Differences in Risk Factors for Ovarian Cancer: Lesbian and Heterosexual Women

2.50
Hdl Handle:
http://hdl.handle.net/10755/165663
Category:
Abstract
Type:
Presentation
Title:
Differences in Risk Factors for Ovarian Cancer: Lesbian and Heterosexual Women
Author(s):
Dibble, Suzanne
Author Details:
Suzanne Dibble, DNS/DNSc/DSN, Research Project Director, University of California � San Francisco, San Francisco, California, USA, email: sdibble@itsa.ucsf.edu
Abstract:
Purpose/Objectives: There is some evidence that the risk factors for developing ovarian cancer may be different between lesbian and heterosexual women, resulting in a higher rate of ovarian cancer among lesbians. However, studies of ovarian cancer incidence or the risk factors associated with developing ovarian cancer among lesbians are noticeable absent from the literature. Therefore, the purpose of this pilot study was to compare differences in some of the established risk factors for developing ovarian cancer between lesbian and heterosexual women. Design: Exploratory, secondary analyses of a retrospective medical record review. Setting: Lyon-Martin Women's Health Services (LMWHS) in San Francisco, California. Sample: Women, age 35 or older, seen at LMWHS in 1995, 1996, or 1997; who described themselves as either lesbian or heterosexual. The typical participant (n = 1019) was 42.9 years old (SD + 6.85, range 35 to 75), white (70%), and employed (49.9%). Most were without health insurance and 99% were poor (< $15,780 annual income). Of this sample, 57.6% (n=586) described themselves as heterosexual and 42.4% (n=433) as lesbian. Measurements: Medical Record Audit Form completed by two research assistants with an inter-rater reliability of more than 95%. Data Analyses: Logistic regression and ANCOVA were utilized to analyze the data. Significance was preset at p <.05. Results: After controlling for age, ethnicity, employment and disability status; there were no significant differences between the lesbian and heterosexual women in age at menarche and menopause, or the use of hormone replacement therapy. The lesbians had a higher body mass index; the heterosexuals had higher rates of current smoking, pregnancy, children, miscarriages, abortions, and use of birth control pills. Conclusions: There were significant differences between lesbian and heterosexual women in some of the risk factors for the development of ovarian cancer. Future studies should sample women of different ages, economic groups, and geographic regions. A methodology other than secondary analyses of medical record data should be employed in future studies in order to obtain specific information about the risk factors for ovarian cancer. Culturally appropriate and specific risk reduction strategies could then be developed and tested.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2001
Conference Name:
26th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
San Diego, California, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleDifferences in Risk Factors for Ovarian Cancer: Lesbian and Heterosexual Womenen_GB
dc.contributor.authorDibble, Suzanneen_US
dc.author.detailsSuzanne Dibble, DNS/DNSc/DSN, Research Project Director, University of California � San Francisco, San Francisco, California, USA, email: sdibble@itsa.ucsf.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/165663-
dc.description.abstractPurpose/Objectives: There is some evidence that the risk factors for developing ovarian cancer may be different between lesbian and heterosexual women, resulting in a higher rate of ovarian cancer among lesbians. However, studies of ovarian cancer incidence or the risk factors associated with developing ovarian cancer among lesbians are noticeable absent from the literature. Therefore, the purpose of this pilot study was to compare differences in some of the established risk factors for developing ovarian cancer between lesbian and heterosexual women. Design: Exploratory, secondary analyses of a retrospective medical record review. Setting: Lyon-Martin Women's Health Services (LMWHS) in San Francisco, California. Sample: Women, age 35 or older, seen at LMWHS in 1995, 1996, or 1997; who described themselves as either lesbian or heterosexual. The typical participant (n = 1019) was 42.9 years old (SD + 6.85, range 35 to 75), white (70%), and employed (49.9%). Most were without health insurance and 99% were poor (&lt; $15,780 annual income). Of this sample, 57.6% (n=586) described themselves as heterosexual and 42.4% (n=433) as lesbian. Measurements: Medical Record Audit Form completed by two research assistants with an inter-rater reliability of more than 95%. Data Analyses: Logistic regression and ANCOVA were utilized to analyze the data. Significance was preset at p &lt;.05. Results: After controlling for age, ethnicity, employment and disability status; there were no significant differences between the lesbian and heterosexual women in age at menarche and menopause, or the use of hormone replacement therapy. The lesbians had a higher body mass index; the heterosexuals had higher rates of current smoking, pregnancy, children, miscarriages, abortions, and use of birth control pills. Conclusions: There were significant differences between lesbian and heterosexual women in some of the risk factors for the development of ovarian cancer. Future studies should sample women of different ages, economic groups, and geographic regions. A methodology other than secondary analyses of medical record data should be employed in future studies in order to obtain specific information about the risk factors for ovarian cancer. Culturally appropriate and specific risk reduction strategies could then be developed and tested.en_GB
dc.date.available2011-10-27T12:22:42Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:22:42Z-
dc.conference.date2001en_US
dc.conference.name26th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationSan Diego, California, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.