HIV-infected women underscreened for HPV

  • Peprah S & al.
  • Papillomavirus Res
  • 25 Oct 2018

  • curated by Liz Scherer
  • Clinical Essentials
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Takeaway

  • Despite enrollment in clinical care, women living with HIV (WLWH) are underscreened for HPV.
  • Decreased likelihood of Pap testing may be linked to longer time since HIV diagnosis.

Why this matters

  • Ensure that WLWH receive regular HPV screening.
  • Familiarity with Pap guidelines is essential.

Key results

  • 554 WLWH, median 5.7 (interquartile range [IQR], 3.7-7.9) years follow-up.
  • 21% never received Pap testing:
    • Of 79% receiving at least 1 Pap test, 31% only received 1-2, 12% received 3, 10% received 4, and 26% >5.
  • 11% of women received Pap testing according to guidelines; 5% of women consistently received Pap test at intervals >18 months.
  • Median interval between consecutive Pap tests varied significantly by results of preceding Pap (P<.001>
  • Older age (aHR, 0.93; 95% CI, 0.89-0.98; P<.01 white race ci p=".03)," injection drug use longer time with hiv significantly associated lower likelihood of pap.>

Study design

  • Longitudinal study evaluating utilization, determinants of cervical Pap testing among WLWH enrolled in primary care over prior 10 years.
  • Funding: None disclosed.

Limitations

  • Single center, limited generalizability.
  • Uncaptured screening-related patient factors.

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