Patient-provider communication with HIV-positive women about abnormal Pap test results

Details

• Alternative Title:
  Women Health
• Personal Author:
  Wigfall, Lisa T. ; Bynum, Shalanda A. ; Friedman, Daniela B. ; Brandt, Heather M. ; Richter, Donna L. ; Glover, Saundra H. ; Hébert, James R.
• Description:
  In this article, the authors examine communication between women living with human immunodeficiency virus (WLH) and health care providers (HCPs) regarding abnormal Pap tests. During the period of March 2011 through April 2012, 145 WLH were recruited from Ryan White funded clinics and community-based AIDS service organizations located in the southeastern United States. WLH who had an abnormal Pap test (69%, n = 100/145) were asked if their HCP shared and explained information about abnormal Pap tests. The authors performed chi-square tests and multivariable logistic regression analyses using Stata I/C 13. HCPs shared information about abnormal Pap tests with 60% of participants, and explained the information they shared to 78% of those. Health literate participants were more than three times as likely to have read the information received about abnormal Pap tests (adjusted odds ratio [aOR] = 3.49, 95% confidence interval [CI] 1.19-10.23), and almost five times as likely to have understood the cancer information they read (aOR = 4.70, 95% CI 1.55-14.24). Knowing other women who had had an abnormal Pap test was not significantly associated with cancer information seeking or processing after controlling for confounding factors. The present findings underscore the need to increase WLH's health literacy as an intermediate step to improving patient-provider communication among WLH. Lay sources of cancer information for WLH warrant further study.
• Subjects:
  Adult Body Mass Index Communication Cross-Sectional Studies Female Follow-Up Studies Health Knowledge, Attitudes, Practice HIV Infections Humans Information Seeking Behavior Mass Screening Papanicolaou Test Patient Compliance Professional-Patient Relations Rural Population Smoking Urban Population Uterine Cervical Neoplasms Vaginal Smears

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• Source:
  Women Health. 57(1):19-39.
• Pubmed ID:
  26886433
• Pubmed Central ID:
  PMC4988935
• Document Type:
  Journal Article
• Funding:
  K01 CA175239/CA/NCI NIH HHS/United States ; U48 DP001936/DP/NCCDPHP CDC HHS/United States ; K05 CA136975/CA/NCI NIH HHS/United States ; P20 MD001770/MD/NIMHD NIH HHS/United States ; U01 CA114601/CA/NCI NIH HHS/United States ; U54 CA153461/CA/NCI NIH HHS/United States
• Volume:
  57
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:3291d300705c09c021754c5505aafe154cc078f49f841283899b133fd06ea4e2
• Download URL:
  https://stacks.cdc.gov/view/cdc/42146/cdc_42146_DS1.pdf
• File Type:
  [PDF - 516.48 KB ]