Determinants of sexual activity and its relation to cervical cancer risk among South African Women

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dc.contributor.authorCooper, Dianeen_ZA
dc.contributor.authorHoffman, Margareten_ZA
dc.contributor.authorCarrara, Henrien_ZA
dc.contributor.authorRosenberg, Lynnen_ZA
dc.contributor.authorKelly, Judyen_ZA
dc.contributor.authorStander, Ilseen_ZA
dc.contributor.authorDenny, Lynnetteen_ZA
dc.contributor.authorWilliamson, Anna-Liseen_ZA
dc.contributor.authorShapiro, Samuelen_ZA
dc.date.accessioned2015-10-12T10:54:37Z
dc.date.available2015-10-12T10:54:37Z
dc.date.issued2007en_ZA
dc.description.abstractBACKGROUND:Invasive cervical cancer is the commonest cause of cancer morbidity and mortality in South African women. This study provides information on adult women's sexual activity and cervical cancer risk in South Africa. METHODS: The data were derived from a case-control study of hormonal contraceptives and cervical cancer risk. Information on age of sexual debut and number of lifetime sexual partners was collected from 524 incident cases and 1541 hospital controls. Prevalence ratios and adjusted prevalence ratios were utilised to estimate risk in exposures considered common. Crude and adjusted relative risks were estimated where the outcome was uncommon, using multiple logistic regression analysis. RESULTS: The median age of sexual debut and number of sexual partners was 17 years and 2 respectively. Early sexual debut was associated with lower education, increased number of life time partners and alcohol use. Having a greater number of sexual partners was associated with younger sexual debut, being black, single, higher educational levels and alcohol use. The adjusted odds ratio for sexual debut < 16 years and [greater than or equal to] 4 life-time sexual partners and cervical cancer risk were 1.6 (95% CI 1.2 - 2.2) and 1.7 (95% CI 1.2 - 2.2), respectively. CONCLUSION: Lower socio-economic status, alcohol intake, and being single or black, appear to be determinants of increased sexual activity in South African women. Education had an ambiguous effect. As expected, cervical cancer risk is associated with increased sexual activity. Initiatives to encourage later commencement of sex, and limiting the number of sexual partners would have a favourable impact on risk of cancer of the cervix and other sexually transmitted infectionsen_ZA
dc.identifier.apacitationCooper, D., Hoffman, M., Carrara, H., Rosenberg, L., Kelly, J., Stander, I., ... Shapiro, S. (2007). Determinants of sexual activity and its relation to cervical cancer risk among South African Women. <i>BMC Public Health</i>, http://hdl.handle.net/11427/14180en_ZA
dc.identifier.chicagocitationCooper, Diane, Margaret Hoffman, Henri Carrara, Lynn Rosenberg, Judy Kelly, Ilse Stander, Lynnette Denny, Anna-Lise Williamson, and Samuel Shapiro "Determinants of sexual activity and its relation to cervical cancer risk among South African Women." <i>BMC Public Health</i> (2007) http://hdl.handle.net/11427/14180en_ZA
dc.identifier.citationCooper, D., Hoffman, M., Carrara, H., Rosenberg, L., Kelly, J., Stander, I., ... & Shapiro, S. (2007). Determinants of sexual activity and its relation to cervical cancer risk among South African women. BMC Public Health, 7(1), 341.en_ZA
dc.identifier.ris TY - Journal Article AU - Cooper, Diane AU - Hoffman, Margaret AU - Carrara, Henri AU - Rosenberg, Lynn AU - Kelly, Judy AU - Stander, Ilse AU - Denny, Lynnette AU - Williamson, Anna-Lise AU - Shapiro, Samuel AB - BACKGROUND:Invasive cervical cancer is the commonest cause of cancer morbidity and mortality in South African women. This study provides information on adult women's sexual activity and cervical cancer risk in South Africa. METHODS: The data were derived from a case-control study of hormonal contraceptives and cervical cancer risk. Information on age of sexual debut and number of lifetime sexual partners was collected from 524 incident cases and 1541 hospital controls. Prevalence ratios and adjusted prevalence ratios were utilised to estimate risk in exposures considered common. Crude and adjusted relative risks were estimated where the outcome was uncommon, using multiple logistic regression analysis. RESULTS: The median age of sexual debut and number of sexual partners was 17 years and 2 respectively. Early sexual debut was associated with lower education, increased number of life time partners and alcohol use. Having a greater number of sexual partners was associated with younger sexual debut, being black, single, higher educational levels and alcohol use. The adjusted odds ratio for sexual debut < 16 years and [greater than or equal to] 4 life-time sexual partners and cervical cancer risk were 1.6 (95% CI 1.2 - 2.2) and 1.7 (95% CI 1.2 - 2.2), respectively. CONCLUSION: Lower socio-economic status, alcohol intake, and being single or black, appear to be determinants of increased sexual activity in South African women. Education had an ambiguous effect. As expected, cervical cancer risk is associated with increased sexual activity. Initiatives to encourage later commencement of sex, and limiting the number of sexual partners would have a favourable impact on risk of cancer of the cervix and other sexually transmitted infections DA - 2007 DB - OpenUCT DO - 10.1186/1471-2458-7-341 DP - University of Cape Town J1 - BMC Public Health LK - https://open.uct.ac.za PB - University of Cape Town PY - 2007 T1 - Determinants of sexual activity and its relation to cervical cancer risk among South African Women TI - Determinants of sexual activity and its relation to cervical cancer risk among South African Women UR - http://hdl.handle.net/11427/14180 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/14180
dc.identifier.urihttp://dx.doi.org/10.1186/1471-2458-7-341
dc.identifier.vancouvercitationCooper D, Hoffman M, Carrara H, Rosenberg L, Kelly J, Stander I, et al. Determinants of sexual activity and its relation to cervical cancer risk among South African Women. BMC Public Health. 2007; http://hdl.handle.net/11427/14180.en_ZA
dc.language.isoengen_ZA
dc.publisherBioMed Central Ltden_ZA
dc.publisher.departmentWomen's Health Research Uniten_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an open access article distributed under the terms of the Creative Commons Attribution Licenseen_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/2.0en_ZA
dc.sourceBMC Public Healthen_ZA
dc.source.urihttp://www.biomedcentral.com/bmcpublichealth/en_ZA
dc.subject.otherCervical canceren_ZA
dc.subject.othersexual activity - womenen_ZA
dc.titleDeterminants of sexual activity and its relation to cervical cancer risk among South African Womenen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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