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Risk factors and protective factors of pelvic inflammatory disease: a case-control study.

Authors
  • Shrikhande, S N
  • Zodpey, S P
  • Kulkarni, H R
Type
Published Article
Journal
Indian Journal of Public Health
Publisher
Medknow Publications
Publication Date
Jan 01, 1998
Volume
42
Issue
2
Pages
42–47
Identifiers
PMID: 10389508
Source
Medline
License
Unknown

Abstract

Risk factors and some protective factors for pelvic inflammatory disease (PID) in women were assessed in a case control study. Use of intrauterine device (OR = 3.98, p < 0.0001), sexual activity with multiple partners and younger age (ORs = 3.97, 1.9 and p = 0.0003, 0.0034, respectively), history of previous PID (OR = 4.08, p = 0.004) and history of minor gynecologic operation (OR = 3.07, p = 0.0158) were significant risk factors for PID. Pregnancy was a significant protective factor (OR = 0.25, p = .0074). Sterilisation had a significant protective effect (OR = 0.37, p = 0.0443) on multivariate analysis but not significant on univariate analysis. The results indicated that, almost half of the PID load on the population can be reduced by proper handling of four risk factors namely, use of IUD, sexual activity with multiple partners, history of previous PID and history of minor gynecologic operation (PARP = 0.2146, 0.1101, 0.0824 and 0.0794, respectively).

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