Universidad Peruana Cayetano Heredia

Factors associated with normal or abnormal Papanicolaou smear among HIV-infected women at a national hospital in Lima, Peru, 2012-2015.

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dc.contributor.author Chincha Lino, Omayra Jannet
dc.contributor.author Chinchihualpa Paredes, Nathaly Olga
dc.contributor.author Samalvides Cuba, Frine
dc.date.accessioned 2022-02-01T21:18:29Z
dc.date.available 2022-02-01T21:18:29Z
dc.date.issued 2021
dc.identifier.uri https://hdl.handle.net/20.500.12866/11324
dc.description.abstract HIV-infected women are at a risk of developing abnormal lesions of the uterine cervix. The objective of this study was to determine factors associated with normal or abnormal Papanicolaou (Pap) smear among HIV-infected women. A case-control study was conducted; case and control were defined as HIV-infected women ≥18 years with an abnormal and normal Pap smear, respectively. A logistic regression analysis was performed, and the Odds Ratio (OR) was calculated with its 95% Confidence Interval (CI). We included 368 patients, and the mean age was 36.83 years (SD ± 9.81), similar between cases and controls. Regarding cases, 30.50% (n = 43) had an alcohol consumption (AC), 75.18% (n = 106) were on antiretroviral therapy (ART) and 37.74% (n = 40) were in virologic failure (VF). About controls, 18.02% (n = 41) had AC, 85.02% (n = 193) were on ART, and 23.12% (n = 40) were in VF. In multivariate analysis, AC [OR: 1.77 (1.06-2.95)], VF [OR: 2.41 (1.55-3.74)], and ART [OR: 0.07 (0.02-0.23)] were significant factors. The risk factors associated with an abnormal Pap smear were AC and VF. ART was a protective factor. Therefore, besides scheduled Pap smear, human papillomavirus screening/immunization, VF, and ART should be strictly reinforced, and AC should be mitigated en_US
dc.language.iso eng
dc.publisher Taylor and Francis
dc.relation.ispartofseries AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject HIV en_US
dc.subject women en_US
dc.subject Papanicolaou test en_US
dc.title Factors associated with normal or abnormal Papanicolaou smear among HIV-infected women at a national hospital in Lima, Peru, 2012-2015. en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1080/09540121.2021.2002254
dc.relation.issn 1360-0451


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