Evidence map›Paper›PMID 42369815›Full record

ArticleInternational journal of women's health2026

Differential Analysis of Factors Associated with Vaginal Lesions in Women of Different Age Groups.

Yi-Fen Li, Xiao-Hui Yang, Wen-Wei Li, Xiao-Mao Li, Yue-Bo Yang, Min-Juan Ye

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Article in International journal of women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Yi-Fen Li *Gynecology Department of the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong, People's Republic of China.ORCID 0000-0003-3279-6712
Xiao-Hui Yang *Gynecology Department of the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong, People's Republic of China.
Wen-Wei LiGynecology Department of the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong, People's Republic of China.
Xiao-Mao LiGynecology Department of the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong, People's Republic of China.
Yue-Bo YangGynecology Department of the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong, People's Republic of China.
Min-Juan YeGynecology Department of the Third Affiliated Hospital of Sun Yat-Sen University, Guangzhou, Guangdong, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To investigate differences in factors associated with vaginal intraepithelial neoplasia (presence/absence and grade) such as HPV, TCT results, and concurrent lesions across age groups, supporting precise prevention and screening strategies. Methods: A retrospective study included 212 patients undergoing colposcopy and vaginal biopsy (2020-2024), grouped as <50 years (n=88) and ≥50 years (n=124). Chi-square tests or Fisher's exact test were used to compare categorical variables between groups and to analyze associations between VaIN presence and clinical factors within each age group. Spearman rank correlation was used to evaluate the correlation between VaIN grade (ordinal) and ordinal clinical factors (eg, TCT result grade, grade of previous/concurrent cervical or vulvar lesions). Results: Age <50 years was significantly associated with VaIN occurrence (P<0.05). In the ≥50 years group, TCT results more often indicated high-grade lesions (P<0.05). Within the <50 years group, VaIN presence/grade showed no significant association with HPV, TCT, concurrent cervical/vulvar lesions, or lesion history. In the group aged ≥50 years, the presence or absence of VaIN was not associated with any of the factors. However, the grade of VaIN lesions was significantly positively correlated with the grade of previous/concurrent cervical or vulvar lesions (Spearman Conclusion: The correlation between VaIN grade and prior lower genital tract lesions reverses with age, being negative in younger women and positive in older women. These findings underscore the necessity for age-stratified screening and management strategies for VaIN. In clinical practice, for women aged ≥50 years, greater emphasis should be placed on TCT screening results and the history of previous cervical/vulvar lesions.

Indexed as

agehuman papillomavirusthinprep liquid-based cytology testvaginal intraepithelial neoplasia

Identifiers

PMID42369815
PMCPMC13294997

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