<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2221-2434</journal-id>
<journal-title><![CDATA[Revista Finlay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Finlay]]></abbrev-journal-title>
<issn>2221-2434</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos. Centro Provincial de información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2221-24342019000400291</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Factores de riesgo en las lesiones intraepiteliales del cuello uterino]]></article-title>
<article-title xml:lang="en"><![CDATA[Risk Factors in Intraepithelial Lesions of the Cervix]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Palma Osorio,]]></surname>
<given-names><![CDATA[Martha]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Romero Flores]]></surname>
<given-names><![CDATA[Alejandro David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres Mesa.]]></surname>
<given-names><![CDATA[Ana Isabel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Policlínico Docente Gustavo Aldereguía Lima  ]]></institution>
<addr-line><![CDATA[Granma ]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>9</volume>
<numero>4</numero>
<fpage>291</fpage>
<lpage>305</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2221-24342019000400291&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2221-24342019000400291&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2221-24342019000400291&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento: los factores de riesgo de las lesiones intraepiteliales se comportan similares a los del cáncer cervicouterino.  Objetivo:  identificar la influencia de distintos factores de riesgo relacionados con la aparición de lesiones intraepiteliales de cuello uterino.  Método:  se realizó un estudio observacional de casos y controles en el Policlínico Docente Gustavo Aldereguía de la provincia Granma en el período comprendido desde el 1ro de enero del 2016 hasta el 30 de junio del 2017. Se definieron como casos a las 105 pacientes con neoplasia intraepitelial cervical confirmadas histopatológicamente y como controles a las mujeres que se les realizó la prueba citológica, seleccionadas por muestreo simple aleatorio. A cada paciente se le realizó: interrogatorio, examen físico y medios de diagnóstico. Para el análisis de los factores de riesgo se utilizó una estrategia univariada y multivariada. Se delimitaron como variables explicativas aquellos factores considerados como hipotéticamente de riesgo y que serían sometidos a evaluación. Como variable respuesta se consideró la aparición de la neoplasia intraepitelial. Se obtuvieron estimaciones puntuales y por intervalo de confianza del 95 %.  Resultados:  la sepsis vaginal y menarquía precoz fueron significativas, no así el no uso del condón, infección por virus del papiloma humano, anticoncepción oral, edad, dispositivo intrauterino y tabaquismo como factores indiferentes. La erosión y sepsis vaginal fueron los más significativos por el modelo de regresión logística. Hubo interacciones entre cervicitis, múltiples parejas sexuales y tabaquismo; moderadamente significativo se comportaron la edad y la menarquía precoz; cervicitis y erosión, infección por el virus del papiloma humano y múltiples parejas sexuales.  Conclusiones:  se determinó que la sepsis vaginal y la erosión cervical presentaron una asociación estadísticamente significativa e importante con la probabilidad de aparición de las lesiones intraepiteliales propias del cuello uterino.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Foundation:  the risk factors of intraepithelial lesions behave similar to those of cervical cancer.  Objective:  to identify the influence of different risk factors related to the appearance of intraepithelial lesions of the cervix.  Method:  an observational case-control study was carried out in the Gustavo Aldereguía Teaching Polyclinic of the Granma province in the period from January 1, 2016 to June 30, 2017. The 105 patients with cervical intraepithelial neoplasia were defined as cases histopathologically confirmed and as controls to women who underwent the cytological test, selected by simple random sampling. Each patient was performed: interview, physical examination and diagnostic means. For the analysis of risk factors, a univariate and multivariate strategy was used. Explanatory variables were defined as factors considered as hypothetically risky which would be subject to evaluation. The appearance of intraepithelial neoplasia was considered as a response variable. Punctual and 95 % confidence interval estimates were obtained.  Results:  vaginal sepsis and early menarche were noticeable, however not the use of condoms, human papillomavirus infection, oral contraception, age, intrauterine device and smoking as indifferent factors. Erosion and vaginal sepsis were the most significant due to the logistic regression model. There were interactions between cervicitis, multiple sexual partners and smoking; moderately significant were age and early menarche; cervicitis and erosion, human papillomavirus infection and multiple sexual partners.  Conclusions:  it was determined that vaginal sepsis and cervical erosion presented a statistically significant and important association with the probability of the appearance of intraepithelial lesions of the cervix.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[factores de riesgo]]></kwd>
<kwd lng="es"><![CDATA[lesiones intraepiteliales escamosas de cuello uterino]]></kwd>
<kwd lng="en"><![CDATA[risk factors]]></kwd>
<kwd lng="en"><![CDATA[squamous intraepithelial lesions of the cervix]]></kwd>
</kwd-group>
</article-meta>
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