Prevalence of High-risk Human Papillomavirus Infection Among Prisoners in the Nsawam Medium Security Prison, Ghana
Notice bibliographique
Résumé
Abstract Background: The Ghana Prisons Service has a Health Directorate that ensures delivery of healthcare to people in their custody under the Ghana Association of Quasi Health Institution (GAQHI) which is one of the agencies under the Ministry of Health. Across Ghana, females comprise 1.2% of the entire prison population (n=15,463). Cervical cancer screening services are however nonexistent and the prevalence of cervical precancer is undocumented. Our aim was to determine the prevalence of high-risk HPV infection and associated cervical abnormalities during a cervical cancer screening outreach. Methods: After informed consent and counselling, women underwent a structured questionnaire-based interview. Responses were recorded directly into a Microsoft Excel spreadsheet. Inmates were co-tested for cervical pre-cancer by two trained nurses using dry brush cervical samples for 15 high risk HPV types using the AmpFire HPV test after which mobile colposcopy with the EVA system was performed. EVA images were reviewed by a gynecologist. Frequencies and percentages were used to describe categorical data while means and standard deviations or medians and interquartile ranges were used to describe continuous data. Results: The majority (75%) of the inmates were convicts with a median sentence of 5 years. Their mean age was 41.1 years (range, 19–97). Out of the 14% that had ever been screened for cervical cancer, 75% had only been screened once. The self-reported prevalence rate of HIV among the inmates was 13.1%, all of who were receiving treatment. The high-risk HPV prevalence rate was 47.6% in the general population of inmates and 63.6% among HIV positive inmates. Using the EVA system, 5(6%) had lesions on the cervix of which 3(3.6%) were treated with thermal coagulation and 2(2.4%) were treated with LEEP. The average age of high-risk HPV positive inmates was 37.8 years. These inmates were also more likely to have been in prison for a shorter duration. Conclusion: There is a high prevalence of high-risk HPV infection among women in custody. These women will benefit from structured cervical cancer prevention services, including treatment for abnormalities that are picked up during such screening.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,056 | 0,019 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,001 |
| Méta-épidémiologie (sens large) | 0,002 | 0,000 |
| Bibliométrie | 0,003 | 0,004 |
| Études des sciences et des technologies | 0,006 | 0,003 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,004 | 0,007 |
| Intégrité de la recherche | 0,002 | 0,032 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,001 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; les deux têtes enseignantes s’accordent sur ce qui est montré ici.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».