Type:	Journal Article
Title:	Abnormal pap smears in teenage mothers and the association with domestic violence, homelessness, and Chlamydia
Other Titles:	Journal of lower genital tract disease
Authors:	Evans, Sharon F Quinlivan, Julie A Davy, Margaret Petersen, Rodney W
Keywords:	Health;Housing;Pregnancy
Year:	2004
Publisher:	Lippincott Williams & Wilkins
Citation:	8 (2), April 2004
Notes:	General Overview: A prospective study of 457 pregnant teenagers was undertaken at three Australian hospitals to determine the incidence of Pap smear abnormalities and cervical intraepithelial neoplasia (CIN) and to reveal any associations with negative social factors such as domestic violence, homelessness and drug use. Methods: Pap smears were performed on 532 consecutive pregnant patients aged between 12 and 17 years at three metropolitan hospitals in Australia offering maternity services. Consent was obtained from 457 suitable participants to take part in the study. A series of antenatal interviews was carried out independently by an obstetric doctor, a midwife nurse educator and a social worker to collect social and demographic information from the patients. A mixed model of analysis was then used to examine associations between abnormal Pap smears and demographic and social factors in each participant’s history. Results: The incidence of cervical intraepithelial neoplasia (CIN), determined after investigation of abnormal Pap smears, was found to be high among pregnant teenagers in Australia. Multivariate analysis revealed significant associations between these abnormalities and domestic violence, homelessness and Chlamydia infection.
URI:	https://anrows.intersearch.com.au/anrowsjspui/handle/1/13222
ISSN:	1089-2591
Appears in Collections:	Journal Articles

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