Sexual Behaviour Ano Age As Risk Factors For Intraepithelial And Invasive Uterine Cervical Lesion
Keywords:
uterine cervical, sex behavior, intraepithelial lesionAbstract
Objective
To evaluate the association between some socio-demographic and reproductive factors and the presence of cervical injuries.
Methods
In this cross-sectional study, 2281 women were included, who, after answering a questionnaire, underwent oncological cytology collection, li-hybrid capture and visual inspection of the cervix with 5% acetic acid. Women with at least one positive test were invited for colposcopy. The association of socio-demographic and reproductive factors with the results of the exams and histological diagnosis was evaluated by calculating the odds ratio and stepwise logistic regression.
Results
Oncological cytology was abnormal in 209 (9.2%) women, li hybrid capture was positive in 399 (17.5%) and VAT was abnormal in 249 (10.9%). Among the 2281 women evaluated, 671 (29.4%) had at least one positive test result, although only 82 (3.6%) had disease (50 CIN 1, 20 CIN2, seven CIN3 and five invasive carcinomas). Age under 35, not living with a partner, early onset of sexual activity and the number of partners in the last year were significantly associated with at least one positive test result. Age under 35 years was associated with histological disease.
Conclusion
Living without a partner, early onset of sexual activity and the number of partners can act as indicators of cervical injury, although in this population, as it includes a large proportion of CIN 1, only age under 35 years was associated with histological disease.
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References
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