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.
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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