{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T10:18:21Z","timestamp":1788257901230,"version":"build-2803163510"},"reference-count":21,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T00:00:00Z","timestamp":1780617600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Breastfeeding Medicine"],"published-print":{"date-parts":[[2026,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study aimed to investigate the relationship between breastfeeding and precancerous cervical lesions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      A case control study was conducted at a tertiary training and research hospital between September 1 and November 1, 2023. A total of 168 patients who attended the gynecology outpatient clinic and reported their breastfeeding experiences were included. Patients with abnormal cervical cytology formed the study group (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 37), while patients with normal cytology formed the control group (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 131). Breastfeeding duration and patterns were compared between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The control group had normal smear results. In the study group, 15 patients had high-grade squamous intraepithelial lesions, and 22 patients had low-grade squamous intraepithelial lesions. Human papillomavirus (HPV) was positive in 54.1% of the study group versus 9.2% of the control group. The mean breastfeeding duration was shorter in the study group (9.18 \u00b1 3.43 months) than the control group (23.6 \u00b1 3.35 months;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.05). Most control group patients breastfed for 13\u201336 months (35.1%), while most study group patients breastfed for &lt;6 months (48.6%;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.05). Shorter breastfeeding (&lt;6 months) and HPV positivity were the strongest predictors of abnormal cytology. Breastfeeding &lt;6 months increased the risk 9.883-fold compared with &gt;36 months, while HPV positivity increased the risk 27.612-fold.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Breastfeeding and longer breastfeeding duration appear to be associated with a lower risk of cervical intraepithelial neoplasia. Given its multiple health benefits, including prevention of gynecological cancers, promoting breastfeeding through public health policies is strongly recommended. Early recognition and prevention of precancerous lesions remain essential to reducing the risk of cervical cancer.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15568253261457843","type":"journal-article","created":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T09:28:07Z","timestamp":1780651687000},"page":"541-547","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Effect of Breastfeeding on Cervical Dysplasias"],"prefix":"10.1177","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-3691-189X","authenticated-orcid":false,"given":"Hande","family":"Kurt G\u00fcven","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Health Sciences University Ankara Ataturk Sanatoryum Training and Research Hospital, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tugce","family":"Tunc","sequence":"additional","affiliation":[{"name":"Akdeniz University Hospital, Antalya, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cemre Batin","family":"Celik Inaltun","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Health Sciences University Ankara Ataturk Sanatoryum Training and Research Hospital, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leyla","family":"Asker","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Health Sciences University Ankara Ataturk Sanatoryum Training and Research Hospital, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elif","family":"Yilmaz","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Health Sciences University Ankara Ataturk Sanatoryum Training and Research Hospital, Ankara, Turkey."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,5]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21660"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1590\/1806-9282.20220540"},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/apa.13102"},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)01024-7"},{"key":"e_1_3_2_6_1","doi-asserted-by":"publisher","DOI":"10.1057\/s41271-018-0153-9"},{"key":"e_1_3_2_7_1","unstructured":"6.\u00c7aylan ve yal\u00e7in - T\u00fcrkiye\u2019de ve d\u00fcnya\u2019da emzirmenin durumu emzirmen.Pdf. Available from: https:\/\/hsgm.saglik.gov.tr\/depo\/birimler\/cocuk-ergen-sagligi-db\/Dokumanlar\/Makaleler\/Turkiyede_ve_Dunyada_Emzirmenin_Durumu-1.pdf [Last accessed: November19 2023]."},{"key":"e_1_3_2_8_1","unstructured":"7.Global nutrition targets. 2030: Breastfeeding brief. Available from: https:\/\/iris.who.int\/items\/50ae6091-eb70-4753-ae68-7a0d435c4eb2 [Last accessed: February8 2026]."},{"key":"e_1_3_2_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/dju237"},{"key":"e_1_3_2_10_1","doi-asserted-by":"publisher","DOI":"10.18632\/oncotarget.5049"},{"key":"e_1_3_2_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/CEJ.0000000000000186"},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.7314\/apjcp.2014.15.12.4829"},{"key":"e_1_3_2_13_1","doi-asserted-by":"publisher","DOI":"10.21873\/invivo.13946"},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.4103\/0973-1482.179190"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/17455057251352297"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.4069\/kjwhn.2021.11.29"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885-024-13079-8"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.2174\/1871520618666180830162517"},{"key":"e_1_3_2_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tem.2010.03.005"},{"key":"e_1_3_2_20_1","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.1988.44"},{"key":"e_1_3_2_21_1","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-13-0298"},{"key":"e_1_3_2_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003656"}],"container-title":["Breastfeeding Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15568253261457843","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15568253261457843","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15568253261457843","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T09:56:46Z","timestamp":1788256606000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15568253261457843"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,5]]},"references-count":21,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10,1]]}},"alternative-id":["10.1177\/15568253261457843"],"URL":"https:\/\/doi.org\/10.1177\/15568253261457843","relation":{},"ISSN":["1556-8253","1556-8342"],"issn-type":[{"value":"1556-8253","type":"print"},{"value":"1556-8342","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,5]]}}}