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Practice of Screening for Precancerous Cervical Lesions in koumpentoum Health District (Senegal)

Advances in Reproductive Sciences 2022年第4期10卷 115-125页

作者： El Hadji Cheikh Abdoulaye Diop Abdoul Aziz Ndiaye Martial Coly Bop District Sanitaire de koumpentoum Ministére de la Santé et l’Action Sociale Koumpentoum Sénégal Unité de Formation et de Recherche en Santé et Développement Durable Université Alioune DIOP de Bambey Bambey Sénégal

Introduction: Cervical cancer is preventable through vaccination against papillomaviruses and screening for precancerous lesions. The objective of this study was to determine the frequency of screening practice and to identify associated factors. Methods: This was a cross-sectional descriptive and analytical study. Data were collected from individual interviews during household surveys. Data collection took place from (1st) to (30th) September (2021). The following were explored: socio-demographic characteristics, knowledge, attitudes and practices of women regarding screening. Results: A total of (294) women aged between (18) and (69) years were included. The mean age was (35.79) years (±9.81). The median age was (34) years. The frequency of screening was (16%);that of precancerous lesions was (4.26%). Factors statistically and significantly associated with screening uptake were cervical cancer information (OR = 5.42 (1.27 - 23.16);p = 0.003), knowledge of the availability of screening (ORa = 7.73 (3.01 - 18.51);p - 7.31);p = 0.014). Conclusion: Frequency of pre-cancerous lesions of cervical cancer is high in koumpentoum health district (4.26%), while the practice of screening is low there (16%). The factors associated with this low performance are related to a lack of adequate knowledge of women about cervical cancer.

关键词： Screening Precancerous Lesions Cervix koumpentoum Senegal

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Associated Factors with Vaccination among Girls Aged between (11) and (13) against Papillomaviruses in koumpentoum Health District (Senegal)

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World Journal of Vaccines 2022年第2期12卷 20-31页

作者： El Hadji Cheikh Abdoulaye Diop Abdoul Aziz Ndiaye Martial Coly Bop District Sanitaire de koumpentoum Ministère de la Santé et l’Action Sociale Koumpentoum Sénégal Unité de Formation et de Recherche en Santé et Développement Durable Université Alioune DIOP de Bambey Bambey Sénégal

Introduction: Cervical cancer can be prevented by early vaccination of young people against papillomaviruses and screening for precancerous lesions. After a successful pilot phase, vaccination coverage in the generalization phase is low. The aim of this study was to determine papillomavirus vaccination coverage and to identify associated factors. Methods: This was a cross-sectional, descriptive and analytical study conducted from (1st) to (31th) September (2020) in koumpentoum district. After a literature review, we conducted two-stage cluster sampling and direct structured interviews. Socio-demographic characteristics, knowledge, attitudes, and practices of mothers or guardians about papillomaviruses vaccination were collected using a standardized questionnaire. Multiple logistic regression was used to estimate odds ratios. Results: A total of (228) mothers or guardians were interviewed. Coverage for the first dose was (44.74%) CI95% (38.17 - 51.44) compared to (25.88%) CI95% (19.52 - 31.17) for the second dose. Factors statistically and significantly associated with coverage of the first dose of papillomaviruses vaccine were instruction of mothers or guardians (OR = 5.62 (3.16 - 9.99);p 0.001), schooling of the young girls (OR = 4.1 (2.23 - 7.53);p 0.001), information on cervical cancer (OR = 18.97 (5.68 - 63.24);p 0.001), knowledge of risks factors (OR = 8.04 (4.41 - 14.63);p 0.001), information on papillomaviruses vaccine (ORa = 10.26 (1.69 - 62.23);p = 0.011), knowledge on vaccine target (OR = 17.11 (8.51 - 34.41);p 0.001), knowledge of schedule vaccine (ORa = 3.67 (1.2 - 22.51);p = 0.022), knowledge of prevention methods (OR = 26.86 (12.22 - 59.05);p 0.001), and to be favorable in expanded vaccination program in general (ORa = 18.71 (1.5 - 128.41];p = 0.02). Conclusion: Vaccination of young girls against papillomaviruses in koumpentoum health district could be improved by comprehensive interpersonal communication wit

关键词： Vaccination Girls Papillomavirus koumpentoum Senegal

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