The high burden of cervical cancer in Fiji, 2004–07

The high burden of cervical cancer in Fiji, 2004–07 Background There are few population-based data on the disease burden of cervical cancer from developing countries, especially South Pacific islands. This study aimed to determine the incidence and mortality associated with cervical cancer and the coverage of Papanicolaou (Pap) cervical cytology in 20- to 69-year-old women in Fiji from 2004 to 2007. Methods : National data on the incident cases of histologically confirmed cervical cancer and the associated deaths, and on Pap smear results were collected from all pathology laboratories, and cancer and death registries in Fiji from 2004 to 2007. Results : There were 413 incident cases of cervical cancer and 215 related deaths during the study timeframe. The annualised incidence and mortality rates in 20- to 69-year-old Melanesian Fijian women, at 49.7 per 100 000 (95% confidence interval (CI): 43.7–56.4) and 32.3 per 100 000 (95% CI: 26.9–38.4) respectively, were significantly higher than among 20- to 69-year-old Indo-Fijian women at 35.2 per 100 000 ( P < 0.001, 95% CI: 29.5–41.7) and 19.8 per 100 000 ( P = 0.002, 95% CI: 15.1–25.5) respectively. Of 330 cases diagnosed between 2004 and 2006, 186 (56%) had died by 31 December 2006. Pap smear coverage for this period was 8.0% (95% CI: 7.9–8.1) of the target population. Conclusions : The incidence and mortality related to cervical cancer in Fiji is high, whereas Pap smear coverage is very low. Greater investment in alternative screening strategies and preventive measures should be integrated into a comprehensive, strategic cervical cancer control program in Fiji. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Sexual Health CSIRO Publishing

Loading next page...
 
/lp/csiro-publishing/the-high-burden-of-cervical-cancer-in-fiji-2004-07-AcylTrkgcc
Publisher
CSIRO Publishing
Copyright
CSIRO
ISSN
1448-5028
eISSN
1449-8987
D.O.I.
10.1071/SH12135
Publisher site
See Article on Publisher Site

Abstract

Background There are few population-based data on the disease burden of cervical cancer from developing countries, especially South Pacific islands. This study aimed to determine the incidence and mortality associated with cervical cancer and the coverage of Papanicolaou (Pap) cervical cytology in 20- to 69-year-old women in Fiji from 2004 to 2007. Methods : National data on the incident cases of histologically confirmed cervical cancer and the associated deaths, and on Pap smear results were collected from all pathology laboratories, and cancer and death registries in Fiji from 2004 to 2007. Results : There were 413 incident cases of cervical cancer and 215 related deaths during the study timeframe. The annualised incidence and mortality rates in 20- to 69-year-old Melanesian Fijian women, at 49.7 per 100 000 (95% confidence interval (CI): 43.7–56.4) and 32.3 per 100 000 (95% CI: 26.9–38.4) respectively, were significantly higher than among 20- to 69-year-old Indo-Fijian women at 35.2 per 100 000 ( P < 0.001, 95% CI: 29.5–41.7) and 19.8 per 100 000 ( P = 0.002, 95% CI: 15.1–25.5) respectively. Of 330 cases diagnosed between 2004 and 2006, 186 (56%) had died by 31 December 2006. Pap smear coverage for this period was 8.0% (95% CI: 7.9–8.1) of the target population. Conclusions : The incidence and mortality related to cervical cancer in Fiji is high, whereas Pap smear coverage is very low. Greater investment in alternative screening strategies and preventive measures should be integrated into a comprehensive, strategic cervical cancer control program in Fiji.

Journal

Sexual HealthCSIRO Publishing

Published: Apr 5, 2013

Keywords: epidemiology, human papillomavirus, Pap smear, South Pacific.

References

  • Cancer incidence, mortality, and associated risk factors among Asian Americans of Chinese, Filipino, Vietnamese, Korean, and Japanese ethnicities.
    McCracken M Olsen M Chen MS Jemal A Thun M Cokkinides V et al
  • Alternative cervical cancer prevention in low-resource settings: experiences of visual inspection by acetic acid with single-visit approach in the first five provinces of Thailand.
    Palanuwong B
  • The prevention of cancer.
    Sampson Handley W
  • Racial incidence of carcinoma of the cervix in Fiji.
    Lancaster DJ
  • The prevalence of sexually transmitted disease agents in pregnant women in Suva.
    Gyaneshwar R Nsanze H Singh KP Pillay S Seruvatu I
  • Human papillomavirus genotype prevalence in cervical biopsies from women diagnosed with cervical intraepithelial neoplasia or cervical cancer in Fiji.
    Tabrizi SN Law I Buadromo E Stevens MP Fong J Samuela J et al

You’re reading a free preview. Subscribe to read the entire article.


DeepDyve is your
personal research library

It’s your single place to instantly
discover and read the research
that matters to you.

Enjoy affordable access to
over 18 million articles from more than
15,000 peer-reviewed journals.

All for just $49/month

Explore the DeepDyve Library

Search

Query the DeepDyve database, plus search all of PubMed and Google Scholar seamlessly

Organize

Save any article or search result from DeepDyve, PubMed, and Google Scholar... all in one place.

Access

Get unlimited, online access to over 18 million full-text articles from more than 15,000 scientific journals.

Your journals are on DeepDyve

Read from thousands of the leading scholarly journals from SpringerNature, Elsevier, Wiley-Blackwell, Oxford University Press and more.

All the latest content is available, no embargo periods.

See the journals in your area

DeepDyve

Freelancer

DeepDyve

Pro

Price

FREE

$49/month
$360/year

Save searches from
Google Scholar,
PubMed

Create lists to
organize your research

Export lists, citations

Read DeepDyve articles

Abstract access only

Unlimited access to over
18 million full-text articles

Print

20 pages / month

PDF Discount

20% off