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Incidence of cervical intraepithelial lesions in a population of adolescents treated in public health services in Rio de Janeiro, Brazil Incidência de lesões intra-epiteliais cervicais em população de adolescentes atendidas em serviço público de saúde no Rio de Janeiro, Brasil

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  • معلومة اضافية
    • بيانات النشر:
      Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, 2009.
    • الموضوع:
      2009
    • Collection:
      LCC:Medicine
      LCC:Public aspects of medicine
    • نبذة مختصرة :
      This study aimed to estimate the incidence and types of cervical cytopathological findings in adolescents who were treated in public health services between 1993 and 2006. This is a cohort study, with the following inclusion criteria: < 20 years of age, sexually-active, without cervical lesions upon entry into the study or sexually active < 1 year. The data were collected from 403 adolescents' medical records. Incidence density of cytopathological alterations was estimated and the actuarial method was used to calculate the 5-year incidence during follow-up after sexual initiation. In the first year of sexual activity, the incidence of cervical lesions was 24.1%. The incidence decreased to 3-8% over the following 4 years. The incidence density was 4.7 cases per 100 persons per year. The first abnormal cytological diagnosis showed atypical squamous cells of undetermined significance (ASCUS) in 5.5% (22) of patients, low-grade squamous intra-epithelial lesions (LSIL) in 28% (113), and high-grade squamous intraepithelial lesions (HSIL) in 3% (12). Eight (67%) cases of HSIL occurred during the first year of sexual activity. The incidence of cytopathological findings at beginning of sexual life is high, suggesting the importance of including sexually-active adolescents in cervical cancer prevention programs.O objetivo foi estimar a incidência e os tipos das alterações citopatológicas cervicais em adolescentes acompanhadas em serviço público entre 1993-2006. Estudo de coorte, tendo como critérios de inclusão: idade < 20 anos, apresentar atividade sexual, citopatologia negativa para lesão cervical na entrada do estudo ou tempo de atividade sexual
    • File Description:
      electronic resource
    • ISSN:
      0102-311X
      1678-4464
    • Relation:
      http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2009000500018; https://doaj.org/toc/0102-311X; https://doaj.org/toc/1678-4464
    • الرقم المعرف:
      10.1590/S0102-311X2009000500018
    • الرقم المعرف:
      edsdoj.2ce115e71b844c59814b90bfd263cbb4