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Epidemiology of cancer of the cervix in greater bombay india


, : Epidemiology of cancer of the cervix in greater bombay india. Journal of Surgical Oncology 26(1): 53-62

The cervical cancer problem in Greater Bombay was studied in depth by undertaking epidemiological investigations to identify its etiology, by utilizing the data collected by the Bombay Cancer Registry. Although cancer of the uterine cervix is found to occur at all ages in Bombay, it is mainly seen during middle age. Its incidence is highest in the Hindu community and lowest in the Parsi. This neoplasm appears to have a strong association with the degree of sexual activity. Thus, it is rarely seen in nuns and commonly found in women who have had multiple sexual partners. There is also a relative preponderance in the poorer, uneducated section of the community. To identify the high-risk groups, a retrospective study was undertaken of proven cases of cancer of the uterine cervix. The results were compared with those of similar controls, equal in number and closely matched for age, religion and income, to examine the risk factors of possible etiological importance in women with cervical cancer. The effects of parity, the age at 1st marriage and at 1st delivery were estimated. The highest risk was observed in women who had multiple pregnancies early in life. Multiparity seems to be an important risk factor in Bombay women, in contrast to the Western experience.

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