Precancerous Cervical Cancer Lesion and Associated Factors among Rural Women of Age 30 – 49 Years, in Sude District, Oromia Region, Ethiopia

Abstract

Purpose: To assess the prevalence of precancerous cervical cancer lesion and associated factors among women age 30-49 years in Sude district, Arsi Zone, Oromia Region, Ethiopia. Methods: Community based cross sectional study was conducted among 633 women age 30- 49 years from December 2019 to January 2020. Data were collected using structured and pretested questionnaires. Visual inspection with acetic acid was applied for screening by trained and experienced midwives. The collected data were entered and cleaned using Epi-Info-7 and exported to SPSS-21 for analysis. Bivariate and multivariable binary logistic regression analyses were conducted to determine the association between the study variables. Odds Ratio with its 95%CI was calculated and P- Value < 0.05 used as a cut off points to declare the significance. Result: The prevalence of precancerous cervical cancer lesion was 4.7% (95% CI: 3.2, 6.5). Being older age (AOR, 3.5; 95% CI:1.32, 9.39), widowed and divorced (AOR, 7.96; 95% CI: 2.84, 22.32), having multiple sexual partner (AOR, 2.8; 95% CI: 1.03, 7.36), Polygamist (AOR, 4.4; 95% CI: 1.45, 13.47), history of inheritance (AOR, 5.83; 95% CI: 2.12, 16.4) and history of STI (AOR, 5.57; 95% CI: 2.07, 14.96) were factors associated with precancerous cervical lesion. Conclusion: A significant prevalence of precancerous cervical lesion among women in the rural community is observed. Strategies like awareness creation and screening service at primary health care unit level is required. Measures in preventing to have more wives, wife inheritance, and reducing the number of sexual partners are required.