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Title: | Trends in cervical cancer incidence in sub-Saharan Africa |
Authors: | Jedy-Agba, Elima Joko, Walburga Yvonne Liu, Biying Buziba, Nathan Gyabi Borok, Margaret Korir, Anne Masamba, Leo Manraj, Shyam Shunker Finesse, Anne Wabinga, Henry Somdyala, Nontuthuzelo Parkin, Donald Maxwell |
Keywords: | Cervical cancer Women |
Issue Date: | 18-Mar-2020 |
Publisher: | BMC |
Abstract: | BACKGROUND: Cervical cancer is the second most common cancer and the leading cause of cancer death in women in sub Saharan Africa (SSA). METHODS: Trends in the incidence of cervical cancer are examined for a period of 10–25 years in 10 population-based cancer registries across eight SSA countries (Gambia, Kenya, Malawi, Mauritius, Seychelles, South Africa, Uganda and Zimbabwe). A total of 21,990 cases of cervical cancer were included in the analyses. RESULTS: Incidence rates had increased in all registries for some or all of the periods studied, except for Mauritius with a constant annual 2.5% decline. Eastern Cape and Blantyre (Malawi) registries showed significant increases over time, with the most rapid being in Blantyre (7.9% annually). In Kampala (Uganda), a significant increase was noted (2.2%) until 2006, followed by a non significant decline. In Eldoret, a decrease (1998–2002) was followed by a significant increase (9.5%) from 2002 to 2016. CONCLUSION: Overall, cervical cancer incidence has been increasing in SSA. The current high-level advocacy to reduce the burden of cervical cancer in SSA needs to be translated into support for prevention (vaccination against human papillomavirus and population-wide screening), with careful monitoring of results through population-based registries |
URI: | https://doi.org/10.1038/s41416-020-0831-9 http://ir.mu.ac.ke:8080/jspui/handle/123456789/6253 |
Appears in Collections: | School of Medicine |
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