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Titolo:
Screening for cervical cancer in HIV-infected women receiving care in the United States
Autore:
Stein, MD; Cunningham, WE; Nakazono, T; Turner, BJ; Andersen, RM; Bozzette, SA; Shapiro, MF;
Indirizzi:
Brown Univ, Div Gen Internal Med, Providence, RI 02912 USA Brown Univ Providence RI USA 02912 Internal Med, Providence, RI 02912 USA Univ Calif Los Angeles, Sch Med, Div Gen Internal Med, Los Angeles, CA 90024 USA Univ Calif Los Angeles Los Angeles CA USA 90024 Los Angeles, CA 90024 USA Univ Calif Los Angeles, Sch Med, Hlth Serv Res, Los Angeles, CA 90024 USA Univ Calif Los Angeles Los Angeles CA USA 90024 Los Angeles, CA 90024 USA Univ Penn, Div Gen Internal Med, Philadelphia, PA 19104 USA Univ Penn Philadelphia PA USA 19104 ernal Med, Philadelphia, PA 19104 USA RAND Corp, Hlth Sci Program, Santa Monica, CA 90407 USA RAND Corp Santa Monica CA USA 90407 i Program, Santa Monica, CA 90407 USA Univ Calif San Diego, San Diego, CA 92103 USA Univ Calif San Diego San Diego CA USA 92103 iego, San Diego, CA 92103 USA Vet Affairs San Diego Hlth Care Syst, San Diego, CA USA Vet Affairs San Diego Hlth Care Syst San Diego CA USA San Diego, CA USA
Titolo Testata:
JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
fascicolo: 5, volume: 27, anno: 2001,
pagine: 463 - 466
SICI:
1525-4135(20010815)27:5<463:SFCCIH>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
HUMAN-IMMUNODEFICIENCY-VIRUS; SQUAMOUS INTRAEPITHELIAL LESIONS; NATIONAL PROBABILITY SAMPLES; LOW-PREVALENCE DISEASES; SERVICES UTILIZATION; ADULTS; COST; SMEAR; RISK;
Keywords:
AIDS; cervical cancer; women; quality; pap;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
26
Recensione:
Indirizzi per estratti:
Indirizzo: Stein, MD Rhode Isl Hosp, Div Gen Internal Med, 593 Eddy St, Providence, RI 02903 USA Rhode Isl Hosp 593 Eddy St Providence RI USA 02903 RI 02903 USA
Citazione:
M.D. Stein et al., "Screening for cervical cancer in HIV-infected women receiving care in the United States", J ACQ IMM D, 27(5), 2001, pp. 463-466

Abstract

We examined the sociodemographic, clinical and provider factors associatedWith screening for cervical cancer among HIV-infected women. Methods: We studied a national sample representing 43,490 women receiving treatment of HIV infection who completed first follow-up surveys of the HIVCost and Service Utilization Study (HCSUS). All women were asked, "In the past 12 months, have you had a Pap test? " Women reporting an abnormal Pap test result were asked whether they had been told antibiotics could cure abnormal cells, and whether they were scheduled for another Pap test or for a colposcopy within 3 months. Results: Of the population represented, 81% had had a Pap test in the past12 months. Women who reported having a gynecologist and primary care physician at the same clinical site were almost twice as likely (odds ratio, 1.9; 95% confidence interval, 1.3-3.0) as other women to report Pap testing. Among women who reported abnormal Pap test results and were not told antibiotics could cure abnormal cells, 95% were scheduled for a repeat Pap test orcolposcopy, but 15% of the women had not received their repeat Pap test orcolposcopy. Conclusion: Although Pap test rates and appropriate referral for abnormal findings were high among HIV-tested women, many women with initially abnormal Pap test results did not actually receive follow-up Pap testing or colposcopy. Providing gynecologic care at the same site as primary HIV care would likely improve delivery of needed gynecologic ca-re for women.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/01/20 alle ore 21:48:21