Title: Epidemiological Risk Factors For Fibroid Uterus -A Case Control Study From Kerala
Authors: Anjali Devi. B, Jeejabeegam.S, Ajithkrishnan. A.S
DOI: https://dx.doi.org/10.18535/jmscr/v5i3.22
Abstract
Background: Fibroids account for one third of hysterectomies and one fifth of gynaecological clinical visits. Hence it is important to identify the risk factors for its occurrence. A few studies are reported from India and hence the need for this study.
Methods: This was a case control study done at SAT Hospital, Government Medical College Thiruvananthapuram, Kerala over a period of one year. 285 women with a histological diagnosis of uterine fibroid were studied. 285 age matched controls were taken. Binary logistic regression was done to find out the strength of association of individual risk factors.
Results: Cases and controls were similar in socio-demographic variables except in dietary habits. The significant risk factors were parity of ≤2, age of mother at last child birth before 22 years and family history of fibroid. The exposure to passive smoking was found to be negatively associated with occurrence of uterine fibroid.
Conclusion: Women with parity ≤ 2, age at last child birth less than 22 years and family history of fibroid were found significant risk factors for uterine fibroids. The association with other risk factors were not found significant in this study.
Keywords: uterine fibroids, risk factors, Kerala.
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