Socio-demographic Status of Patients with Cervical Intraepithelial Neoplasia 2 and 3 Underwent Loop Electrosurgical Excision Procedure

Abstract

Background: Cervical intraepithelial neoplasia (CIN) is a premalignant lesion of the cervix which progresses into cervical cancer if untreated. An early diagnosis which can determine the treatment of cervical intraepithelial neoplasia is a preventive measure of cervical cancer. In Bangladesh, loop electrosurgical excision procedure (LEEP) is an ongoing program of government health service for the management of cervical intraepithelial neoplasia (CIN) 2 & 3. Aim of the study: The aim of this study was to assess the socio-demographic status of patients with cervical intra-epithelial neoplasia (CIN) 2 and 3 underwent loop electrosurgical excision procedure. Methods: This descriptive cross sectional study was conducted in OPD, Gynaecology & Obstetrics department, Rangpur Medical College Hospital, Rangpur, Bangladesh during the period from July 2011 to June 2012. The patients underwent LEEP following treatment of CIN (Cervical intra-epithelial neoplasia) 2 and 3 were included as the study subjects. In total, 75 patients were selected for this study. The study was approved by the ethical committee of the mentioned hospital. Proper written consents were taken from all the participants before data collection. A predesigned questioner was used in data collection. Data analysis was done by using statistical package for social science (SPSS) 16 versions. This qualitative data was analyzed as proportion, rate and percentage. Results: In this study,

majority of the participants were from 30-39 years’ age group, which was 57%. In analyzing, distribution of the study population according to education level we observed that, in 35%, 31%, 23% and 12%  patients from SSC, illiterate, HSC and above also primary group’s which were noticeable. Distribution of the study population according to occupation we observed that, majority of the participants were service holder which was 85% and only 15% was housewife. Distribution of the study population according to monthly family income, majority of the participants were from 5000-10000 group, which was 51%. The mean parity of the patients was 3.68 with standard deviation of ±1.31. Conclusion: As per the findings of this study we can conclude that, comparatively younger women are mostly prone to cervical intraepithelial neoplasia 2 and 3. Frequencies of CIN 2 and 3 among lower income groups as well as service holder women are higher than other women.