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Risk factors associated with histological alterations of the female genital tract in patients attending a first-level medical care facility.
Hernández-Valencia, Marcelino; Rodríguez-Lundes, Ociel; Landero-Montes de Oca, María Esther; Pichardo-García, Raúl; Escamilla-Godínez, Gregorio.
Afiliação
  • Hernández-Valencia M; Unidad de Investigación en Enfermedades Endocrinas, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México, DF, Mexico. mhernandezvalencia@prodigy.net.mx
Cir Cir ; 77(6): 419-21, 2009.
Article em En, Es | MEDLINE | ID: mdl-20433785
BACKGROUND: We undertook this study to determine risk factors for histological alterations of the female genital tract in an open population who attend a first-level care medical facility. METHODS: We conducted a case/control cohort study that included patients from outpatient consultation who responded to a cervical cancer control and prevention program. We studied 1933 patients; 88 patients (cases) had cellular alterations and were matched with 88 patients without alterations (controls). Statistical analysis was carried out with one-way ANOVA for comparison between groups and association of variables with relative risk for 95% confidence interval; p <0.05. RESULTS: Mean age of the case group was 36.1 +/- 1.6 years and the control group had a mean age of 35.8 +/- 2.1 years. Diagnoses obtained in the case group showed a greater frequency of ectropion, human papilloma virus infection and CIN1. Risks factors analyzed in these patients showed statistical differences in number of gestations >2 (RR = 2.33) and the early initiation of sexual activity (<19 years) (RR = 1.14) for experiencing histological problems of the female genital tract. CONCLUSIONS: Prevention of cervical cancer can be accomplished through timely and opportune detection in order to avoid the disease or to decrease risk factors by using condoms, delaying initiation of sexual activity and limiting the number of sexual partners. These are all strategies that the general population should be aware of.
Assuntos
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doenças dos Genitais Femininos Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans Idioma: En / Es Revista: Cir Cir Ano de publicação: 2009 Tipo de documento: Article País de afiliação: México País de publicação: México
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doenças dos Genitais Femininos Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Risk_factors_studies Limite: Adolescent / Adult / Female / Humans Idioma: En / Es Revista: Cir Cir Ano de publicação: 2009 Tipo de documento: Article País de afiliação: México País de publicação: México