EPR23-079: Cervical Cancer Screening Among the Rural Indians—A Community Based Prospective Study

Tarun Chowdary Gogineni Rajahmundry, Andhra Pradesh, India

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Methods: This is a community based ongoing research, since 01 March 2021. The study protocol was approved by the institutional ethics committee. The study participants were divided in to two groups. Unmarried, 9 – 26 years were in first group and rest in second group. With the support of primary health workers, door to door survey was conducted to create the awareness about CC. After getting consent, cervical examination followed by cytology examinations were carried. All the positives were proceeded for HPV DNA analysis. In addition, screening for the family members of those found to be positive was also carried. Chi-square test was used to find the association between age, religion, education, occupation, parity and marital status with CC screening; P>0.05 was considered to be statistically significant. Results: This is ongoing research, so far 2029 members were screened; 877 (44%) were from group 2. Totally, 59% (1197) were studied class 10 or above. Total 52 (100%) were found to be positive in the initial screening and 25 (48%) were positive for HPV DNA; statistically there was no significant difference. Out of 52 initial CC, majority (21; 40.4%) were high grade squamous intra epithelial lesions followed by atypical squamous cells of undetermined significance (16; 30.8%) and low grade squamous intra epithelial lesions (15; 28.8%). All were referred for the treatment. Statistically there was significant association between age, marital status, education, occupation. Conclusions: Very few women were screened for CC and few have adequate knowledge of the disease. These findings suggest that community-based education and screening campaigns are required. In addition, motivation and counselling are the priorities which are the important parameters required to create awareness among the public. This can help in better screening, diagnosis as well as treatment and finally reduction in CC.

Corresponding Author: Tarun Chowdary Gogineni, MCh

Email: dr.tarunchowdary@hotmail.com
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