Barrier methods of contraception and cervical intraepithelial neoplasia

Ann L. Coker, Barbara S. Hulka, Margaret F. McCann, Leslie A. Walton

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


This North Carolina-based case-control study examined risk factors for cervical intraepithelial neoplasia (GIN). Cases were 103 women with biopsy-confirmed CIN II or III who were recruited from a referral dysplasia clinic. Controls were 258 family practice patients with normal cervical cytology. All subjects were interviewed regarding their sexual and reproductive history, Pap smear screening, active and passive cigarette exposures, and contraceptive use patterns. When compared with controls, cases were half as likely to have ever used barrier methods of contraception; the adjusted odds ratio was 0.5 (95% CI 0.2-0.9). The risk of CIN II III decreased further with increasing years of barrier method use. Recency, latency, and age at first barrier method use were all associated with a reduced risk of CIN. Men and women should carefully consider the range of benefits of barrier method use as a means to reduce their risk of unwanted pregnancies, sexually transmitted diseases, and cervical neoplasia.

Original languageEnglish
Pages (from-to)1-10
Number of pages10
Issue number1
StatePublished - Jan 1992

Bibliographical note

Funding Information:
This work was conducted within the Department of Epidemiology at the University of North Carolina - Chapel Hill, and was supported by grants from the National Cancer Institute, 5 R03 CA46437-02, and 5-T32-CAU9330.

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology


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