Author(s)

El Hadji Cheikh Abdoulaye Diop^1,2*, Abdoul Aziz Ndiaye², Martial Coly Bop²

¹District Sanitaire de Koumpentoum, Ministère de la Santé et l’Action Sociale, Koumpentoum, Sénégal.
²Unité de Formation et de Recherche en Santé et Développement Durable, Université Alioune DIOP de Bambey, Bambey, Sénégal.

Introduction: Cervical cancer can be prevented by papillomavirus vaccination and screening for precancerous lesions. Initiated in the district in 2018, screening has never been studied. The objective of this research was to investigate the frequency of precancerous lesions and associated factors. Methods: This was a descriptive and analytical cross-sectional study. Data were collected from screening registers. Sociodemographic characteristics, medical history, macroscopic data and therapeutic aspects were explored. Logistic regression was used in the multivariate analysis. Results: A total of 385 women aged between 18 and 65 years were included. Almost all (95.58%) were married. The majority (79.48%) had no formal education. Almost all (91.17%) had no income-generating activity. The average age was (30 ± 9.68) years. The median age was 30 years. The frequency of sexually transmitted infections was (29.35%; 95% CI: 25.02 - 34.09) and that of precancerous lesions was (5.45%; 95% CI: 3.59 - 8.19). Factors significantly associated with the presence of precancerous cervical lesions were: age ≥ 40 years (ORa = 17.52 (4.51 - 67.14); p < 0.001) and the history of sexually transmitted infections (ORa = 10.15 (3.46 - 29.85); p < 0.001). Conclusion: Early detection and routine treatment of sexually transmitted infections combined with screening for precancerous cervical lesions in sexually active women can reduce the incidence of cervical cancer.

Cervix, Cancer, Screening, Koumpentoum, Senegal

Diop, E.H.C.A., Ndiaye, A.A. and Bop, M.C. (2022) Study of Precancerous Cervical Lesions and Associated Factors among Women Aged between 18 and 65 Years in Koumpentoum (Senegal). Open Access Library Journal, 9, 1-11. doi: 10.4236/oalib.1109508.