title: Potential opportunities to reduce cervical cancer by addressing risk factors other than HPV.
abstract: Cervical cancer is the most common cancer in developing world and 80% of global burden is reported from these nations. Human papillomavirus along with poverty, illiteracy/lower education level and standards, multi-parity, tobacco, malnutrition and poor genital hygiene may act synergistically to cause cervical cancer. Risk factor of cervical cancer may in itself be the reason for non-viability of cervical cancer vaccine program in this part of the world. Interventions to address these risk factors in addition to vaccination of girls before their sexual debut may hold promises of reducing the morbidity and mortality of female genital cancers.
authors.affiliation: Department of Radiotherapy, Kidwai Memorial Institute of Oncology, Bangalore, India.
authors.forename: Ramaiah Vinay
authors.initials: RV
authors.lastname: Kumar
authors.forename: Suman
authors.initials: S
authors.lastname: Bhasker
keywords: Cervical cytologic screening; Developing countries; Gynecologic cancers; HPV typing; HPV vaccine