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Scientific article
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A Cross-sectional Study on the Prevalence of Cervical Dysplasia Among Women With Female Genital Mutilation/Cutting

Published inJournal of lower genital tract disease, vol. 25, no. 3, p. 210-215
Publication date2021-07-01
Abstract

Objective: The aim of the study was to assess the prevalence of cervical dysplasia among migrant women with female genital mutilation/cutting (FGM/C) at a specialized clinic in Switzerland.

Materials and methods: This is a descriptive retrospective cross-sectional study. We reviewed the electronic medical records of all women who attended a specialized FGM/C clinic at the Geneva University Hospitals between 2010 and 2016. We examined sociodemographic data, sexually transmitted infections, FGM/C types, Pap smear results, and follow-up in women diagnosed with cervical dysplasia.

Results: Three hundred sixty records were reviewed and 338 women were included. The average age was 33 years (SD = 7.47 years). Most women were from Eritrea and Somalia (n = 204, 60.4%) and had FGM/C type III (n = 188, 55.6%). A total of 12.4% (n = 42) of the patients had abnormal Pap smears: 1.5% (n = 5) with atypical squamous cells of undetermined significance (ASCUS) with high-risk human papillomavirus (HPV), 7.9% (n = 27) with low-grade squamous intraepithelial lesion (LSIL), and 2.9% (n = 10) with high-grade squamous intraepithelial lesion or higher (HSIL +). Of the 37 patients with dysplasia, 22 (59.4%) completed follow-up and 15 (40.5%) received incomplete follow-up.

Conclusions: The prevalence of high-grade squamous intraepithelial lesion+ among migrant women with FGM/C is high (2.95%) compared with the general Swiss population (0.58%). Follow-up for cervical dysplasia must be improved by increasing provider knowledge of this patient population and by addressing barriers to care.

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Keywords
  • Adult
  • Carcinoma, Squamous Cell / complications
  • Carcinoma, Squamous Cell / epidemiology
  • Carcinoma, Squamous Cell / pathology
  • Cervical Intraepithelial Neoplasia / complications
  • Cervical Intraepithelial Neoplasia / epidemiology
  • Cervical Intraepithelial Neoplasia / pathology
  • Circumcision, Female / adverse effects
  • Cross-Sectional Studies
  • Female
  • Humans
  • Middle Aged
  • Papillomaviridae
  • Papillomavirus Infections / epidemiology
  • Prevalence
  • Switzerland / epidemiology
  • Transients and Migrants
  • Uterine Cervical Dysplasia / complications
  • Uterine Cervical Dysplasia / epidemiology
  • Uterine Cervical Dysplasia / pathology
  • Uterine Cervical Neoplasms / complications
  • Uterine Cervical Neoplasms / epidemiology
  • Uterine Cervical Neoplasms / pathology
Citation (ISO format)
AZUAGA MARTINEZ, Alicia Natalia et al. A Cross-sectional Study on the Prevalence of Cervical Dysplasia Among Women With Female Genital Mutilation/Cutting. In: Journal of lower genital tract disease, 2021, vol. 25, n° 3, p. 210–215. doi: 10.1097/LGT.0000000000000601
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Article (Published version)
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Identifiers
ISSN of the journal1089-2591
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