Passive smoke exposure and abnormal cervical cytology in a predominantly Hispanic population - 19/08/11
, Abbey B. Berenson, MD, Carmen Radecki Breitkopf, PhD
Reprints: Kristy K. Ward, MD, Department of Obstetrics and Gynecology, University of Texas Medical Branch, 301 University Blvd., Galveston, TX 77555-0587Résumé |
Objective |
We sought to evaluate the association between passive cigarette smoke exposure and cervical cytological abnormalities in a predominantly Hispanic sample.
Study Design |
Data were collected as part of a larger, ongoing randomized clinical trial. Inclusion criteria were met by 4403 Hispanic (73%) and non-Hispanic (27%) women between 18-55 years of age (mean = 30.14 ± 8.7). Analysis of variance and multivariate logistic regression determined the association between passive smoke exposure and Pap abnormality.
Results |
Passive smoke exposure was positively associated with having an abnormal Pap smear (odds ratio, 1.70; 95% confidence interval, 1.14–2.52) as was current active smoking (odds ratio 1.45; 95% confidence interval, 1.03–2.04). Neither effect was modified by ethnicity. Increasing hours per week of passive smoke exposure was associated with low-grade squamous intraepithelial lesion (P < .05).
Conclusion |
Passive smoke exposure is an important independent risk factor for cytological abnormalities in Hispanic and non-Hispanic women. This study adds to the growing body of evidence of the dangers of passive smoke exposure.
Le texte complet de cet article est disponible en PDF.Key words : cervical cytology, Hispanic, Pap test, passive cigarette smoke, secondhand smoke
Plan
| Dr Ward is a Kirschstein National Research Service Award postdoctoral fellow supported by an institutional training grant (T32HD055163) from the Eunice Kennedy Shriver National Institute of Child Health and Human Development. Dr Berenson is the principal investigator of the above-mentioned grant. This research is part of a larger study supported by the National Cancer Institute, R01CA107015, awarded to Dr Breitkopf. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Eunice Kennedy Shriver National Institute of Child Health and Human Development or the National Institutes of Health. |
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| Cite this article as: Ward KK, Berenson AB, Breitkopf CR. Passive smoke exposure and abnormal cervical cytology in a predominantly Hispanic population. Am J Obstet Gynecol 2011;204:213.e1-6. |
Vol 204 - N° 3
P. 213.e1-213.e6 - mars 2011 Retour au numéro
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