A study on relationship of age at first coitus and number of conceptions with the development of uterine cervical dysplasia in women undergoing VIA screening at community health centre, Muradnagar, U.P., India

Sunita Vashist; Narendra Singh

doi:10.18203/2394-6040.ijcmph20180477

Authors

Sunita Vashist Department of Community Medicine, Santosh Medical College and Hospital, Ghaziabad, U.P., India
Narendra Singh Department of Community Medicine, Santosh Medical College and Hospital, Ghaziabad, U.P., India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20180477

Keywords:

Cervical dysplasia, VIA screening, Early age at first coitus, Number of conceptions

Abstract

Background: Cancer of cervix is a common cancer that affects Indian women physically psychologically, socially and financially. The disease affects not just the women but also her family and society. Development of cervical dysplasia is highly associated with age of first coitus and number of conception of women. This study was designed to study the correlation between age of first coitus and number of conceptions in women with development of uterine cervical dysplasia.

Methods: This study was done at the Community Health Centre (CHC), Muradnagar. It was a cross-sectional study done by using VIA (visual inspection using acetic acid) technique on uterine cervix on 1250 women aged above 30 years of age attending gynaecology OPD of CHC, Muradnagar, Ghaziabad, U.P. Purposive sampling was used to enrol all the women who were attending the gynaecology OPD at CHC and were coming in the eligibility criteria.

Results: Out of 1250 women 14 were found to be VIA positive, out of which 4 cases came out to be positive for dysplasia after doing biopsy under colposcopy.

Conclusions: Development of cervical dysplasia is highly correlated with early age at first coitus and more number of conceptions in women. As cervical dysplasia is highly associated with early age at first coitus and more conceptions, so more screening for cervical dysplasia required in women having first coitus at early age and having more conceptions.

Metrics

Metrics Loading ...

Author Biographies

Sunita Vashist, Department of Community Medicine, Santosh Medical College and Hospital, Ghaziabad, U.P., India

Community Medicine

PG student

Narendra Singh, Department of Community Medicine, Santosh Medical College and Hospital, Ghaziabad, U.P., India

community med

Associate Professor

References

Dennny L. Cancer Cancer: Prevention and Treatment. Discov Med. 2012;14:125-31.

Satiga A. Cervical Cancer in India. South Asia Centre for Chronic Disease. Accessed on 16 February 2017.

Arbyn M, Castellsaque X, de Sanjosé S, Bruni L, Saraiya M, Bray F, et al. Worldwide burden of cervical cancer. Ann Oncol. 2011;22(12):2675-86.

Yesle BB, Kumar AV, Kerkureet A., Sunny L. Population based survival from cancers of breast, cervix and ovary in women in Mumbai. Asian Pac J Cancer Prevention. 2004;5:308-15.

World Health Organization. The Global Burden of Disease: 2004 Update. Geneva: World Health Organization: 2008.

Seema P, Paul B, Boffetta P. Meta-analysis of social inequality and the risk of cervical cancer. Int J Cancer. 2003;105(5):687-91.

Gakidou E, Stella N, Ziad O. Coverage of cervical cancer screening in 57 countries: low average levels and large inequalities. PloS Med. 2008;5(6):132.

Aswathy S, Quereshi MA, Kurian B, LeelamoniK. Cervical cancer screening: current knowledge and practice among women in a rural population of Kerala, India. Indian J Med Reas. 2012;136:205-10.

Sankaranarayanan R, Nene BM, Shastri SS, Jayant K, Muwonge R, Budukh AM, et al. HPV screening for cervical cancer in rural India. N Engl J Med. 2009;360:1385-94.

Sankaranarayanan R, Esmy PO, Ramkumar R, Muwonge R, Swaminathan R, Shanthakumari S, et al. Effect of visual screening on cervical cancer incidence and mortality in Tamil Nadu: a cluster-randomised trial. Lancet. 2007;370:398-406.

Dutta S, Biswas N, Mukheriee G. Evaluation of sociodemographic factors for non-compliance to treatment in locally advanced cases of cancer cervix in a rural medical college hospital in India. Indian J Palliat Care. 2013;19(3):158-65.

Sreedevi A, Javed R, Dinesh A. Epidemiology of cervical cancer with special focus on India. Int J Women’s Health. 2015;7:405-13.

Denny L, Quinn M, Sankaranarayanan R. Screening for cervical cancer in developing countries. Vaccine. 2006;24:71-7.

Hakama M, Miller AB, Day NE. Screening for Cancer of the Uterine Cervix.from the IARC Working Group on Cervical Cancer Screening and the UICC Project Group on the Evaluation of Screening Programmes for Cancer. WHO (Geneva), IARC (Lyon), and UICC (Geneva) IARC Sci Publ. 1986;76:1–315.

Rotkin ID. A comparison review of key epidemiological studies in cervical cancer related to current researches for transmissible agents. Cancer Research. 1973;33(6):1353-67.

Franceschi S, Rajkumar T, Vaccarella S, Gajalakshmi V, Sharmila A, Snijders PJ, et al. Human papillomavirus and risk factors for cervical cancer in Chennai, India: a case-control study. Int J Cancer. 2003;107:127–33.