- 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.
- 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.>
- Longitudinal study evaluating utilization, determinants of cervical Pap testing among WLWH enrolled in primary care over prior 10 years.
- Funding: None disclosed.
- Single center, limited generalizability.
- Uncaptured screening-related patient factors.