Sociodemographic factors and delay in the diagnosis of cervical cancer in Morocco

Sociodemographic factors and delay in the diagnosis of cervical cancer in Morocco

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INTRODUCTION: In Morocco, cervical cancer is the second most common cancer in women.The cases of cervical cancer are diagnosed at a late wilds of eldraine prerelease guide stage: 43.7% presented at stage II of diagnosis (FIGO) and 38.1% in advanced stage (stage III and IV).

The main objective of this study is to investigate factors associated to late the diagnosis of cervical cancer in Morocco as measured by the stage at diagnosis and delays between first symptoms and diagnosis of cancer.METHODS: Cross-sectional studies, conducted from June-2008 to June-2010 at two main oncological centers.Two-hundred cases were recruited.Stages I and II were identified as early-stage.

The dates of first-symptoms, first-consultation and first-diagnosis were used to define Patient, Medical and Total delays.RESULTS: Elevated risks for late stage was observed for women unmarried (OR=5.0; 95%CI: 1.43-16.

66); living less than 100 km from center of diagnosis (OR=4.51; 95%CI: 1.35-15.11); without a familial history of cancer (OR=14.

28; 95%CI: 2.22-100) and whose was the first symptom not bleeding (OR=25; 95%CI: 1.62-300).Frequency of housewives was significantly higher for women with a patient-delayless than1 month.

Frequency of patients who had symptoms of bleeding was click here significantly higher for women with a patient-delay 1 month.Frequency of patients from urban area was significantly higher for women with a ,Medical-delay less than 1 month.Elevated risks for a long -Total-delay, was observed for women aged 50years (OR=2.44; 95%CI: 1.

24-4.76); illiterate (OR=3.85; 95%CI: 1.45-10.

00) and from rural-area (OR=2.56; 95%CI: 1.25-5.26).