions. Results: A total of 728 women with a median age of 36, interquartile range [31 - 41] were enrolled. The prevalence of precancerous cervical lesions was 3.9%, 95% confidence interval (95% CI: [2.6 - 5.4]. Factors associated with the presence of precancerous lesions were age at first sexual intercourse ≥ 18 years (adjusted odds ratio (aOR = 3.67; 95% CI [1.17 - 18.4]) and being a sex worker (aOR = 8.14; 95% CI [1.96 - 27.1]). HIV infection was not associated with the presence of precancerous lesions. Conclusion: The results of this study underscore the importance of intensifying cervical cancer screening efforts in resource-limited countries for better management. These efforts should prioritize vulnerable populations such as female sex workers.