title: Psychosocial stress and cervical neoplasia risk.
abstract: OBJECTIVE
  We assessed the association between psychosocial stress and preinvasive cervical neoplasia development controlling for HR-HPV infection.
  
  
  METHODS
  This case-control study enrolled low-income women receiving family planning services at health department clinics. There were 59 cases with biopsy confirmed HSIL and 163 with low-grade SIL and 160 controls with normal cervical cytology. A modified SLE scale was used to measure stressful events and the perceived impact of the event in the prior 5 years. Unconditional logistic regression was used to assess SIL risk and stressful events scores and by subscales.
  
  
  RESULTS
  After adjusting for age, HR-HPV infection, and lifetime number of sex partners, the SLE count score was associated with an increased risk of SIL among white women (aOR = 1.20; 95% CI = 1.04, 1.38) yet not among African American women (aOR = 1.02; 95% CI = 0.87, 1.19). The relationship stress subscale (divorce, infidelity, an increase in the number of arguments, and psychological and physical partner violence) was the only one of four subscales (loss, violence, and financial stress) associated with SIL, again, only among white women (aOR = 1.54; 95% CI = 1.21, 1.96).
  
  
  CONCLUSIONS
  These data suggest that psychosocial stress may play a role in SIL development. Future studies are needed to confirm these findings, to explore racial difference in reporting stress, and to explore the mechanism through which psychosocial stress may affect cervical neoplasia risk.
authors.affiliation: Department of Epidemiology, University of Texas School of Public Health, Houston, Texas 77225, USA. acoker@sph.uth.tmc.edu
authors.forename: Ann L
authors.initials: AL
authors.lastname: Coker
authors.forename: Sharon
authors.initials: S
authors.lastname: Bond
authors.forename: Margaret M
authors.initials: MM
authors.lastname: Madeleine
authors.forename: Kathryn
authors.initials: K
authors.lastname: Luchok
authors.forename: Lucia
authors.initials: L
authors.lastname: Pirisi
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology; D001601:Bereavement; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008016:Life Change Events; D008393:Marriage; D027383:Papillomaviridae / Q000145:classification / Q000302:isolation & purification; D030361:Papillomavirus Infections / Q000453:epidemiology / Q000523:psychology / Q000821:virology; D011203:Poverty; D013022:South Carolina / Q000453:epidemiology; D013315:Stress, Psychological / Q000453:epidemiology*; D014412:Tumor Virus Infections / Q000453:epidemiology / Q000523:psychology; D002583:Uterine Cervical Neoplasms / Q000453:epidemiology* / Q000523:psychology / Q000821:virology; D014754:Violence; D044465:White People / Q000523:psychology; D002578:Uterine Cervical Dysplasia / Q000453:epidemiology* / Q000523:psychology / Q000821:virology