Document Type : Original Article
Authors
1
M.Sc. of Epidemiology, Health Network of Tabas, Yazd Shahid Sadughi University of Medical Sciences, Yazd, Iran.
2
B.Sc. of Midwifery, Health Network of Tabas, Yazd Shahid Sadughi University of Medical Sciences, Yazd, Iran.
3
B.Sc. of Public Health, Health Network of Tabas, Yazd Shahid Sadughi University of Medical Sciences, Yazd, Iran.
4
M.Sc. of Epidemiology, Faculty of Public Health, Kerman University of Medical Sciences. Kerman, Iran.
5
General Practitioner, Health Network of Tabas, Yazd Shahid Sadughi University of Medical Sciences, Yazd, Iran.
6
Dentist, Health Network of Tabas, Yazd Shahid Sadughi University of Medical Sciences, Yazd, Iran.
Abstract
Introduction: Cervical cytology is known as the most effective and inexpensive way to screen for cervical cancer using pap smear test which makes early diagnosis of invasive disease possible in the early stages. The aim of this study was to investigate the epidemiology of prevalence of cancerous lesions, inflammation and symptoms of cervicovaginal infection and eventually effective factor in causing cervical cells inflammation.
Methods: This cross sectional study was conducted on all women who referred to gynecology clinic in 2011. The main variables of the study included: age, parity, number of abortions, place of residence, occupation, level of education, menopause, contraception methods, symptoms of cervicovaginal infection, inflammation and dysplasia. Data were analyzed using SPSS software version 18, chi-square test and logistic regression. P value less than 0.05 was considered statistically significant.
Results: In this study 1111 samples of cervical cytology were examined. Only in 3 women (0.3%) mild dysplasia were observed. The prevalence of cervical vaginal infection and inflammation was respectively in 243 women (21.9%) and 660 women (59.8%) of target population. The most important influencing factors on presence or absence of cervical cells inflammation included: being at reproductive age (non-menopause), having cervicovaginal infection symptoms, type of contraceptive method, level of education and place of residence.
Conclusion: Given to the low incidence of cervical cancer in sample population, it is better to do screening with emphasis on high risk groups. Recognition of influencing factors on cervical cells inflammation is effective on improvement of quality of cytology reports and early diagnosis of precancerous problems.
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