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Measuring cervical cancer risk: development and validation of the CARE Risky Sexual Behavior Index
Cancer Causes and Control, 06/24/09

Reiter PL et al. - In a study to develop and validate a risky sexual behavior index specific to cervical cancer research, it was found that the Community Awareness Resources and Education (CARE) Risky Sexual Behavior Index provides a tool for measuring risky sexual behavior level for cervical cancer research.

Methods

Sexual behavior data on 428 women from the CARE study were utilized.
A weighting scheme for 8 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 <6 (31.3% of sample), a medium level if their score was 6–10 (30.6%), or a high level if their score was ≥11 (38.1%).
A strong association was observed between the created categories and having a previous abnormal Pap smear test.

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