High Unmet Needs For Cervical Cancer Screening Among Women Living With HIV in Six African Countries: a Population-based Study.

Details

• Alternative Title:
  International Journal of STD & AIDS, 2025, v. 36, no. 5: High Unmet Needs For Cervical Cancer Screening Among Women Living With HIV in Six African Countries: a Population-based Study.
• Journal Article:
  International Journal of STD & AIDS
• Personal Author:
  Alpar, Annabelle D ; Ndiaye, Cathy ; Guillaume, Dominique ; Limaye, Rupali J ; Rosen, Joseph G
• Description:
  BackgroundCisgender women living with HIV (WLWH) are disproportionately impacted by cervical cancer. Nevertheless, disparities in uptake and implementation of cervical cancer services persist in sub-Saharan Africa, where population-level estimates of screening coverage remain scarce.MethodsWe pooled data from nationally representative Population-based HIV Impact Assessment (PHIA) surveys conducted in Ethiopia, Malawi, Rwanda, Tanzania, Zambia, and Zimbabwe (2015-2019). After estimating the prevalence of self-reported lifetime cervical cancer screening (overall and by country), survey-weighted multivariable log-binomial regression identified socio-demographic and clinical correlates of screening uptake among WLWH aged 25-64 years.ResultsOverall, 6933 WLWH (mean age: 39.6 years) were included in the multi-country sample. The pooled prevalence of lifetime cervical cancer screening was 18.5% (range: 8.5% Rwanda to 25.3% Zambia). Screening uptake varied by HIV clinical status, with serostatus-aware (21.3% vs 9.0%), antiretroviral therapy-experienced (22.0% vs 10.5%), and virally suppressed (22.1% vs 11.6%) WLWH, respectively, reporting significantly (
  
  < 0.001) higher screening rates. Screening was especially low among WLWH aged <35 years (14.7%), with no formal education (12.1%), in the poorest households (7.9%), and residing in rural areas (14.0%).ConclusionsFewer than one-fifth of WLWH had ever screened for cervical cancer, suggesting expanded availability and access to tailored, integrated services are critically needed.
• Content Notes:
  Author manuscript
• Subjects:
  • Humans
  • Female
  • Uterine Cervical Neoplasms
  • HIV Infections
  • Adult
  • Early Detection of Cancer
  • Middle Aged
  • Mass Screening
  • Prevalence
  • Health Services Needs and Demand
• Keywords:
  • HIV care and treatment
  • cervical malignancies
  • human papillomavirus
  • pap smear
  • sub-Saharan Africa
  • population-based HIV impact Assessment
• Source:
  International Journal of STD & AIDS, 2025, v. 36, no. 5
• DOI:
  https://doi.org/10.1177/09564624251315787
• ISSN:
  0956-4624 ; 1758-1052
• Pubmed ID:
  39835785
• Pubmed Central ID:
  PMC11964840
• Document Type:
  Text
• Funding:
  P20 GM125507/GM/NIGMS NIH HHSUnited States/ ; P30 AI094189/AI/NIAID NIH HHSUnited States/ ; R25 MH083620/MH/NIMH NIH HHSUnited States/ ; U2G GH001226/GH/CGH CDC HHSUnited States/
• Genre:
  Journal Article
• Place as Subject:
  Africa South of the Sahara
• Pages in Document:
  397-405 (17 pdf pages)
• Volume:
  36
• Issue:
  5
• Download URL:
  https://stacks.cdc.gov/view/cdc/261753/cdc_261753_DS1.pdf
• File Type:
  [PDF - 221.71 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:4386d09d36cb1f0773c4a2252ca9fa5b1c74768ecddeefa49f2b9c93f5653770770cc924855e0a8a3f61b47f4475d7dda05b6482a0dcf219254aef77a24c42bf