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ORIGINAL ARTICLE Table of Contents   
Year : 2018  |  Volume : 43  |  Issue : 2  |  Page : 86-89
Cross-sectional study on visual inspection with acetic acid and pap smear positivity rates according to sociodemographic factors among rural married women of bareilly (Uttar Pradesh)


Department of Community Medicine, SRMS Institute of Medical Sciences, Bareilly, Uttar Pradesh, India

Correspondence Address:
Dr. Jai Prakash Singh
Plot No. 166, Saket Nagar, Lanka, Varanasi, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijcm.IJCM_73_17

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Background: It is possible to prevent deaths due to cervical cancer through screening and treatment. Cervical cytology which is a standard screening tool in developed countries fails as a screening method in low-resource countries due to financial and technical constraints. Objective: To determine the prevalence of pre-malignant lesions of the cervix by VIA and Pap smear test among rural married women and to find out association of socio demographic factors with positive screening test results. Method: A community based cross-sectional study was carried out among rural married women in the field practice area of a tertiary health care center. A pre-designed questionnaire was administered to collect information on socio-demographic characteristics from 550 women. They were tested for the presence of pre-malignant lesions of the cervix using VIA and Pap smear as screening tools. Results: Out of 550 study participants, total 37 patients were found positive, out of which 7, 17 & 13 patients were found positive by Pap smear alone, VIA test alone, and by both these tests respectively. Moderate agreement (k=0.498) was found between these two tests by applying Kappa statistics at 95% confidence interval. The VIA and Pap smear tests were positive among 5.5% and 3.6% study subjects respectively. The positivity rate was found to be more in the age group of >50 years, Hindu, SC/ST caste, joint family, professional and, upper class. Conclusion: The prevalence of pre-malignant lesions of the cervix by VIA test was 5.5% while 3.6% pre-malignant lesion was detected by Pap smear method. VIA and Pap smear positivity rates among rural married women.


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  2007 - Indian Journal of Community Medicine | Published by Wolters Kluwer - Medknow
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