Facteurs associés à la pratique du dépistage du cancer du col utérin dans le district sanitaire de Joal, Sénégal, 2018: enquête ménage: Factors associated with the practice of cervical cancer screening in the health district of Joal, Senegal, 2018: household survey

Introduction: Au Sénégal, le cancer du col utérin se classe au premier rang des cancers diagnostiqués. Il peut être prévenu par le dépistage et la prise en charge précoces. Cependant, la pratique du dépistage est faible. L’objectif de cette étude était de déterminer les facteurs associés à la pratique du dépistage du cancer utérin dans le district de Joal. Méthodes: Il s’agissait d’une étude transversale sur un échantillon de 600 femmes, à partir d’un sondage en grappe. Les données ont été collectées au cours d’entretiens individuels à domicile avec un questionnaire sur les connaissances et pratiques relatives au cancer utérin. Une régression logistique a permis d’identifier les facteurs associés. Résultats: L’âge moyen des participantes était de 37 ans ± 8,09 ans. Près de 55,00% des participantes vivaient en milieu urbain, 45,00% n’étaient pas scolarisées, 87,00% étaient mariées. La pratique du dépistage était de 28,32% (IC 95% (25,12%-32,35%)). Les femmes qui avaient entendu parler du cancer utérin étaient plus susceptibles de pratiquer le dépistage (Odds ratio ajusté (ORa)=2,92 IC 95% (1,44-6,26)). La connaissance du lieu de dépistage et de la possibilité de guérison augmentait la chance de pratiquer le dépistage lors d’une consultation (ORa=2,32 IC 95% (1,16-5,36) ; ORa=1,93 IC 95% (1,28-3,24)).Conclusion: La connaissance du cancer utérin, lieu de dépistage, de la possibilité de guérison et les conseils de dépistage étaient associés à la pratique du dépistage. Il serait nécessaire de rendre accessible les services de dépistage par une bonne communication et une formation du personnel. Background: In Senegal, cervical cancer occupies the first rank of among diagnosed cancers. It can be prevented by early screening and management. However, the practice of screening is low. The objective of this study was to determine the factors associated with uterine cancer screening in Joal district. Methods: This was a cross-sectional study of a sample of 600 women, using a cluster survey. Data were collected during individual home interviews with a questionnaire on uterine cancer knowledge and practices. Logistic regression was used to identify associated factors. Results: The mean age of the participants was 37 ± 8.09 years. Nearly 55.00% of the participants lived in urban areas, 45.00% were not in school, 87.00% were married. The screening rate was 28.32% (95% CI (25.12%-32.35%)). Women who had heard about uterine cancer were more likely to screen (adjusted odds ratio (ORa)=2.92 95% CI (1.44-6.26)). Knowledge of the screening site and the possibility of cure increased the chance of screening at a consultation (ORa=2.32 95% CI (1.16-5.36); ORa=1.93 95% CI (1.28-3.24)). Conclusion: Knowledge of uterine cancer, location of screening, possibility of cure, and screening advice were associated with screening uptake. There is a need to make screening services accessible through good communication and staff training

Associated factors to hypertension, known poorly controlled hypertension and newly diagnosed hypertension among people aged 18-70 in Senegal

Introduction: In this study, we aimed to determine the factors associated with hypertension, known poorly controlled hypertension and newly diagnosed hypertension in 2015 in order to improve the prevention of this pathology in our country. Materials and Methods: This was a secondary analysis of the national WHO STEPwise survey database. It was quantitative, descriptive with an analytical aim. The sampling was done in stratification in three stages of sampling. Statistical analysis was performed using Rstudio 4.0.2 software. It was a descriptive, bivariate and multivariate analysis using binomial logistic regression for explanatory purposes. Results: The risk factors for being hypertensive among 18-70-year-olds in Senegal in 2015 are: having taken their blood pressure at least once in their life, having taken their cholesterol levels at least once in their life, having received advice to reduce salt consumption, have received advice on how to reduce the amount of sugar, be lean BMI, overweight, obesity III, be between 35-39 and 65-70 years old. The protective factors are: checking the salt content indicated on the labels, Consuming salt-rich dishes “often” compared to “never”, The risk factors for being newly diagnosed with hypertension among 18-70-year-olds in Senegal in 2015 are: having a history of stroke, having a resting heart rate greater than 80 beats per minute, consuming palm oil, have high fasting blood sugar. The protective factors are: Having a high average number of meals eaten per week not prepared at home, checking the salt content indicated on the labels, and being of the female sex. The risk factors for being known to have poorly controlled hypertension among 18-70-year-olds in Senegal in 2015 are: judging their reduction in salt consumption “Very important”, and having received advice to reduce their salt consumption. The protective factors are: performing physical activity only when traveling and limiting the consumption of salty-ready meals. Conclusion: Senegalese family cooking exposes to hypertension, small actions limiting salt consumption strongly protect against hypertension, and simple physical activity during travel strongly protects against hypertension, but the health system is very little proactive in the primordial and primary prevention of hypertension

Acceptability of contact management and care of simple cases of COVID-19 at home: a cross-sectional study in Senegal

International audienceAbstract Background COVID-19 is a major public health problem. In mid-2020, due to the health system challenges from increased COVID-19 cases, the Ministry of Health and Social Action in Senegal opted for contact management and care of simple cases at home. The objective of the study was to determine the acceptability of contact and simple case management of COVID-19 at home and its associated factors in Senegal. Methods This was a descriptive and analytical cross-sectional study. We collected data from 11 June to 10 July 2020. We used a marginal quota sampling strategy. A total of 813 individuals took part in the survey. We collected data using a telephone interview. Results The care of simple cases of COVID-19 at home was well accepted (78.5%). The use of home contact management was less accepted (51.4%). Knowledge of the modes of transmission of the virus and confidence in institutional information were associated with the acceptability of home care for simple cases. Regularly searching for information on COVID-19 and confidence in the government's control of the epidemic were associated with the acceptability of managing contacts at home. Conclusions Authorities should take these factors into account for better communication to improve the acceptability and confidence in home-based care for COVID-19 and future epidemics