Risk factors for cervical dysplasia in southwestern American Indian women

a pilot study.

Thomas Becker, C. M. Wheeler, R. S. McPherson, A. Kratochvil, C. A. Parmenter, C. Q. North, J. A. Miller

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Cervical cancer and cervical dysplasia occur at high rates among American Indian women in the southwestern United States. Few published data, however, have addressed risk factors for the development of cervical neoplasia among southwestern American Indian women. To investigate risk factors for cervical dysplasia in this population, we carried out a case-control pilot study focused on the effects of sexually transmitted diseases, sexual behavior, hygienic practices, cigarette use, contraceptive techniques, and diet in the development of cervical dysplasia. Although our pilot study lacked power to clearly identify risk factors for neoplasia, the data suggest that cervical papillomavirus infection (crude odds ratio 4.72, 95% confidence interval 1.62-14.11), vaginal deliveries (3.70, 0.69-20.04 for > 2 vaginal deliveries vs none), and current cigarette smoking (3.08, 0.50-24.15) were associated with dysplasia. These preliminary findings indicate that risk factors for dysplasia in American Indian women differ from risks which we have identified in southwestern Hispanic and non-Hispanic white women, and suggest the need for further investigation of ethnic differences in cervical disease development.

Original languageEnglish (US)
Pages (from-to)255-263
Number of pages9
JournalAlaska medicine
Volume35
Issue number4
StatePublished - Oct 1993
Externally publishedYes

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Uterine Cervical Dysplasia
North American Indians
Southwestern United States
Papillomavirus Infections
Sexually Transmitted Diseases
Contraceptive Agents
Hispanic Americans
Tobacco Products
Uterine Cervical Neoplasms
Sexual Behavior
Case-Control Studies
Neoplasms
Smoking
Odds Ratio
Confidence Intervals
Diet
Population

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Becker, T., Wheeler, C. M., McPherson, R. S., Kratochvil, A., Parmenter, C. A., North, C. Q., & Miller, J. A. (1993). Risk factors for cervical dysplasia in southwestern American Indian women: a pilot study. Alaska medicine, 35(4), 255-263.

Risk factors for cervical dysplasia in southwestern American Indian women : a pilot study. / Becker, Thomas; Wheeler, C. M.; McPherson, R. S.; Kratochvil, A.; Parmenter, C. A.; North, C. Q.; Miller, J. A.

In: Alaska medicine, Vol. 35, No. 4, 10.1993, p. 255-263.

Research output: Contribution to journalArticle

Becker, T, Wheeler, CM, McPherson, RS, Kratochvil, A, Parmenter, CA, North, CQ & Miller, JA 1993, 'Risk factors for cervical dysplasia in southwestern American Indian women: a pilot study.', Alaska medicine, vol. 35, no. 4, pp. 255-263.
Becker T, Wheeler CM, McPherson RS, Kratochvil A, Parmenter CA, North CQ et al. Risk factors for cervical dysplasia in southwestern American Indian women: a pilot study. Alaska medicine. 1993 Oct;35(4):255-263.
Becker, Thomas ; Wheeler, C. M. ; McPherson, R. S. ; Kratochvil, A. ; Parmenter, C. A. ; North, C. Q. ; Miller, J. A. / Risk factors for cervical dysplasia in southwestern American Indian women : a pilot study. In: Alaska medicine. 1993 ; Vol. 35, No. 4. pp. 255-263.
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