Self-reported history of Pap-smear in HIV-positive women in Northern Italy: a cross-sectional study
Autor: | Dal Maso, L., Franceschi, S., Lise, M., De' Bianchi, P. S., Polesel, J., Ghinelli, F., Falcini, F., Droghini, A. C. FinarelliCollaborators: L., Serraino, D., Alberici, F., Antoni, A. D., Magnani, G., Guaraldi, Giovanni, Chiodo, F., Sighinolfi, L., Ballardini, G., Cancellieri, C., Stagno, A., Arlotti, M., Govoni, A. |
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Jazyk: | angličtina |
Předmět: |
Health Knowledge
Attitudes Practice Cancer Research Time Factors Cross-sectional study Uterine Cervical Neoplasms HIV Infections Health Services Accessibility Risk Factors Surveys and Questionnaires Epidemiology Odds Ratio Mass Screening Cervical cancer education.field_of_study Incidence (epidemiology) Age Factors Middle Aged lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens Italy Oncology Practice Guidelines as Topic Educational Status Female Guideline Adherence Papanicolaou Test Research Article Adult medicine.medical_specialty Population lcsh:RC254-282 Risk Assessment Acquired immunodeficiency syndrome (AIDS) Predictive Value of Tests medicine Genetics Humans HIV infection Pap-smear cervical cancer education Mass screening Gynecology Vaginal Smears business.industry Odds ratio medicine.disease CD4 Lymphocyte Count Cross-Sectional Studies Logistic Models Health Care Surveys Patient Compliance Women's Health business Demography |
Zdroj: | BMC Cancer BMC Cancer, Vol 10, Iss 1, p 310 (2010) |
ISSN: | 1471-2407 |
DOI: | 10.1186/1471-2407-10-310 |
Popis: | 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 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. |
Databáze: | OpenAIRE |
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