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Adolescents with ASCUS: are they a high risk group?
C D Arora1, D S Schmidt, A E Rader
1Department of Pediatrics, University Hospitals of Cleveland, Case Western Reserve University School of Medicine, Ohio 44106-6019, USA.
Clinical Pediatrics
|April 20, 2001
Summary
Adolescent females with multiple sexual partners, STDs, or prior pregnancy face higher risks for ASCUS (atypical squamous cells of undetermined significance) diagnoses. Colposcopy compliance rates among these patients are notably low, requiring diligent observation.
Area of Science:
- Gynecology
- Adolescent Medicine
- Public Health
Background:
- Atypical squamous cells of undetermined significance (ASCUS) management in adolescents is understudied.
- Understanding risk factors and compliance is crucial for early detection and intervention in this demographic.
Purpose of the Study:
- To investigate population demographics, risk behaviors, and management compliance for ASCUS in urban adolescent females.
- To identify risk factors associated with ASCUS diagnoses in this population.
- To assess adherence to recommended follow-up procedures like colposcopy.
Main Methods:
- Retrospective chart review and telephone interviews of 83 adolescent patients diagnosed with ASCUS.
- Comparison of demographic and behavioral data between patients with normal Pap smears and those with ASCUS.
- Analysis of colposcopy referral and attendance rates.
Main Results:
- ASCUS diagnosis was associated with sexually transmitted diseases, increased number of sexual partners, and prior pregnancy.
- No significant differences were found in age at first Pap smear, menarche, first coitus, or education level.
- Colposcopy attendance rate was low (61%), with only 39% aware of abnormal findings post-procedure.
Conclusions:
- Urban adolescent females with specific risk factors (STDs, multiple partners, pregnancy) are at higher risk for ASCUS.
- Low compliance with colposcopy follow-up is a significant concern in this population.
- Diligent observation is recommended for adolescent females diagnosed with ASCUS, particularly those with identified risk factors.