Authors:

Abstract

Introduction: Identifying women who are at risk of developing endometrial carcinoma helps to personalize the management strategies by increasing the survival of high-risk women.

Objectives: To estimate the 'at risk' prevalence and prevalence of selected risk factors for endometrial carcinoma among postmenopausal women in the district of Colombo

Methods: A community-based descriptive cross-sectional study was conducted among 1168 postmenopausal women selected using multistage cluster sampling technique. Women who are 'at risk' for developing endometrial carcinoma was decided based on a cut-off value developed for the set of predictors related to the risk of developing endometrial carcinoma among postmenopausal women.

Results: The prevalence of at risk of endometrial carcinoma was 19.2% (95% CI=17.0-21.6). The prevalence of selected risk factors: physical inactivity 86.2% (95% CI=84.1-88.1), hypertension 37.8% (95% CI=35.1-40.7), diabetes mellitus 39.9% (95% CI=37.1-42.8), early menarche 12.1% (95% CI=10.3-14.1), late menopause 5.7% (95% CI=4.5-7.2), never conceived 7.8% (95% CI=6.3-9.5), generalized obesity 48% (95% CI=45.1-50.9), central obesity 58.6% (95% CI=55.8-61.5), and inadequate servings of vegetables and fruits 69.4% (95% CI=66.8-72.0).

Keywords: Endometrial carcinoma, Women at risk, Increased risk, Risk factor prevalence