The association between douching, genital talc use, and the risk of prevalent and incident cervical cancer

Abstract While human papillomavirus is the primary cause of cervical cancer, other factors may influence susceptibility and response to the virus. Candidates include douching and talcum powder applied in the genital area. We used Cox proportional hazards models to estimate confounder-adjusted hazard...

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Autores principales: Katie M. O’Brien, Clarice R. Weinberg, Aimee A. D’Aloisio, Kristen R. Moore, Dale P. Sandler
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Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/876bacc4d1b34c8985fcf95d7b682c30
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spelling oai:doaj.org-article:876bacc4d1b34c8985fcf95d7b682c302021-12-02T16:17:21ZThe association between douching, genital talc use, and the risk of prevalent and incident cervical cancer10.1038/s41598-021-94447-32045-2322https://doaj.org/article/876bacc4d1b34c8985fcf95d7b682c302021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-94447-3https://doaj.org/toc/2045-2322Abstract While human papillomavirus is the primary cause of cervical cancer, other factors may influence susceptibility and response to the virus. Candidates include douching and talcum powder applied in the genital area. We used Cox proportional hazards models to estimate confounder-adjusted hazard ratios (HRs) and 95% confidence intervals (CIs) in the Sister Study (2003–2009), a US cohort of women aged 35–74. We considered pre-baseline (n = 523) and incident (n = 31) cervical cancers. Douching at ages 10–13 was positively associated with pre-baseline cervical cancer (HR 1.32, 95% CI 0.86–2.03), though the association was not statistically significant. We did not observe an association between adolescent talc use and pre-baseline cervical cancer (HR 0.95, 95% CI 0.76–1.19). Douching in the year before enrollment was positively associated with incident cervical cancer (HR 2.56, 95% CI 1.10–5.99). The association between recent genital talc use and incident cervical cancer was positive, but not statistically significant (HR 1.79, 95% CI 0.78–4.11). The observed positive association between douching and incident cervical cancer is consistent with previous retrospective case–control studies. In the first study to examine genital talc use and cervical cancer, we did not see evidence of an association.Katie M. O’BrienClarice R. WeinbergAimee A. D’AloisioKristen R. MooreDale P. SandlerNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Katie M. O’Brien
Clarice R. Weinberg
Aimee A. D’Aloisio
Kristen R. Moore
Dale P. Sandler
The association between douching, genital talc use, and the risk of prevalent and incident cervical cancer
description Abstract While human papillomavirus is the primary cause of cervical cancer, other factors may influence susceptibility and response to the virus. Candidates include douching and talcum powder applied in the genital area. We used Cox proportional hazards models to estimate confounder-adjusted hazard ratios (HRs) and 95% confidence intervals (CIs) in the Sister Study (2003–2009), a US cohort of women aged 35–74. We considered pre-baseline (n = 523) and incident (n = 31) cervical cancers. Douching at ages 10–13 was positively associated with pre-baseline cervical cancer (HR 1.32, 95% CI 0.86–2.03), though the association was not statistically significant. We did not observe an association between adolescent talc use and pre-baseline cervical cancer (HR 0.95, 95% CI 0.76–1.19). Douching in the year before enrollment was positively associated with incident cervical cancer (HR 2.56, 95% CI 1.10–5.99). The association between recent genital talc use and incident cervical cancer was positive, but not statistically significant (HR 1.79, 95% CI 0.78–4.11). The observed positive association between douching and incident cervical cancer is consistent with previous retrospective case–control studies. In the first study to examine genital talc use and cervical cancer, we did not see evidence of an association.
format article
author Katie M. O’Brien
Clarice R. Weinberg
Aimee A. D’Aloisio
Kristen R. Moore
Dale P. Sandler
author_facet Katie M. O’Brien
Clarice R. Weinberg
Aimee A. D’Aloisio
Kristen R. Moore
Dale P. Sandler
author_sort Katie M. O’Brien
title The association between douching, genital talc use, and the risk of prevalent and incident cervical cancer
title_short The association between douching, genital talc use, and the risk of prevalent and incident cervical cancer
title_full The association between douching, genital talc use, and the risk of prevalent and incident cervical cancer
title_fullStr The association between douching, genital talc use, and the risk of prevalent and incident cervical cancer
title_full_unstemmed The association between douching, genital talc use, and the risk of prevalent and incident cervical cancer
title_sort association between douching, genital talc use, and the risk of prevalent and incident cervical cancer
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/876bacc4d1b34c8985fcf95d7b682c30
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