DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20185141

Screening of pre cancer and cancer cervix by Pap smear among women in reproductive age group: a community based study

Suma R. K., Keerthi S. Yalaburgi

Abstract


Background: Cervical cancer is the third most commonly diagnosed cancer and the fourth leading cause of cancer death in females worldwide. The disproportionately high burden of cervical cancer in developing countries is largely due to a lack of screening that allows detection of precancerous and early stage cervical cancer. The objective of this study was to identify pre cancer, cancer of cervix by Pap smear test and the factors associated with cervical cancer.

Methods: A cross sectional study was done among married women in the reproductive age group of 15-49 years in the urban field practice area of A.J. Institute of Medical Sciences, from Jan 2013 to March 2013. The study comprised of 357 women. A pretested semi structured questionnaire was used to collect data. Screening was done by Pap smear test. Statistical analysis was performed using SPSS software.

Results: 49.6% women were in the age group of 40-49 years. 62 (17.4%) were illiterates. 67.5 % belonged to low socioeconomic status. Pap smear test detected premalignant lesions among 2.1% women; no cancer cervix cases were detected. Association between premalignant lesion and educational status, early age at marriage, multi parity, erosion cervix was found to be statistically significant.

Conclusions: Regular cytological screening by Pap smear will help in early detection of precancerous lesions and thereby prevent cancer cervix.


Keywords


Screening, Pap smear test, Pre malignant lesions, Cancer cervix

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References


Jemal A, Bray F, Melissa MC, Ferlay J, Ward E, Forman D. Global Cancer Statistics. Ca Cancer J Clin 2011; 61(2): 69–90

Cervical Cancer in India, South Asia Centre for chronic disease. Available at: URL: http://sancd. org/uploads/pdf/cervical_cancer. Pdf. Accessed on 10 October 2016.

Sankaranarayanan R, Budukh AM, Rajkumar R. Effective screening programmes for cervical cancer in low- and middle-income developing countries. Bulletin of the World Health Organization. 2001;79(10):954–62.

Asthana S, Satyanarayana L. Prevention and control of uterine cervical cancer: Current strategies. Indian J Community Med. 2007;32(3):233-4.

Sherris J, Agurto I, Arrossi S, Dzuba I, Gaffikin L, Herdman C, et al. Advocating for cervical cancer prevention. Int J Gynecol Obstet. 2005;89:46-54.

Varghese C, Amma NS, Chitrathara K, Dhakad N, Rani P, Malathy L. Risk factors for cervical dysplasia in Kerala, India. Bull World Health Organization. 1999;77(3):281-3.

Juneja A, Sehgal A, Sharma S, Pandey A. Cervical cancer screening in India: Strategies revisited. Indian J Med Sci. 2007;61(1):34-47.

Cervical Cancer Screening in Developing Countries: Report of a WHO consultation; 2002

Kiran P, Ajay B. Cancer cervix – need for mass surveillance program specially in rural areas. J Obstet Gynecol India. 2005;55(5):436-9.

Adi DE, Tank PD. Milestones George Papanicolaou and the cervicovaginal smear. J Obstet Gynecol India. 2009;59(4):299-300

Alliance for Cervical Cancer Prevention (ACCP) Cervical Cancer Prevention Factsheet 2007. Available at: URL http://www.alliance-cxca.org/files/ACCP_recs_2007_factsheet_final.pd. Accessed on 10 May 2017.

Senapathy GJ, Umadevi P, Kannika PS. The Present Scenario of Cervical Cancer Control and HPV Epidemiology in India: an Outline. Asian Pacific J Cancer Prev. 2011;12:1107-15.

Dakshina Kannada District: Census 2011 data Available at: http://www.census2011.co.in/ census/district/252-dakshina-kannada.html. Accessed on 10 May 2017.

Sreejata R, Sukanta M. Socio-Demographic and Behavioural Risk Factors for Cervical Cancer and Knowledge, Attitude and Practice in Rural and Urban Areas of North Bengal, India. Asian Pacific J Cancer Prev. 2012;13:1093-6.

Sharma P, Rahi M, Lal P. A community based cervical cancer screening program among women of Delhi using camp approach. Indian J Community Med. 2010;35(1):86-8.

Biswas L, Manna B, Maiti P, Sengupta S. Sexual risk factors for cervical cancer among rural Indian women: a case-control study. International J Epidemiol. 1997;26(3):491-5.

Yasmeen J, Qurieshi MA, Manzoor NA, Asiya W, Ahmad SZ. Community-based screening of cervical cancer in a low prevalence area of India: a cross sectional study. Asian Pac J Cancer Prev. 2010;11(1):231-4.

Dasgupta A, Naskar NN, Ram R, Deb S. A community based study on the prevalence of risk factors of cancer cervix in married women of a rural area of West Bengal. Indian J Community Med. 2002;27(1):35-8.

Bang RA, Baitule M, Sarmukaddam S, Bang AT, Choudhary Y, Tale O. High prevalence of gynecological diseases in rural Indian women. Lancet. 1989;333(8629):85–8.

Mulay K, Swain M, Patra S, Gowrishankar S. A comparative study of cervical smears in an urban Hospital in India and a population-based screening program in Mauritius. Indian J Pathol Microbiol. 2009;52(1):34-7.

Misra JS, Srivastava S, Singh U, Srivastava AN. Risk-factors and strategies for control of carcinoma cervix in India: Hospital based cytological screening experience of 35 years. Indian J Cancer. 2009;46(2):155-9.

Rao RSP, Kamath VG, Chandrashekhar S, Rao L, Pratap K. Downstaging for cervicacancer: a community-based study in the rural areas of Udupi district, Karnataka, India. Tropical doctor. 2007;37:73–5.

Dutta PK, Upadhyay A, Dutta M, Urmil AC, Thergaonkar MP, Ganguly SS. A case control study of cancer cervix patients attending Command Hospital, Pune. Ind J Cancer. 1990;27:101-8.