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

  • Mohamed Berraho
  • Majdouline Obtel
  • Karima Bendahhou
  • Ahmed Zidouh
  • Hassan Errihani
  • Abdellatif Benider
  • Chakib Nejjari

Abstract

Background: In Morocco, cervical cancer is the second most common cancer in women. The cases of cervical cancer are diagnosed at a late 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 & 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 > 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-delay. ≥1 month. Frequency of patients who had symptoms of .bleeding. was 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" < 1 month. Elevated risks for a long "Total-delay" was observed for women aged < 50 years (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). Conclusion: Our results may represent an important tool in guiding the actions for an early diagnosis of cervical cancer.

Pan African Medical Journal 2012; 12:14

Author Biographies

Mohamed Berraho
Laboratoire d‟Epidémiologie, Recherche Clinique et Santé Communautaire; Fès, Maroc
Majdouline Obtel
Laboratoire d‟Epidémiologie, Recherche Clinique et Santé Communautaire; Fès, Maroc
Karima Bendahhou
Laboratoire d‟Epidémiologie, Recherche Clinique et Santé Communautaire; Fès, Maroc
Ahmed Zidouh
Association Lalla Salama de Lutte contre le cancer (ALSC), Maroc
Hassan Errihani
Institut National d‟Oncologie (INO) – Rabat, Maroc
Abdellatif Benider
Centre d‟oncologie, Centre Hospitalier Universitaire Casablanca, Maroc
Chakib Nejjari
Laboratoire d‟Epidémiologie, Recherche Clinique et Santé Communautaire; Fès, Maroc
Section
Articles

Journal Identifiers


eISSN: 1937-8688