Cancer of the uterine cervix remains a main public health problem in Sub-Saharan Africa. About two-thirds of patients with cervical cancer were diagnosed at late stage with contributing factors of out-of-pocket medical bill, looking for care out of conventional health settings and multiple visits to healthcare facilities before diagnostic confirmations in Addis Ababa. Therefore, the aim of this study was to identify prevalence of late-stage presentation and associated factors among cervical cancer patients in Tikur Anbesa Specialized Hospital (TASH). Institutional based cross-sectional study was conducted from March to April 2019 in TASH oncology center. Data were extracted from patient’s chart using structured checklist prepared in English and analyzed using STATA14.2. Binary logistic regression model was used to identify variables that affect the outcome variable. A total of 1057 cervical cancer patients were included in this five-years retrospective study. The prevalence of late-stage presentation among cervical cancer patients was 56.8%. It was affected by being anemic [AOR = 1.55,95%CI (1.17–2.10)], came from Oromia region (AOR = 0.65,95%CI (0.46–0.91) and Addis Ababa city [AOR:0.5;95%CI (0.34–0.73)], rural residency [AOR:1.88;95% (1.38–2.56)] and age ≥ 60 years [AOR:1.89;95%CI (1.12–3.20)]. The study revealed that the prevalence of late-stage presentation among cervical cancer patients is high. Being anemic, regions where patients came from, rural residency and age group ≥ 60 years were statically significant. It is better to expand cervical cancer education for rural dwellers, expand cancer treatment centers and prioritize to patients with anemia and advanced age.

中文翻译：

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埃塞俄比亚蒂库尔·安贝萨专科医院晚期子宫颈癌患者的患病率及相关因素：基于机构的横断面研究

子宫颈癌仍然是撒哈拉以南非洲地区的主要公共卫生问题。约三分之二的宫颈癌患者在晚期被诊断出自费医疗费用的因素，在传统的医疗环境中寻求护理，并在亚的斯亚贝巴获得诊断确认之前多次前往医疗机构就诊。因此，本研究的目的是确定Tikur Anbesa专科医院（TASH）宫颈癌患者中晚期呈报的患病率及相关因素。基于机构的横断面研究于2019年3月至2019年4月在TASH肿瘤学中心进行。使用英语编写的结构化检查表从患者病历表中提取数据，并使用STATA14.2进行分析。二元逻辑回归模型用于识别影响结果变量的变量。这项为期五年的回顾性研究共纳入1057例宫颈癌患者。子宫颈癌患者中晚期呈报的患病率为56.8％。它受到贫血的影响[AOR = 1.55,95％CI（1.17-2.10）]，来自奥罗米亚地区（AOR = 0.65,95％CI（0.46-0.91）和亚的斯亚贝巴市[AOR：0.5; 95％CI （0.34-0.73）]，农村居民[AOR：1.88; 95％（1.38–2.56）]和年龄≥60岁[AOR：1.89; 95％CI（1.12-3.20）]。子宫颈癌患者的分期表现较高，由于贫血，患者来自的地区，农村居住地和年龄≥60岁的人群具有静态意义，因此最好对农村居民进行子宫颈癌教育，