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Cervical screening and general physical examination behaviors of women exposed in utero to diethylstilbestrol.

Publication ,  Journal Article
Camp, EA; Coker, AL; Troisi, R; Robboy, SJ; Noller, KL; Goodman, KJ; Titus-Ernstoff, LT; Hatch, EE; Herbst, AL; Kaufman, RH; Adam, E
Published in: J Low Genit Tract Dis
April 2008

OBJECTIVE: To estimate whether women exposed in utero to diethylstilbestrol (DES) report receiving more cervical and general physical examinations compared to unexposed women. MATERIALS AND METHODS: 1994 Diethylstilbestrol Adenosis cohort data are used to assess the degree of recommended compliance of cervical screenings found in 3,140 DES-exposed and 826 unexposed women. Participants were enrolled at 4 sites: Houston, Boston, Rochester, and Los Angeles. Logistic regression modeling was used to analyze mailed questionnaire data, which included reported frequency over the preceding 5 years (1990-1994) of Papanicolaou smears and general physical examinations. RESULTS: Diethylstilbestrol-exposed women exceeded the recommended frequency of Papanicolaou smear screenings [adjusted odds ratio (aOR) = 2.15, 95% CI (confidence interval) = 1.60-2.88] compared to the unexposed. This association held among those without a history of cervical intraepithelial neoplasia (aOR = 1.88, 95% CI = 1.35-2.62). Diethylstilbestrol-exposed women exceeded annual recommendations for physical examinations (aOR = 2.27, 95% CI = 1.16-4.43) among women without a history of chronic disease when compared to unexposed women. CONCLUSIONS: Most DES-exposed women are receiving cervical cancer screening at least at recommended intervals, but one third of the women are not receiving annual Papanicolaou smear examinations.

Duke Scholars

Published In

J Low Genit Tract Dis

DOI

EISSN

1526-0976

Publication Date

April 2008

Volume

12

Issue

2

Start / End Page

111 / 117

Location

United States

Related Subject Headings

  • Vaginal Smears
  • Vaginal Neoplasms
  • Uterine Cervical Neoplasms
  • Surveys and Questionnaires
  • Risk Factors
  • Retrospective Studies
  • Physician-Patient Relations
  • Physical Examination
  • Patient Compliance
  • Papanicolaou Test
 

Citation

APA
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ICMJE
MLA
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Camp, E. A., Coker, A. L., Troisi, R., Robboy, S. J., Noller, K. L., Goodman, K. J., … Adam, E. (2008). Cervical screening and general physical examination behaviors of women exposed in utero to diethylstilbestrol. J Low Genit Tract Dis, 12(2), 111–117. https://doi.org/10.1097/LGT.0b013e31815ae980
Camp, Elizabeth A., Ann L. Coker, Rebecca Troisi, Stanley J. Robboy, Kenneth L. Noller, Karen J. Goodman, Linda T. Titus-Ernstoff, et al. “Cervical screening and general physical examination behaviors of women exposed in utero to diethylstilbestrol.J Low Genit Tract Dis 12, no. 2 (April 2008): 111–17. https://doi.org/10.1097/LGT.0b013e31815ae980.
Camp EA, Coker AL, Troisi R, Robboy SJ, Noller KL, Goodman KJ, et al. Cervical screening and general physical examination behaviors of women exposed in utero to diethylstilbestrol. J Low Genit Tract Dis. 2008 Apr;12(2):111–7.
Camp, Elizabeth A., et al. “Cervical screening and general physical examination behaviors of women exposed in utero to diethylstilbestrol.J Low Genit Tract Dis, vol. 12, no. 2, Apr. 2008, pp. 111–17. Pubmed, doi:10.1097/LGT.0b013e31815ae980.
Camp EA, Coker AL, Troisi R, Robboy SJ, Noller KL, Goodman KJ, Titus-Ernstoff LT, Hatch EE, Herbst AL, Kaufman RH, Adam E. Cervical screening and general physical examination behaviors of women exposed in utero to diethylstilbestrol. J Low Genit Tract Dis. 2008 Apr;12(2):111–117.

Published In

J Low Genit Tract Dis

DOI

EISSN

1526-0976

Publication Date

April 2008

Volume

12

Issue

2

Start / End Page

111 / 117

Location

United States

Related Subject Headings

  • Vaginal Smears
  • Vaginal Neoplasms
  • Uterine Cervical Neoplasms
  • Surveys and Questionnaires
  • Risk Factors
  • Retrospective Studies
  • Physician-Patient Relations
  • Physical Examination
  • Patient Compliance
  • Papanicolaou Test