BACKGROUND: HIV-infected women are at increased risk for cervical cancer; thus, adherence with Papanicolaou (Pap) testing is of particular importance. The objective of this study was to identify risk factors for inadequate Pap testing in a diverse cohort of HIV-infected women at a large urban safety net HIV clinic. METHODS: This retrospective cohort study assessed HIV-infected women aged 18?60 years in care between October 1, 2003, and March 31, 2008, for risk factors for inadequate Pap testing. Unadjusted odds ratios (OR) with confidence intervals (CI) and multivariate analyses with generalized estimating equations for correlated data were calculated. RESULTS: Of 549 women, 293 (53.4%) had a Pap test during each follow-up period. Women who were older, white or Hispanic race/ethnicity, U.S. born, unemployed, drug users, and those with advanced HIV had increased odds of no Pap testing in unadjusted analyses. In multivariate analyses, U.S.-born women who were white or unemployed or had a baseline CD4 count <200 cells/mm(3) had increased odds of no Pap testing (OR 2.0, 95% CI 1.3-3.1; OR 2.3, CI 1.0-5.0; OR 1.7, CI 1.0-2.9, respectively). For non-U.S.-born women, age ?50 years (OR 3.9, CI 1.7-9.0), non-English-speaking status (OR 1.6, CI 1.0-2.4), and drug use (OR 5.8, CI 2.5-13.9) were associated with no Pap testing. CONCLUSIONS: U.S.-born status and low CD4 count were associated with increased odds of inadequate Pap testing. Further study is needed to identify interventions to improve Pap testing adherence in this high-risk group.
BACKGROUND:HIV-infectedwomen are at increased risk for cervical cancer; thus, adherence with Papanicolaou (Pap) testing is of particular importance. The objective of this study was to identify risk factors for inadequate Pap testing in a diverse cohort of HIV-infectedwomen at a large urban safety net HIV clinic. METHODS: This retrospective cohort study assessed HIV-infectedwomen aged 18?60 years in care between October 1, 2003, and March 31, 2008, for risk factors for inadequate Pap testing. Unadjusted odds ratios (OR) with confidence intervals (CI) and multivariate analyses with generalized estimating equations for correlated data were calculated. RESULTS: Of 549 women, 293 (53.4%) had a Pap test during each follow-up period. Women who were older, white or Hispanic race/ethnicity, U.S. born, unemployed, drug users, and those with advanced HIV had increased odds of no Pap testing in unadjusted analyses. In multivariate analyses, U.S.-born women who were white or unemployed or had a baseline CD4 count <200 cells/mm(3) had increased odds of no Pap testing (OR 2.0, 95% CI 1.3-3.1; OR 2.3, CI 1.0-5.0; OR 1.7, CI 1.0-2.9, respectively). For non-U.S.-born women, age ?50 years (OR 3.9, CI 1.7-9.0), non-English-speaking status (OR 1.6, CI 1.0-2.4), and drug use (OR 5.8, CI 2.5-13.9) were associated with no Pap testing. CONCLUSIONS: U.S.-born status and low CD4 count were associated with increased odds of inadequate Pap testing. Further study is needed to identify interventions to improve Pap testing adherence in this high-risk group.
Authors: Geetanjali D Datta; Graham A Colditz; Ichiro Kawachi; S V Subramanian; Julie R Palmer; Lynn Rosenberg Journal: Cancer Date: 2006-02-01 Impact factor: 6.860
Authors: C Six; I Heard; C Bergeron; G Orth; J D Poveda; P Zagury; P Cesbron; C Crenn-Hébert; R Pradinaud; M Sobesky; C Marty; M L Babut; J E Malkin; A Odier; S Fridmann; J P Aubert; J B Brunet; I de Vincenzi Journal: AIDS Date: 1998-06-18 Impact factor: 4.177
Authors: Felipe García; Elisa de Lazzari; Montserrat Plana; Pedro Castro; Gabriel Mestre; Meritxell Nomdedeu; Emilio Fumero; Esteban Martínez; Josep Mallolas; José L Blanco; José M Miró; Tomás Pumarola; Teresa Gallart; José M Gatell Journal: J Acquir Immune Defic Syndr Date: 2004-06-01 Impact factor: 3.731
Authors: Faith E Fletcher; Meredith Buchberg; Leslie R Schover; Karen Basen-Engquist; Mirjam-Colette Kempf; Roberto C Arduino; Damon J Vidrine Journal: AIDS Care Date: 2014-03-18
Authors: Arti Barnes; Andrea C Betts; Eric K Borton; Joanne M Sanders; Sandi L Pruitt; Claudia Werner; Andres Bran; Carolee D Estelle; Bijal A Balasubramanian; Stephen J Inrig; Ethan A Halm; Celette Sugg Skinner; Jasmin A Tiro Journal: AIDS Date: 2018-08-24 Impact factor: 4.177
Authors: Faith E Fletcher; Damon J Vidrine; Irene Tami-Maury; Heather E Danysh; Rachel Marks King; Meredith Buchberg; Roberto C Arduino; Ellen R Gritz Journal: AIDS Behav Date: 2014-03
Authors: Emma L Frazier; Madeline Y Sutton; Yunfeng Tie; A D McNaghten; Janet M Blair; Jacek Skarbinski Journal: J Womens Health (Larchmt) Date: 2015-10-08 Impact factor: 2.681
Authors: Sara L Cross; Sanaa H Suharwardy; Phani Bodavula; Kenneth Schechtman; E Turner Overton; Nur F Onen; Michael A Lane Journal: AIDS Care Date: 2014-03-13