Social, demographic and healthcare factors associated with stage at diagnosis of cervical cancer: cross-sectional study in a tertiary hospital in Northern Uganda

BMJ Open
Amos Deogratius MwakaGeorgios Lyratzopoulos

Abstract

To examine patient and primary healthcare factors and stage at diagnosis in women with cervical cancer in Northern Uganda with the intention to identify factors that are associated with advanced stages in order to inform policies to improve survival from cervical cancer in low income and middle income countries. Cross-sectional hospital-based study. Tertiary, not-for-profit private hospital in postconflict region. Consecutive tissue-diagnosed symptomatic patients with cervical attending care. Of 166 patients, 149 were enrolled and analysed. Cervical cancer stage at diagnosis. Most women were diagnosed at stages III (45%) or IV (21%). After controlling for age, marital status, educational attainment and number of biological children, there was evidence for association between advanced stage at diagnosis and pre-referral diagnosis of cancer by primary healthcare professionals (adjusted OR (AOR)=13.04:95% CI 3.59 to 47.3), and financial difficulties precluding prompt help seeking (AOR=5.5:95% CI 1.58 to 20.64). After adjusting for age, marital status and educational attainment, women with 5-9 biological children (AOR=0.27:95% CI 0.08 to 0.96) were less likely to be diagnosed with advanced stage (defined as stages III/IV) cancer. I...Continue Reading

References

Oct 9, 1995·International Journal of Cancer. Journal International Du Cancer·K JayantP S Dale
May 16, 2000·Archives of Family Medicine·J M FerranteL Woodard
Jul 3, 2003·British Journal of Cancer·H WabingaD M Parkin
Apr 14, 2005·British Journal of Cancer·A GondosD M Parkin
Apr 17, 2007·Annals of Oncology : Official Journal of the European Society for Medical Oncology·B C R DeviM Corbex
Nov 26, 2008·Reproductive Health Matters·Susarie Louise van SchalkwykSusanna Catharina Dreyer Wright
Apr 16, 2009·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Sergio Pecorelli
Aug 6, 2009·British Journal of Cancer·S FranceschiUNKNOWN International Agency for Research on Cancer Human Papillomavirus Prevalence Surveys Study Group
Oct 21, 2009·BMC Health Services Research·Rikke Sand AndersenJens Søndergaard
Jan 5, 2010·Quality & Quantity·Tina Glasner, Wander van der Vaart
Sep 29, 2011·Cancer·Charles HardingRichard Wilson
Oct 20, 2011·Journal of Health Services Research & Policy·Fiona WalterJon Emery
Dec 6, 2011·International Journal of Women's Health·Ahmed IbrahimArja R Aro
Mar 3, 2012·BMJ : British Medical Journal·Bengt AndraePär Sparén
Apr 28, 2012·British Journal of Health Psychology·S E ScottJ Emery
Sep 3, 2013·Asian Pacific Journal of Cancer Prevention : APJCP·Deepak GyenwaliSharad Raj Onta
Feb 19, 2014·BMC Women's Health·Deepak GyenwaliSharad Raj Onta

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Citations

May 26, 2020·International Journal of Cancer. Journal International Du Cancer·Mazvita Sengayi-MuchengetiDonald Maxwell Parkin
Apr 28, 2020·British Journal of Cancer·Elima Jedy-AgbaDonald Maxwell Parkin

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