Urbanization and baseline prevalence of XXXX including Candida, Trichomonas, and @entity1082 and of a disturbed vaginal ecology as established in the Dutch Cervical Screening Program.

@entity1 @entity281 @entity6981 @entity1082 @entity105
OBJECTIVE: An overgrowth of coccoid bacilli in the absence of lactobacilli ( @entity6981 ) is considered a sign of a "disturbed" vaginal ecologic system. The aim of this study was to establish the baseline prevalence of @entity281 and of a disturbed vaginal ecologic system and their relationship to urbanization. STUDY DESIGN: More than 190,000 cervical smears were screened by 1 cytology laboratory in the context of the Dutch national screening programs. The @entity1 who were symptom free and had been registered in the statutory files of municipal units were screened by invitation. Urbanization (place of residence) was derived from the postal code. To investigate a trend in prevalence in relation to urbanization, Schaafsma's method was used. RESULTS: @entity6981 had the highest score per 1000 screened @entity1 (36.1), followed by Candida (12.6). Higher prevalence of @entity1082 , @entity6981 , and Trichomonas was related to urbanization as was, whereas Candida was not. CONCLUSION: @entity1082 and Trichomonas are more frequently found in @entity1 who live in the large cities, which in The Netherlands also harbor the high-risk population for premalignant cytologic evidence. Our findings concerning the baseline prevalence pattern of @entity6981 support the hypothesis of the importance of a disturbed bacterial ecologic system in cervical @entity105 .
