Psychosocial factors in risk of cervical intraepithelial lesions.
BACKGROUND
This study examines the relationship among psychosocial factors, behavioral risks for abnormal cervical cytology, and abnormal cervical cytology.


METHODS
A self-administered questionnaire was used to measure perceived stress, discrimination, lifetime stressful events, optimism, social support, and psychological state. Women with normal Pap smears attending a primary care clinic and women attending a colposcopy clinic because of an abnormal Pap smear were eligible. The scores between the two groups were compared.


RESULTS
A total of 265 women participated in the study. There were no significant relationships between psychosocial factors and cervical cytology status. In a regression model, age (B = -0.057, p = 0.001) was predictive of having abnormal cervical cytology. Smoking was correlated with an increased family Apgar score (p = 0.021), Perceived Stress Scale (PSS) score (p = 0.049), and Revised Life Stressor Checklist score (p < 0.001). A higher mean number of lifetime male partners was related to increased family Apgar score (p = 0.012), Revised Life Stressor Checklist score (p < 0.001), and major event discrimination (p < 0.001). Earlier age at coitarche was associated with increased family Apgar score (p < 0.001).


CONCLUSIONS
These results do not support that psychosocial factors play a role in the risk of developing abnormal cervical cytology. Behavioral risks for developing abnormal cervical cytology are associated with life stressors, family function, and perceived discrimination.
Wilkerson
Jennifer E
JE
Midwestern University, Arizona College of Osteopathic Medicine, Glendale, Arizona, USA.
Bailey
Joanne M
JM
Bieniasz
Mary E
ME
Murray
Sandra I
SI
Ruffin
Mack T
MT
D000328:Adult; D002584:Cervix Uteri / Q000473:pathology*; D003625:Data Collection; D005260:Female; D015438:Health Behavior; D006801:Humans; D015146:Midwestern United States / Q000453:epidemiology; D065006:Papanicolaou Test; D012309:Risk-Taking; D012725:Sexual Behavior; D013315:Stress, Psychological; D002577:Uterine Cervical Diseases / Q000453:epidemiology / Q000523:psychology*; D014626:Vaginal Smears