Why cervical cancer cases are being lately diagnosed in Eastern India? An analysis of the associated factors
Journal Title: Indian Journal of Obstetrics and Gynecology Research - Year 2016, Vol 3, Issue 4
Abstract
Objective: Stage at diagnosis and factors associated with late diagnosis of cervical cancer have been analyzed in this study. Materials and Methods: It is a hospital based cross sectional study carried out enrolling 246 cervical cancer patients attending outpatient department of tertiary cancer hospital of Odisha, India. The patients were interviewed and histopathological observations were recorded from investigation reports. Factors for late stage presentation were analyzed by using multivariate logistic regression analysis. Results: 56 (21.96%) cases were presented for diagnosis at early stage (I&IIA) and 194(78.04%) at late stage (IIB and above). Late stage diagnosis was associated with higher age i.e., ≥40years (OR=2.54 95% CI=1.11-5.83), poor treatment seeking behavior (OR=2.23, 95% CI=1.001-5.23), lack of awareness (OR=1.91, 95% CI=.43-8.41), lower education level (OR=1.59, 95% CI=.73-2.45) and initial symptoms with painless bleeding/discharge (OR=7.38, 95% CI 3.22-16.89). Conclusion: In the absence of screening programme prevalence of late stage diagnosis of cervical cancer was significantly higher. This could be attributed to higher age at presentation, low education, low awareness about the disease and its symptoms and poor treatment seeking behavior. Specific health programme is suggested for women emphasizing cervical cancer screening and awareness regarding signs and symptoms of cervical cancer to enhance health seeking behavior among them.
Authors and Affiliations
Rashmirani Senapati, Bhagyalaxmi Nayak, Shantanu Kumar Kar, Bhagirathi Dwibedi
Keywords
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