Karimi Zarchi Mojgan, Akhavan Ali, Gholami Hosien, Dehghani Atefeh, Naghshi Masoomeh, Mohseni Fereshteh
Gynecology Oncology, Shahid Sadoughi University of Medical Science, Safaieh, Iran.
Asian Pac J Cancer Prev. 2010;11(2):537-8.
Although cervical cancer is a preventable disease, its prevalence is increasing in many developing countries. The aim of this study was to evaluate risk factors.
This cross-sectional study was conducted on 100 cervical cancer cases according to their pathology reports in Yazd city. The patients were referred to 4 gynecological centers. Demographic data (age, age at marriage, number of marriages and spouses, age at first pregnancy, frequency of pregnancies and term labors, positive history of smoking and Pap smear findings were documented by interview, questionnaire and reviewing patients documents. The data were analyzed with SPSS software.
Mean age of the patients was 53.6 years. Mean age of marriage and first pregnancy was 15.2 and 16.6; respectively. Twenty percent (20%) of the cases married more than once and husbands of 38 patients (38%) had another wife too. Frequency of pregnancies and term labors was 7.4 and 6.4 in our patients. Some 17% of the patients had history of smoking; while 53% of them were passive smokers. Also only 2% of our patients have done Pap smear before diagnosis.
The important risk factors of patients with cervical cancer were as follows: Marriage at young age (15.2%), high mean parity (7.4), low mean age at first pregnancy (16.2 year), smoking, and not doing Pap smear.
There is important association between mass screening program with Pap smear and decreasing cervical cancer. Thus we should increase our women knowledge about all of risk-factors of cervical cancer and get them clues about regular pap smears.
尽管宫颈癌是一种可预防的疾病，但在许多发展中国家其发病率仍在上升。本研究旨在评估风险因素。
根据亚兹德市100例宫颈癌病例的病理报告进行了这项横断面研究。患者被转诊至4个妇科中心。通过访谈、问卷调查和查阅患者文件记录了人口统计学数据（年龄、结婚年龄、婚姻次数和配偶数量、首次怀孕年龄、怀孕频率和足月分娩次数、吸烟史阳性以及巴氏涂片检查结果）。数据用SPSS软件进行分析。
患者的平均年龄为53.6岁。平均结婚年龄和首次怀孕年龄分别为15.2岁和16.6岁。20%的病例结婚不止一次，38例患者（38%）的丈夫还有其他妻子。我们的患者怀孕频率和足月分娩次数分别为7.4次和6.4次。约17%的患者有吸烟史；而其中53%为被动吸烟者。此外，我们的患者中只有2%在诊断前进行过巴氏涂片检查。
宫颈癌患者的重要风险因素如下：早婚（15.2%）、平均产次高（7.4次）、首次怀孕平均年龄低（16.2岁）、吸烟以及未进行巴氏涂片检查。
巴氏涂片大规模筛查计划与降低宫颈癌发病率之间存在重要关联。因此，我们应提高女性对宫颈癌所有风险因素的认识，并为她们提供定期进行巴氏涂片检查的线索。
