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Showing content from https://pubmed.ncbi.nlm.nih.gov/20565935/ below:

Self-reported history of Pap-smear in HIV-positive women in Northern Italy: a cross-sectional study

Collaborators, Affiliations

• Screening of HIV-positive women in Emilia-Romagna (SHER) Study: Lucia Droghini, Diego Serraino, Francesco Alberici, Anna Degli Antoni, Giacomo Magnani, Giovanni Guaraldi, Francesco Chiodo, Laura Sighinolfi, Giacomo Ballardini, Claudio Cancellieri, Alessandro Stagno, Massimo Arlotti, Alessandra Govoni

• ¹ Epidemiology and Biostatistics Unit, Centro di Riferimento Oncologico - IRCCS, Via Gallini 2, 33081 Aviano (PN), Italy. dalmaso@cro.it

• PMID: 20565935
• PMCID: PMC2904281
• DOI: 10.1186/1471-2407-10-310

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Luigino Dal Maso et al. BMC Cancer. 2010.

• Screening of HIV-positive women in Emilia-Romagna (SHER) Study: Lucia Droghini, Diego Serraino, Francesco Alberici, Anna Degli Antoni, Giacomo Magnani, Giovanni Guaraldi, Francesco Chiodo, Laura Sighinolfi, Giacomo Ballardini, Claudio Cancellieri, Alessandro Stagno, Massimo Arlotti, Alessandra Govoni

• ¹ Epidemiology and Biostatistics Unit, Centro di Riferimento Oncologico - IRCCS, Via Gallini 2, 33081 Aviano (PN), Italy. dalmaso@cro.it

• PMID: 20565935
• PMCID: PMC2904281
• DOI: 10.1186/1471-2407-10-310

Item in Clipboard

Background: The incidence of invasive cervical cancer in HIV-positive women is higher than in the general population. There is evidence that HIV-positive women do not participate sufficiently in cervical cancer screening in Italy, where cervical cancer is more than 10-fold higher in women with AIDS than in the general population. The aim of the present study was to evaluate the history of Pap-smear in HIV-positive women in Italy in recent years. We also examined the sociodemographic, clinical, and organizational factors associated with adherence to cervical cancer screening.

Methods: A cross-sectional study was conducted between July 2006 and June 2007 in Emilia-Romagna region (Northern Italy). All HIV-positive women who received a follow-up visit in one of the 10 regional infectivology units were invited to participate. History of Pap-smear, including abnormal smears and subsequent treatment, was investigated through a self-administered anonymous questionnaire. The association between lack of Pap-smear in the year preceding the interview and selected characteristics was assessed by means of odds ratios (OR) and 95% confidence intervals adjusted for study centre and age.

Results: A total of 1,002 HIV-positive women were interviewed. Nine percent reported no history of Pap-smear, and 39% had no Pap-smear in the year prior to the date of questionnaire (last year). The lack of Pap-smear in the last year was significantly associated with age <35 years (OR = 1.4, compared to age > or =45 years), lower education level (OR = 1.3), first HIV-positive test in the last 2 years (OR = 1.4), and CD4 count <200 cells/microl (OR = 1.6). Conversely, when women were advised by a gynecologist rather than other health workers to undergo screening, it significantly increased adherence. Non-significantly higher proportions of lack of Pap-smear in the last year were found in women born in Central-Eastern Europe (OR = 1.8) and Africa (OR = 1.3). No difference in history of Pap-smear emerged by mode of HIV-acquisition or AIDS status.Three hundred five (34%) women reported a previous abnormal Pap-smear, and of the 178 (58%) referred for treatment, 97% complied.

Conclusions: In recent years the self-reported history of Pap-smear in HIV-positive women, in some public clinics in Italy, is higher than previously reported, but further efforts are required to make sure cervical cancer screening is accessible to all HIV-positive women.

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Pap-smear practice and treatment after…

Pap-smear practice and treatment after a positive Pap-smear in HIV-positive women . Emilia-Romagna…

Pap-smear practice and treatment after a positive Pap-smear in HIV-positive women. Emilia-Romagna Region, Italy, 2006-2007

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