Abstract:
Background: Pre-cervical cancers are changes to cervical cells that make them more likely to
develop into cancer. Cervical cancer is a potentially preventable and also curable health problem
at pre cancer stage. Review of documents and administrative reports show that pre cervical
cancer is among the major health problems of women in the area. Hence, the aim of this study is
to fill gaps in study topic by identifying determinants of pre cervical cancer among women aged
30-49 years in the study area.
Objective: To identify determinants of pre cervical cancer among women aged 30-49 years
screened for cervical cancer at health facilities in Woliso Town, Oromia, Ethiopia, 2022
Methods: Facility based unmatched case-control study design was conducted at health facilities
in Woliso town, from December 1, 2021 to January 10, 2022. A total of 480 documents of study
participants (120 cases and 360 controls) were included in the study. Simple random sampling
method was used to select documents of study participants for both cases and controls. Data
extraction checklist was used to collect necessary information about women from the register
and history card. Data analysis was done using binary logistic regression model. 95% confidence
intervals (CI) with adjusted odds ratios computed to identify the presence and strength of
association. Statistical significance declared at p-value < 0.05 along with 95% CI of the adjusted
odds ratio (AOR).
Results: Being rural resident (AOR=2.44, 95%CI: 1.55, 3.85), age of menarche at ≤ 12 years
(AOR=2.83, 95%CI:1.25,6.39), use of oral contraceptive pills (AOR=1.83, 95%CI: 1.03, 3.25),
having history of genital ulcer (AOR=3.86, 95%CI: 1.12, 13.31), being HIV positive
(AOR=2.55, 95%CI: 1.34, 4.88) and having family history of cancer (AOR=3.87, 95%CI: 1.47,
10.21) were variables that were significantly associated with pre-cervical cancer.
Conclusion: Being rural resident, age of menarche at ≤ 12 years, use of oral contraceptive pills,
having history of genital ulcer, being HIV positive and having family history of cancer were
determinants of pre-cervical cancer among women aged 30-49 years in Woliso Town.
