Risk factors for ovarian cancer: lesbian and heterosexual women.
Risk factors for ovarian cancer: lesbian and heterosexual women.
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DOI：
10.1188/02.onf.e1-e7
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发表时间：
2002-01-01
影响因子：
1.9
通讯作者：
Paul, Steven M
中科院分区：
文献类型：
--
作者：
Dibble, Suzanne L;Roberts, Stephanie A;Paul, Steven M
目的/目标：比较女同性恋和异性恋女性患卵巢癌的危险因素的分布。设计：对回顾性病历审查的二次分析。地点：专门针对女同性恋的城市卫生诊所。样本：典型参与者（N = 1,019）为 42.9 岁，白人（70%）。大多数人没有医疗保险，99% 的人很穷（年收入< 15,780 美元）。大多数人（58%，n = 586）将自己描述为异性恋； 42% (n = 433) 称自己是女同性恋。 方法：从医疗记录中收集数据，并使用协方差分析和逻辑回归技术进行分析。 主要研究变量：卵巢癌危险因素（产次、外源性激素使用、吸烟、体重指数 [BMI] 和输卵管结扎/子宫切除术）。 结果：女同性恋者 BMI 较高；女性同性恋者 BMI 较高；女性同性恋者 BMI 较高。异性恋女性目前吸烟的比例较高，怀孕、生孩子、流产、堕胎和使用避孕药等保护因素的发生率也较高。 结论：本研究结果表明，女同性恋者患卵巢癌的风险可能增加。必须进行一项专门旨在探讨女同性恋和异性恋女性患卵巢癌的危险因素的研究来证实这些发现。对护理实践的影响：女同性恋者的风险水平可能存在差异；因此，医疗保健提供者必须能够轻松地询问有关性取向和行为的问题。
PURPOSE/OBJECTIVES: To compare the distribution of risk factors for developing ovarian cancer in lesbian and heterosexual women.DESIGN: Secondary analysis of a retrospective medical record review.SETTING: Urban health clinic with special outreach to lesbians.SAMPLE: Typical participant (N = 1,019) was 42.9 years old and white (70%). Most were without health insurance, and 99% were poor (< $15,780 annual income). The majority (58%, n = 586) described themselves as heterosexual; 42% (n = 433) said they were lesbian.METHODS: Data were collected from medical records and analyzed using analysis of covariance and logistic regression techniques.MAIN RESEARCH VARIABLES: Ovarian cancer risk factors (parity, exogenous hormone use, smoking, body mass index [BMI], and tubal ligation/hysterectomy).FINDINGS: Lesbians had a higher BMI; heterosexual women had higher rates of current smoking and a higher incidence of the protective factors of pregnancy, children, miscarriages, abortions, and use of birth control pills.CONCLUSIONS: The results of this study indicate that lesbians may have an increased risk for developing ovarian cancer. A study designed specifically to explore the risk factors of lesbian and heterosexual women for developing ovarian cancer must be undertaken to confirm these findings.IMPLICATIONS FOR NURSING PRACTICE: Differences in risk levels may exist for lesbians; therefore, healthcare providers must become comfortable asking questions about sexual orientation and behavior.