Cervical screening uptake and abnormalities among women attending sexual health clinics for HIV care
Donna M. Tilley A B J , Catherine C. O’Connor A C D , Sunil Adusumilli E F G , Maggie Smith H , Clara Marin-Zapata A , Catriona Ooi G I and David J. Templeton A C DA RPA Sexual Health, Community Health, Sydney Local Health District, 16 Marsden St, Camperdown, NSW 2050, Australia.
B Women’s Health Service, Community Health, Sydney Local Health District, 16 Marsden St, Camperdown, NSW 2050, Australia.
C The Kirby Institute, Wallace Wurth Building, The University of New South Wales, Kensington, NSW 2052, Australia.
D Central Clinical School, Blackburn Bldg D06, The University of Sydney, Sydney, NSW 2006, Australia.
E Department of Community Paediatrics, Community Health, South Western Sydney Local Health District, 1 Campbell St, Liverpool, NSW 2170, Australia.
F School of Public Health and Community Medicine, University of New South Wales, Sydney, NSW, Australia.
G Faculty of Medicine, The University of Sydney, Edward Ford Building A27, NSW 2006, Australia.
H The Albion Centre, South Eastern Sydney Local Health District, 150 Albion St, Surry Hills, NSW 2010, Australia.
I Western Sydney Sexual Health Centre, Western Sydney Local Health District, Level 1, Jeffery House, 162 Marsden St, Parramatta, NSW 2150, Australia.
J Corresponding author. Email: donna.tilley@sswahs.nsw.gov.au
Sexual Health 11(3) 288-290 https://doi.org/10.1071/SH14063
Submitted: 31 March 2014 Accepted: 19 May 2014 Published: 24 July 2014
Abstract
The aim of this study was to describe cervical screening uptake and assess correlates of screen-detected abnormalities in women attending sexual health services for HIV care. Of 156 women, 115 had documentation of a Pap test at least once in 3 years and 9.6% had an annual Pap test performed. Pap abnormalities were associated with younger age, being born in Sub-Saharan Africa, more recent arrival in Australia, lower CD4 count, detectable viral load, shorter time on antiretroviral therapy and more recent HIV diagnosis. Women accessing sexual health services for HIV care, especially those from culturally and linguistically diverse backgrounds, appear to be substantially under-screened and efforts to optimise screening are needed.
Additional keywords: carcinoma, cervical cancer, Pap test, smear test, squamous intraepithelial lesions.
References
[1] Pantanowitz L, Michelow P. Review of human immunodeficiency virus (HIV) and squamous lesions of the uterine cervix. Diagn Cytopathol 2011; 39 65–72.| Review of human immunodeficiency virus (HIV) and squamous lesions of the uterine cervix.Crossref | GoogleScholarGoogle Scholar | 21162096PubMed |
[2] Moyer VA. Screening for cervical cancer: US Preventive Services Task Force recommendation statement [correction published in Ann Intern Med 2013; 158: 852]. Ann Intern Med 2012; 156 880–91.
| Screening for cervical cancer: US Preventive Services Task Force recommendation statement [correction published in Ann Intern Med 2013; 158: 852].Crossref | GoogleScholarGoogle Scholar | 22711081PubMed |
[3] Fakoya A, Lamba H, Mackie N, Nandwani R, Brown A, Bernard EJ, et al British HIV Association, BASHH and FSRH guidelines for the management of the sexual and reproductive health of people living with HIV infection 2008. HIV Med 2008; 9 681–720.
| British HIV Association, BASHH and FSRH guidelines for the management of the sexual and reproductive health of people living with HIV infection 2008.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BD1cjhvVahuw%3D%3D&md5=6094519eba53169a1b49bd47b179e1c7CAS | 18983476PubMed |
[4] National Health and Medical Research Council (NHMRC). Guidelines for the management of asymptomatic women with screen-detected abnormalities. Canberra: NHMRC; 2005.
[5] Bates SM, Street EJ. Cervical cytology screening in HIV-positive women: completion of the audit cycle. Int J STD AIDS 2011; 22 615–6.
| Cervical cytology screening in HIV-positive women: completion of the audit cycle.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BC3MbhtFWltg%3D%3D&md5=f52beee2785ddd8d5d5d29621afe5ae6CAS | 21998191PubMed |
[6] MacDonald R, Anderson P, Winter AJ. Increasing cervical cytology uptake in Glasgow HIV cohort. Int J STD AIDS 2012; 23 57–8.
| Increasing cervical cytology uptake in Glasgow HIV cohort.Crossref | GoogleScholarGoogle Scholar | 1:STN:280:DC%2BC383mtVSmuw%3D%3D&md5=311426820cad7ad4b0ddf8baa6b3380fCAS | 22362692PubMed |
[7] Australian Institute of Health and Welfare (AIHW). Cervical screening in Australia 2010–2011. Cancer series 76. Cat. no. CAN 72. Canberra: AIHW; 2013.
[8] Everett T, Bryant A, Griffin MF, Martin-Hirsch PPL, Forbes CA, Jepson RG. Interventions targeted at women to encourage the uptake of cervical screening. Cochrane Database Syst Rev 2011; 5 CD002834
| 21563135PubMed |
