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Type: Artigo
Title: Early Age At First Sexual Intercourse Is Associated With Higher Prevalence Of High-grade Squamous Intraepithelial Lesions (hsil)
Title Alternative: Idade Precoce De Início Da Atividade Sexual Está Associada A Elevada Prevalência De Lesão Intraepitelial Escamosa De Alto Grau
Author: Caldeira Xavier-Júnior
José Cândido; Dufloth
Rozany Mucha; Vale
Diama Bhadra; Lima
Marcelo Tavares de; Zeferino
Luiz Carlos
Abstract: To evaluate the association of age at first sexual intercourse with the results of the cervicovaginal cytology. Study Design Observational analytical study about the prevalence of altered cervicovaginal cytology results in women aged between 18 and 34 years from a densely populated area in Brazil, during 10 years. The patients were stratified into 2 categories according to their age at first sexual intercourse (13-16 years and 17-24 years). Results From the total of 2,505,154 exams, 898,921 tests were in accordance with the inclusion criteria. Considering women with 4 years or less from the first sexual intercourse as a reference, those with 5 to 9 years and 10 years or more showed a higher prevalence of high-grade squamous intraepithelial lesions (HSILs). Women with an earlier onset of sexual intercourse (13-16 years) showed higher prevalence ratios for atypical squamous cells (ASC), low-grade squamous intraepithelial lesion (LSIL) and HSIL. The prevalence ratio for HSIL adjusted by age at diagnosis and by age at first sexual intercourse was higher only for women with an earlier onset of sexual intercourse. Conclusions The age of first sexual intercourse could be a variable that might qualify the selection among young women who are really at a higher risk for HSIL.
Subject: Cytology
Pap Smear
Cervical Intraepithelial Neoplasia
Age Groups
Sexual Behavior
Teste De Papanicolau
Neoplasia Intraepitelial Cervical
Grupos Etários
Comportamento Sexual
Editor: Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
Citation: Revista Brasileira De Ginecologia E Obstetrícia. Federação Brasileira Das Sociedades De Ginecologia E Obstetrícia, v. 39, n. 2, p. 80 - 85
Rights: aberto
Date Issue: 2017
Appears in Collections:Unicamp - Artigos e Outros Documentos

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