Early-onset of sexual activity as a potential risk of cervical cancer in Africa: A review of literature.

<h4>Introduction</h4>In most African countries, cervical cancer is the most common cancer among women, both in terms of incidence and fatality. In the existing literature, age is risk factor for developing cervical cancer since it occurs mainly after the middle life of women. However, th...

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Main Authors: Alemayehu Gonie Mekonnen, Yohannes Moges Mittiku
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLOS Global Public Health
Online Access:https://doi.org/10.1371/journal.pgph.0000941
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author Alemayehu Gonie Mekonnen
Yohannes Moges Mittiku
author_facet Alemayehu Gonie Mekonnen
Yohannes Moges Mittiku
author_sort Alemayehu Gonie Mekonnen
collection DOAJ
description <h4>Introduction</h4>In most African countries, cervical cancer is the most common cancer among women, both in terms of incidence and fatality. In the existing literature, age is risk factor for developing cervical cancer since it occurs mainly after the middle life of women. However, there have been contradictory findings in the literature on whether early sexual intercourse is linked to cervical cancer, with some studies indicating no relationship and others reporting an increased risk. Hence, this review analyzed data from recently published studies on cervical cancer.<h4>Methods</h4>Seven databases (MEDLINE via PubMed, Google Scholar, Scopus, Medscape, EMBASE, African Journals Online and Science Direct) were searched for papers published from January 2000 to March 2022 in English. Ten studies were included in analysis. The statistical analysis was performed using STATA 11. Heterogeneity between-study was explored by forest plot and inconsistency index (I2). The publication bias was checked by a funnel plot and Egger's test. The pooled estimates of odds ratios were calculated by a random-effects model.<h4>Results</h4>In the subgroup analysis, there was no significant association between early sexual activity and cervical cancer. However, the overall pooled analysis of these ten studies revealed that there is an association between early sexual debut and cervical cancer. In the random effect model, we found a pooled odds ratio of 2.95 (95% CI = 1.06, 4.83), indicating that women who began sexual intercourse before the age of 18 had a higher risk of getting cervical cancer than adult women.<h4>Conclusion</h4>In this analysis, women who began having early sexual debut had a greater risk of developing cervical cancer than those who initiated sexual intercourse later in life. Delaying the age of first sexual activity among adolescents could help prevent the occurrence of cervical cancer.
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spelling doaj.art-4d0035f138444502897a23c25c31cba32023-09-03T10:39:39ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752023-01-0133e000094110.1371/journal.pgph.0000941Early-onset of sexual activity as a potential risk of cervical cancer in Africa: A review of literature.Alemayehu Gonie MekonnenYohannes Moges Mittiku<h4>Introduction</h4>In most African countries, cervical cancer is the most common cancer among women, both in terms of incidence and fatality. In the existing literature, age is risk factor for developing cervical cancer since it occurs mainly after the middle life of women. However, there have been contradictory findings in the literature on whether early sexual intercourse is linked to cervical cancer, with some studies indicating no relationship and others reporting an increased risk. Hence, this review analyzed data from recently published studies on cervical cancer.<h4>Methods</h4>Seven databases (MEDLINE via PubMed, Google Scholar, Scopus, Medscape, EMBASE, African Journals Online and Science Direct) were searched for papers published from January 2000 to March 2022 in English. Ten studies were included in analysis. The statistical analysis was performed using STATA 11. Heterogeneity between-study was explored by forest plot and inconsistency index (I2). The publication bias was checked by a funnel plot and Egger's test. The pooled estimates of odds ratios were calculated by a random-effects model.<h4>Results</h4>In the subgroup analysis, there was no significant association between early sexual activity and cervical cancer. However, the overall pooled analysis of these ten studies revealed that there is an association between early sexual debut and cervical cancer. In the random effect model, we found a pooled odds ratio of 2.95 (95% CI = 1.06, 4.83), indicating that women who began sexual intercourse before the age of 18 had a higher risk of getting cervical cancer than adult women.<h4>Conclusion</h4>In this analysis, women who began having early sexual debut had a greater risk of developing cervical cancer than those who initiated sexual intercourse later in life. Delaying the age of first sexual activity among adolescents could help prevent the occurrence of cervical cancer.https://doi.org/10.1371/journal.pgph.0000941
spellingShingle Alemayehu Gonie Mekonnen
Yohannes Moges Mittiku
Early-onset of sexual activity as a potential risk of cervical cancer in Africa: A review of literature.
PLOS Global Public Health
title Early-onset of sexual activity as a potential risk of cervical cancer in Africa: A review of literature.
title_full Early-onset of sexual activity as a potential risk of cervical cancer in Africa: A review of literature.
title_fullStr Early-onset of sexual activity as a potential risk of cervical cancer in Africa: A review of literature.
title_full_unstemmed Early-onset of sexual activity as a potential risk of cervical cancer in Africa: A review of literature.
title_short Early-onset of sexual activity as a potential risk of cervical cancer in Africa: A review of literature.
title_sort early onset of sexual activity as a potential risk of cervical cancer in africa a review of literature
url https://doi.org/10.1371/journal.pgph.0000941
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