Screening for Cervical Cancer and Sexually Transmitted Diseases Among HIV-Infected Women

Details

• Alternative Title:
  J Womens Health (Larchmt)
• Personal Author:
  Frazier, Emma L. ; Sutton, Madeline Y. ; Tie, Yunfeng ; McNaghten, A.D. ; Blair, Janet M. ; Skarbinski, Jacek
• Description:
  Background
  
  Women living with HIV infection are at higher risk for cervical cancer, an AIDS-defining diagnosis. We examined the prevalence of cervical cancer and sexually transmitted disease (STD) screening among human immunodeficiency virus (HIV)-infected women and factors associated with the receipt of Papanicolaou (Pap) tests.
  
  Methods
  
  We did a cross-sectional analysis of weighted data from a sample of HIV-infected adults receiving outpatient medical care. We used matched interview (report of Pap test) and medical record data (STD screenings) from HIV-infected women. We performed logistic regression to compute adjusted prevalence ratios and 95% confidence intervals for the association between demographic, behavioral, and clinical factors and receipt of Pap tests among HIV-infected women.
  
  Results
  
  Data were available for 2,270 women, who represent 112,894 HIV-infected women; 62% were African American, 17% were Hispanic/Latina, and 18% were white. Most (78%) reported having a Pap test in the past year. Among sexually active women (n= 1234), 20% reported sex without condoms, 27% were screened for gonorrhea, and 29% were screened for chlamydia. Being screened for STDs was less likely among women who did not have a Pap test in the past year (adjusted prevalence ratios 0.82, 95% confidence interval 0.77–0.87). Women who were ≥50 years of age and reported income above federal poverty level, no sexual activity, depression, no HIV care from an obstetrician/gynecologist, and no documented STD tests, were less likely to report a Pap test (p < 0.05).
  
  Conclusions
  
  Screening for cervical cancer and STDs among HIV-infected women is suboptimal. Clinical visits for Pap tests are an important opportunity for HIV-infected sexually active women to also receive STD screenings and counseling regarding condoms.
  
  
• Subjects:
  Adolescent Adult Aged Ambulatory Care Facilities Black Or African American Condoms Cross-Sectional Studies Female Hispanic Or Latino HIV Infections Humans Logistic Models Middle Aged Papanicolaou Test Prevalence Sexually Transmitted Diseases United States Uterine Cervical Neoplasms Vaginal Smears White People

  More +
• Source:
  J Womens Health (Larchmt). 25(2):124-132
• Pubmed ID:
  26447835
• Pubmed Central ID:
  PMC5564184
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Volume:
  25
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:d37961b6be6e49b88adc76922d645ca0581c9c45d5805579de6fa55c587b498d
• Download URL:
  https://stacks.cdc.gov/view/cdc/47635/cdc_47635_DS1.pdf
• File Type:
  [PDF - 168.96 KB ]