Urbanization and baseline prevalence of genital infections including Candida , Trichomonas , and human papillomavirus and of a disturbed vaginal ecology as established in the Dutch Cervical Screening Program

摘要: Abstract Objective: An overgrowth of coccoid bacilli in the absence lactobacilli (bacterial vaginosis) is considered a sign “disturbed” vaginal ecologic system. The aim this study was to establish baseline prevalence genital infections and disturbed system their relationship urbanization. Study Design: More than 190,000 cervical smears were screened by 1 cytology laboratory context Dutch national screening programs. women who symptom free had been registered statutory files municipal units invitation. Urbanization (place residence) derived from postal code. To investigate trend relation urbanization, Schaafsma's method used. Results: Bacterial vaginosis highest score per 1000 (36.1), followed Candida (12.6). Higher human papillomavirus, bacterial vaginosis, Trichomonas related urbanization as was, whereas not. Conclusion: Human papillomavirus are more frequently found live large cities, which Netherlands also harbor high-risk population for premalignant cytologic evidence. Our findings concerning pattern support hypothesis importance carcinogenesis. (Am J Obstet Gynecol 2002;187:365-9.)