Abstract:
Background:Invasive cervical cancer (ICC) is more prevalent in HIV infected women and occurs at younger median age than in HIV negative women. Organized cervical cancer screening (CCS) is presently lacking in Nigeria, and the age at CCS is not known in this population. We sought to examine the age at CCS, the cytology outcomes and whether outcomes differ by HIV infection status in an opportunistic screening setting. Methods:Cross-sectional analysis of data on a sample of women who had received a CCS in an opportunistic screening service in Jos, Nigeria over a 10-year time period (2006-2016). We used logistic regression models to estimate the independent effect of patient-reported HIV and age at CCS and odds ratios for abnormal cytology outcomes adjusting for other covariates. We also assessed the correlation between median age at CCS and severity of abnormal cervical cytology outcomes. Statistical analyses were done on STATA version 14, College Station, Texas, USA. Results:In a sample of 14,088, the median age at CCS was 37 years (IQR; 30-45). For HIV infected women vs. uninfected women, CCS occurred at earlier ages (35.0 ± 7.4 vs 38.2 ± 10.2 years, p < 0.001). All women, regardless of HIV status, who completed at least 7 or more years of education were 1.27 to 3.51 times more likely to have CCS before age 35 than women with less education. The predictors of an abnormal cervical cytology outcome at CCS were: age at CCS ≥ 35 (aOR = 3.57; 95% CI: 2.74, 4.64), multiparity ≥5 (aOR = 1.27; 95% CI: 1.03, 1.56), and provider-referral (aOR = 1.34; 95% CI: 1.09, 1.64). Irrespective of reported HIV status, we found a positive correlation between median age at CCS and severity of cytology outcome. Discussion:The age at CCS in women who have utilized cervical cancer screening in the study population is relatively late compared to the recommended age by most guidelines from developed settings. Late age at CCS correlates positively with severity of abnormal cytology outcome irrespective of HIV status. More educated women are more likely to have CCS at early age and less likely to have underlying abnormal cytology outcomes.
journal_name
Infect Agent Cancerjournal_title
Infectious agents and cancerauthors
Musa J,Achenbach CJ,Evans CT,Jordan N,Daru PH,Silas O,Sagay AS,Anorlu R,Mehta SD,Wehbe F,Simon MA,Adewole IF,Hou L,Murphy RLdoi
10.1186/s13027-019-0263-4subject
Has Abstractpub_date
2019-11-29 00:00:00pages
43issn
1750-9378pii
263journal_volume
14pub_type
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journal_title:Infectious agents and cancer
pub_type: 杂志文章
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更新日期:2016-01-15 00:00:00
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pub_type: 杂志文章
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journal_title:Infectious agents and cancer
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journal_title:Infectious agents and cancer
pub_type: 杂志文章
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更新日期:2016-08-22 00:00:00
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journal_title:Infectious agents and cancer
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journal_title:Infectious agents and cancer
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journal_title:Infectious agents and cancer
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journal_title:Infectious agents and cancer
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更新日期:2017-03-23 00:00:00
abstract:: Seroepidemiological surveys show that the prevalence of human herpesvirus 8 (HHV-8) infection mostly varies in various geographical areas and reflects the local incidence of classic and endemic KS, being widespread in sub-Saharan Africa and Mediterranean countries and uncommon in the USA and Northern Europe. In the M...
journal_title:Infectious agents and cancer
pub_type: 杂志文章
doi:10.1186/1750-9378-6-5
更新日期:2011-04-28 00:00:00
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pub_type: 杂志文章
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更新日期:2020-04-29 00:00:00
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journal_title:Infectious agents and cancer
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更新日期:2017-08-09 00:00:00
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pub_type: 杂志文章
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更新日期:2015-11-16 00:00:00
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journal_title:Infectious agents and cancer
pub_type: 杂志文章
doi:10.1186/1750-9378-2-2
更新日期:2007-01-04 00:00:00
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journal_title:Infectious agents and cancer
pub_type: 杂志文章,评审
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更新日期:2020-10-15 00:00:00
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journal_title:Infectious agents and cancer
pub_type: 杂志文章
doi:10.1186/s13027-016-0110-9
更新日期:2016-12-06 00:00:00
abstract::In 2012, Infectious Agents and Cancer commissioned a thematic series collection of articles on Prevention of HPV related cancer. The articles have attracted wide interest and stimulated debate, including about the utility of vaccines in cancer control. The application of vaccines to cancer control fulfills a promise e...
