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Precancerous and cancerous cervical lesions: the multicultural "male" risk factor
1Teachers College, Columbia University in New York, NY.
Purpose/Objectives:
To review current knowledge regarding characteristics of males whose partners develop cervical cancer.
Data Sources:
Classic and current descriptive, cohort, and case-control studies of "male factors" associated with risk of precancerous squamous cell intraepithelial lesions and invasive cervical cancer.
Data Synthesis:
Male hygiene sperm and seminal fluids, occupational exposure to carcinogens, smoking, promiscuity, and venereal infections have been linked to increased risks for developing cervical cancer in a number of studies. Results vary from culture to culture.
Conclusions:
Areas of strongest association that can be targeted for prevention programs include male history of genital warts, poor hygiene, smoking, high numbers of sexual partners, and infrequent practice of safe sexual behaviors.
Implications For Nursing Practice:
Establishment of prevention programs predicated on reducing male factors known to increase risk, encouraging screening of high-risk populations, and using patient education to reduce the practice of high-risk sexual behaviors are called for.