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- Title
Psychosocial Factors in Risk of Cervical Intraepithelial Lesions.
- Authors
Wilkerson, Jennifer E.; Bailey, Joanne M.; Bieniasz, Mary E.; Murray, Sandra I.; Ruffin, Mack T.
- Abstract
Background: This study examines the relationship among psychosocial factors, behavioral risks for abnormal cervical cytology, and abnormal cervical cytology. Methods: A self-administered questionnaire was used to measure perceived stress, discrimination, lifetime stressful events, optimism, social support, and psychological state. Women with normal Pap smears attending a primary care clinic and women attending a colposcopy clinic because of an abnormal Pap smear were eligible. The scores between the two groups were compared. Results: A total of 265 women participated in the study. There were no significant relationships between psychosocial factors and cervical cytology status. In a regression model, age ( B = −0.057, p = 0.001) was predictive of having abnormal cervical cytology. Smoking was correlated with an increased family Apgar score ( p = 0.021), Perceived Stress Scale (PSS) score ( p = 0.049), and Revised Life Stressor Checklist score ( p < 0.001). A higher mean number of lifetime male partners was related to increased family Apgar score ( p = 0.012), Revised Life Stressor Checklist score ( p < 0.001), and major event discrimination ( p < 0.001). Earlier age at coitarche was associated with increased family Apgar score ( p < 0.001). Conclusions: These results do not support that psychosocial factors play a role in the risk of developing abnormal cervical cytology. Behavioral risks for developing abnormal cervical cytology are associated with life stressors, family function, and perceived discrimination.
- Subjects
CERVICAL cancer; PSYCHOSOCIAL factors; PHYSIOLOGICAL stress; DISCRIMINATION (Sociology); OPTIMISM; PAP test; PAPILLOMAVIRUSES; IMMUNOSUPPRESSION
- Publication
Journal of Women's Health (15409996), 2009, Vol 18, Issue 4, p513
- ISSN
1540-9996
- Publication type
Article
- DOI
10.1089/jwh.2008.0982