journal_title:Infectious agents and cancer
pub_type: 杂志文章
doi:10.1186/1750-9378-8-16
更新日期:2013-05-04 00:00:00
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journal_title:Infectious agents and cancer
pub_type: 杂志文章
doi:10.1186/1750-9378-2-3
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journal_title:Infectious agents and cancer
pub_type: 杂志文章
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journal_title:Infectious agents and cancer
pub_type: 杂志文章
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更新日期:2015-09-01 00:00:00
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journal_title:Infectious agents and cancer
pub_type: 杂志文章
doi:10.1186/s13027-020-00300-z
更新日期:2020-05-27 00:00:00
abstract:BACKGROUND:To clarify the immunological alterations leading to classical Kaposi sarcoma (cKS) among people infected with KS-associated herpesvirus (KSHV). METHODS:In a population-based study of 119 cKS cases, 105 KSHV-seropositive controls, and 155 KSHV-seronegative controls, we quantified plasma soluble cluster of di...
journal_title:Infectious agents and cancer
pub_type: 杂志文章
doi:10.1186/1750-9378-5-18
更新日期:2010-10-12 00:00:00
abstract:UNLABELLED: BACKGROUND:Bladder cancer is a common malignancy in Egypt. A history of urinary tract infection can be considered as a risk factor for bladder cancer. Escherichia coli (E. coli) infection is responsible for 70% of urinary tract infection. This study aimed to evaluate the role of chronic E. coli infection d...
journal_title:Infectious agents and cancer
pub_type: 杂志文章
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更新日期:2012-08-08 00:00:00
abstract:BACKGROUND:Nasopharyngeal carcinomas (NPC) are consistently associated with the Epstein-Barr virus (EBV). Though NPCs are more radiosensitive and chemosensitive than other tumors of the upper aero-digestive tract, many therapeutic challenges remain. In a previous report, we have presented data supporting a possible the...
journal_title:Infectious agents and cancer
pub_type: 杂志文章
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更新日期:2012-12-03 00:00:00
abstract::This is a summary of the 1st Academic Model Providing Access to Healthcare (AMPATH) Oncology Institute research grant writing workshop organized in collaboration with the Kenya Medical Research Institute (KEMRI) and held in Kisumu, Kenya from January 16th to 18th, 2013. The goal of this meeting was to mentor future Ke...
journal_title:Infectious agents and cancer
pub_type: 杂志文章
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更新日期:2013-10-07 00:00:00
abstract:BACKGROUND:The human papilloma viruses (HPVs) are DNA viruses associated with benign and malignant lesions of skin and mucous membranes. The HPVs has been implicated as the cause of virtually all cervical cancers worldwide but studies showed that these viruses can cause numerous cancers in several tissues including Ora...
journal_title:Infectious agents and cancer
pub_type: 杂志文章
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更新日期:2016-08-26 00:00:00
abstract:BACKGROUND:Kaposi sarcoma (KS) is the most common AIDS-defining tumour in HIV-infected individuals in Africa. Kaposi sarcoma herpes virus (KSHV) infection precedes development of KS. KSHV co-infection may be associated with worse outcomes in HIV disease and elevated KSHV viral load may be an early marker for advanced H...
journal_title:Infectious agents and cancer
pub_type: 杂志文章
doi:10.1186/1750-9378-6-22
更新日期:2011-11-17 00:00:00
abstract::Bcr-Abl plays a central role in the development of chromosome positive leukaemia. Chronic Myeloid leukaemia occurs due to increase proliferation and resistance to apoptosis by Bcr-Abl positive cells. Imatinib (STI571) is the first drug in the family of Bcr-Abl tyrosine kinase inhibitors while Nilotinib (AMN107) and Da...
journal_title:Infectious agents and cancer
pub_type: 杂志文章
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