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| 21 October
2002, Volume 87, Number 9, Pages 989-993 |
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Epidemiology |
| Childhood indicators of
susceptibility to subsequent cervical cancer |
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| S M Montgomery1, A G C Ehlin1,
P Sparén2, B Björkstén3
and A Ekbom1 |
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| 1Enheten för klinisk epidemiologi,
Institutionen för medicin vid Karolinska sjukhuset, Karolinska
Institutet, Stockholm, Sweden 2Institutionen
för medicinsk epidemiology, Karolinska Institutet, Stockholm, Sweden
3Centrum för allergiforskning &
Institutet för miljömedicin, Karolinska Institutet, Stockholm,
Sweden |
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| Correspondence to: Dr S M Montgomery, Enheten
för klinisk epidemiologi, Karolinska sjukhuset M9:01, SE
- 171 76 Stockholm, Sweden; E-mail:
Scott.Montgomery@medks.ki.se |
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Abstract |
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Common warts could indicate cervical cancer susceptibility, as
both are caused by human papillomavirus (HPV). Eczema was also
investigated, as atopic eczema has been negatively associated with
warts, but non-atopic eczema may be associated with compromised host
defences, as observed in patients with HIV, suggesting increased
susceptibility to HPV infection and cervical cancer. 'Cervical
cancer' was self-reported during an interview by 87 of 7594 women
members of two longitudinal British birth cohorts. The accuracy of
the diagnoses is limited by lack of confirmation using medical
records. Odds ratios are adjusted for common warts and eczema in
childhood; and cigarette smoking, number of cohabiting partners and
social class in early adult life. The odds ratios of warts and
eczema with cervical cancer are 2.50 (95% confidence interval 1.14-5.47)
and 3.27 (1.95-5.49), respectively. The
association of eczema with cervical cancer is independent of hay
fever as a marker of atopy, suggesting the importance of non-atopic
eczema. Both heavier smoking compared with non-smoking and four or
more cohabiting partners compared with one/none have odds ratios for
cervical cancer of 8.26 (4.25-15.10) and
4.89 (1.39-17.18), respectively. Common
warts in childhood may indicate cervical cancer susceptibility; this
and the relationship with eczema deserves investigation.
British Journal of Cancer (2002) 87, 989-993.
doi:10.1038/sj.bjc.6600585
www.bjcancer.com
Ó 2002
Cancer Research UK |
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Keywords |
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| cervical cancer; HPV; warts; eczema; BCS70; NCDS |
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| Received 19 April 2002; revised 31
July 2002; accepted 9 August 2002 |
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| 21
October 2002, Volume 87, Number 9, Pages 989-993 |
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