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Please use this identifier to cite or link to this item: https://anrows.intersearch.com.au/anrowsjspui/handle/1/22637
Record ID: 4d685cca-c955-4d50-94c6-20851f2c9436
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dc.contributor.authorDavy, Men
dc.contributor.authorEvans, S. Fen
dc.contributor.authorQuinlivan, J. Aen
dc.contributor.authorPetersen, R. Wen
dc.date.accessioned2023-03-06T04:52:17Z-
dc.date.available2023-03-06T04:52:17Z-
dc.date.issued2004en
dc.identifier.citationNo 2 Vol.: 8en
dc.identifier.urihttps://anrows.intersearch.com.au/anrowsjspui/handle/1/22637-
dc.languageenen
dc.titleAbnormal Pap Smears in Teenage Mothers and the Association with Domestic Violence, Homelessness, and Chlamydiaen
dc.title.alternativeJournal of Lower Genital Tract Diseaseen
dc.typeJournal Articleen
dc.identifier.catalogid12312en
dc.identifier.urlhttp://www.scopus.com/inward/record.url?eid=2-s2.0-16544387350&partnerID=40&md5=0560c572e0b530425c1de6768934ae71en
dc.subject.keywordAustraliaen
dc.subject.keywordAdolescent pregnancyen
dc.subject.keywordCancer gradingen
dc.subject.keyworduterine cervix biopsyen
dc.subject.keywordCancer epidemiologyen
dc.subject.keywordDomestic violenceen
dc.subject.keywordHomelessnessen
dc.subject.keywordFemaleen
dc.subject.keywordChlamydia - trachomatisen
dc.subject.keywordillicit drugen
dc.subject.keywordInvalid URLen
dc.subject.keywordDuplicateen
dc.subject.keywordDrug abuseen
dc.subject.keywordnew_recorden
dc.subject.keywordAdolescentsen
dc.subject.keywordmajor clinical studyen
dc.subject.keyworduterine cervix carcinoma in situen
dc.description.notesObjective. To assess the incidence of Pap smear abnormalities and cervical intraepithelial neoplasia (CIN) on cervical biopsy results in teenage mothers and to establish if there are associations with social disruption. Patients and Methods. A prospective study of 498 pregnant teenagers was performed at three Australian hospitals. Enrolled patients had a Pap smear performed. Women with abnormal Pap smear results underwent colposcopy with directed biopsy of the cervix. Independently, women were interviewed to identify demographic and social variables. Variables associated with an abnormal Pap smear result were analyzed using a mixed model of analysis. Results. Four hundred fifty-seven patients participated in the study (response rate, 92%). The prevalences of low- and high-grade squamous intraepithelial lesions on Pap smear were 37 in 1,000 and 13 in 1,000, respectively. The prevalence of CIN 1 was 35 in 1,000 and of CIN 2,3 was 15 in 1,000. In univariate analysis, teenagers with abnormal Pap smear results were significantly more likely to have a history of exposure to domestic violence (odds ration [OR], 7.10; 95% CI, 2.76-18.53), be homeless (OR, 6.82; 95% CI, 2.59-17.83), to have coexisting Chlamydia infection (OR, 5.44; 95% CI, 1.59-17.64), or be current users of illegal drugs or have a history of illegal drug use (current: OR, 3.06; 95% CI, 1.22-7.69; history: OR, 2.75; 95% CI, 1.04-7.53). Exposure to domestic violence, homelessness, and Chlamydia infection remained significant on multivariate analysis (p < .05). Conclusions. The incidence of CIN in pregnant teenagers is high and is associated with domestic violence, homelessness, and Chlamydia infection.<br/ >Cited By (since 1996):4Export Date: 23 July 2013Source: Scopusen
dc.identifier.sourceJournal of lower genital tract diseaseen
dc.date.entered2014-07-21en
dc.description.physicaldescriptionPages 112-117en
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