Measuring cervical cancer risk: Development and validation of the CARE Risky Sexual Behavior Index

Paul L. Reiter; Mira L. Katz; Amy K. Ferketich; MacK T. Ruffin; Electra D. Paskett

doi:10.1007/s10552-009-9380-5

Measuring cervical cancer risk: Development and validation of the CARE Risky Sexual Behavior Index

Paul L. Reiter, Mira L. Katz, Amy K. Ferketich, MacK T. Ruffin, Electra D. Paskett

Research output: Contribution to journal › Article › peer-review

19 Scopus citations

Abstract

Objectives: To develop and validate a risky sexual behavior index specific to cervical cancer research. Methods: Sexual behavior data on 428 women from the Community Awareness Resources and Education (CARE) study were utilized. A weighting scheme for eight risky sexual behaviors was generated and validated in creating the CARE Risky Sexual Behavior Index. Cutpoints were then identified to classify women as having a low, medium, or high level of risky sexual behavior. Results: Index scores ranged from 0 to 35, with women considered to have a low level of risky sexual behavior if their score was less than six (31.3% of sample), a medium level if their score was 6-10 (30.6%), or a high level if their score was 11 or greater (38.1%). A strong association was observed between the created categories and having a previous abnormal Pap smear test (p < 0.001). Conclusions: The CARE Risky Sexual Behavior Index provides a tool for measuring risky sexual behavior level for cervical cancer research. Future studies are needed to validate this index in varied populations and test its use in the clinical setting.

Original language	English (US)
Pages (from-to)	1865-1871
Number of pages	7
Journal	Cancer Causes and Control
Volume	20
Issue number	10
DOIs	https://doi.org/10.1007/s10552-009-9380-5
State	Published - Dec 2009

All Science Journal Classification (ASJC) codes

Oncology
Cancer Research

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title = "Measuring cervical cancer risk: Development and validation of the CARE Risky Sexual Behavior Index",

abstract = "Objectives: To develop and validate a risky sexual behavior index specific to cervical cancer research. Methods: Sexual behavior data on 428 women from the Community Awareness Resources and Education (CARE) study were utilized. A weighting scheme for eight risky sexual behaviors was generated and validated in creating the CARE Risky Sexual Behavior Index. Cutpoints were then identified to classify women as having a low, medium, or high level of risky sexual behavior. Results: Index scores ranged from 0 to 35, with women considered to have a low level of risky sexual behavior if their score was less than six (31.3% of sample), a medium level if their score was 6-10 (30.6%), or a high level if their score was 11 or greater (38.1%). A strong association was observed between the created categories and having a previous abnormal Pap smear test (p < 0.001). Conclusions: The CARE Risky Sexual Behavior Index provides a tool for measuring risky sexual behavior level for cervical cancer research. Future studies are needed to validate this index in varied populations and test its use in the clinical setting.",

author = "Reiter, {Paul L.} and Katz, {Mira L.} and Ferketich, {Amy K.} and Ruffin, {MacK T.} and Paskett, {Electra D.}",

note = "Funding Information: Acknowledgments Financial Support: This research was supported by National Institutes of Health (NIH) Grant 1P50CA105632, Grant GRT8230100 from the National Cancer Institute, and the General Clinical Research Center at The Ohio State University, Grant UL1-RR025755 from the National Center of Research Resources of the NIH.",

year = "2009",

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doi = "10.1007/s10552-009-9380-5",

language = "English (US)",

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T2 - Development and validation of the CARE Risky Sexual Behavior Index

AU - Reiter, Paul L.

AU - Katz, Mira L.

AU - Ferketich, Amy K.

AU - Ruffin, MacK T.

AU - Paskett, Electra D.

N1 - Funding Information: Acknowledgments Financial Support: This research was supported by National Institutes of Health (NIH) Grant 1P50CA105632, Grant GRT8230100 from the National Cancer Institute, and the General Clinical Research Center at The Ohio State University, Grant UL1-RR025755 from the National Center of Research Resources of the NIH.

PY - 2009/12

Y1 - 2009/12

N2 - Objectives: To develop and validate a risky sexual behavior index specific to cervical cancer research. Methods: Sexual behavior data on 428 women from the Community Awareness Resources and Education (CARE) study were utilized. A weighting scheme for eight risky sexual behaviors was generated and validated in creating the CARE Risky Sexual Behavior Index. Cutpoints were then identified to classify women as having a low, medium, or high level of risky sexual behavior. Results: Index scores ranged from 0 to 35, with women considered to have a low level of risky sexual behavior if their score was less than six (31.3% of sample), a medium level if their score was 6-10 (30.6%), or a high level if their score was 11 or greater (38.1%). A strong association was observed between the created categories and having a previous abnormal Pap smear test (p < 0.001). Conclusions: The CARE Risky Sexual Behavior Index provides a tool for measuring risky sexual behavior level for cervical cancer research. Future studies are needed to validate this index in varied populations and test its use in the clinical setting.

AB - Objectives: To develop and validate a risky sexual behavior index specific to cervical cancer research. Methods: Sexual behavior data on 428 women from the Community Awareness Resources and Education (CARE) study were utilized. A weighting scheme for eight risky sexual behaviors was generated and validated in creating the CARE Risky Sexual Behavior Index. Cutpoints were then identified to classify women as having a low, medium, or high level of risky sexual behavior. Results: Index scores ranged from 0 to 35, with women considered to have a low level of risky sexual behavior if their score was less than six (31.3% of sample), a medium level if their score was 6-10 (30.6%), or a high level if their score was 11 or greater (38.1%). A strong association was observed between the created categories and having a previous abnormal Pap smear test (p < 0.001). Conclusions: The CARE Risky Sexual Behavior Index provides a tool for measuring risky sexual behavior level for cervical cancer research. Future studies are needed to validate this index in varied populations and test its use in the clinical setting.

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Measuring cervical cancer risk: Development and validation of the CARE Risky Sexual Behavior Index

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