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Incidence of cervical intraepithelial lesions in a population of adolescents treated in public health services in Rio de Janeiro, Brazil

Bibliographic Data

ID5225987
AuthorsDenise Leite Maia Monteiro (0000-0003-4679-1859, Centro Universitário Serra dos Órgãos, Brasil; Hospital Geral de Jacarepaguá, Brasil), Alexandre José Baptista Trajano (0000-0002-0758-1800, Universidade do Estado do Rio de Janeiro), Kátia Silveira Da Silva (0000-0002-1960-8855, Fundação Oswaldo Cruz), Fábio Bastos Russomano (0000-0001-7510-0485, Fundação Oswaldo Cruz)
Year2009
Volume25
Issue5
Pages1113-1122
Publication date2009-05-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/s0102-311x2009000500018
PMID19488496
OpenAlexW2014677016
SCIELO_PIDS0102-311X2009000500018
LanguageEN
Citations received2
References cited25

This study aimed to estimate the incidence and types of cervical cytopathological findings in adolescents who were treated in public health services between 1993 and 2006. This is a cohort study, with the following inclusion criteria: < 20 years of age, sexually-active, without cervical lesions upon entry into the study or sexually active < 1 year. The data were collected from 403 adolescents' medical records. Incidence density of cytopathological alterations was estimated and the actuarial method was used to calculate the 5-year incidence during follow-up after sexual initiation. In the first year of sexual activity, the incidence of cervical lesions was 24.1%. The incidence decreased to 3-8% over the following 4 years. The incidence density was 4.7 cases per 100 persons per year. The first abnormal cytological diagnosis showed atypical squamous cells of undetermined significance (ASCUS) in 5.5% (22) of patients, low-grade squamous intra-epithelial lesions (LSIL) in 28% (113), and high-grade squamous intraepithelial lesions (HSIL) in 3% (12). Eight (67%) cases of HSIL occurred during the first year of sexual activity. The incidence of cytopathological findings at beginning of sexual life is high, suggesting the importance of including sexually-active adolescents in cervical cancer prevention programs

Ascus (bryozoa) · Biology · Cancer · Cervical cancer · Cohort · Environmental health · Gynecology · Incidence (geometry) · Obstetrics · Pathology · Population · Public health · Sexually active · Cancer and Skin Lesions · Cervical Cancer and HPV Research · Demography · Genital Health and Disease · Internal Medicine · Medicine

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Unique citing works2
Citations per year0,18
Citation span2015 - 2016 (2)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 2

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