Sebastian J A, Leeb B O, See R
Am J Obstet Gynecol. 1978 Jul 15;131(6):620-3. doi: 10.1016/0002-9378(78)90819-0.
The epidemiology of cervical cancer has been the subject of many articles centered around the question, "Is cancer of the cervix a sexually transmitted disease? A group of 750 Taiwan prostitutes had cervical cytology performed at the time of required gonorrhea screening. The prostitutes represented a unique group in which the variables of frequent intercourse with multiple partners and multiple infection can be separated from early coital experience. Cervical cytology was obtained and processed by the Pathology Department at Navy Medical Research Unit No. 2. A bilingual questionnaire was completed with the aid of a medical interpreter. The results included only eight of the 750 specimens in the "dysplasia plus" category for a rate of 10.7 per 1,000. The low yield of abnormal cytology suggests the factors of multiple partners, frequent intercourse, and high gonorrhea infection rate are not significant epidemiologically if they occur after the phase of active metaplasia, occurring during the first pregnancy or early adolescence.
宫颈癌的流行病学一直是许多文章的主题，这些文章都围绕着“宫颈癌是一种性传播疾病吗？”这一问题展开。一组750名台湾妓女在进行淋病筛查时接受了宫颈细胞学检查。这些妓女代表了一个独特的群体，在这个群体中，与多个性伴侣频繁性交和多重感染的变量可以与早期性交经历区分开来。宫颈细胞学样本由海军第二医学研究单位病理科采集和处理。在医学口译员的帮助下完成了一份双语问卷。结果显示，750份样本中只有8份属于“发育异常及以上”类别，发生率为每1000人中有10.7例。异常细胞学检查的低阳性率表明，如果多个性伴侣、频繁性交和高淋病感染率发生在活跃化生阶段之后，即在首次怀孕或青春期早期发生，那么从流行病学角度来看，这些因素并不显著。
