Cervical cancer screening practices, knowledge of screening and risk, and highly active antiretroviral therapy adherence among women living with human immunodeficiency virus in Lima, Peru

2.50
Hdl Handle:
http://hdl.handle.net/10757/622280
Title:
Cervical cancer screening practices, knowledge of screening and risk, and highly active antiretroviral therapy adherence among women living with human immunodeficiency virus in Lima, Peru
Authors:
Delgado, Jeanne R; Menacho, Luis; Segura, Eddy R. ( 0000-0003-3580-7712 ) ; Roman, Fernando; Cabello, Robinson
Citation:
Cervical cancer screening practices, knowledge of screening and risk, and highly active antiretroviral therapy adherence among women living with human immunodeficiency virus in Lima, Peru 2016, 28 (3):290 International Journal of STD & AIDS
Publisher:
SAGE Publications Ltd
Journal:
International Journal of STD & AIDS
Issue Date:
27-Oct-2016
URI:
http://hdl.handle.net/10757/622280
DOI:
10.1177/0956462416678121
Additional Links:
http://journals.sagepub.com/doi/10.1177/0956462416678121
Abstract:
Cervical cancer (CC) is the leading cause of cancer death among Peruvian women. Awareness shown by women living with HIV (WLHIV) of their increased risk and Papanicoloau (Pap) smear frequency is understudied, particularly in Peru. We assessed the uptake of guidelines-based CC screening practices and its associations with two predictors, knowledge of CC screening and risk and highly active antiretroviral therapy (HAART) adherence, among WLHIV. Collected by self-administered questionnaires from 2014 to 2016, we analyzed the data of 71 WLHIV. Most WLHIV (77.5%, n = 55/71) were overdue to CC screening by not having a Pap smear within the prior 12 months. WLHIV who had on-time Pap smears had a higher median composite ‘knowledge’ score of 3.0 ([interquartile range] 1.5–4) compared to 2.0 (IQR 1–3) for overdue WLHIV. On-time and overdue WLHIV had the same median composite ‘HAART adherence’ score of 3.0 (IQR 2–4). Bivariate analysis found no association between knowledge nor adherence with on-time Pap smears. Although on-time WLHIV were more knowledgeable about CC screening and risk, overall CC screening uptake was poor. Larger studies of this population are needed to assess the educational, social, and structural barriers contributing to this low prevalence of screening.
Type:
info:eu-repo/semantics/article
Rights:
info:eu-repo/semantics/restrictedAccess
Language:
eng
Description:
El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.
Keywords:
Highly active antiretroviral therapy; Human immunodeficiency virus; Human papillomavirus; Prevention; Women
ISSN:
0956-4624; 1758-1052
Email:
jeanne_delgado@brown.edu

Full metadata record

DC FieldValue Language
dc.contributor.authorDelgado, Jeanne Res
dc.contributor.authorMenacho, Luises
dc.contributor.authorSegura, Eddy R.es
dc.contributor.authorRoman, Fernandoes
dc.contributor.authorCabello, Robinsones
dc.date.accessioned2017-10-22T17:54:07Z-
dc.date.available2017-10-22T17:54:07Z-
dc.date.issued2016-10-27-
dc.identifier.citationCervical cancer screening practices, knowledge of screening and risk, and highly active antiretroviral therapy adherence among women living with human immunodeficiency virus in Lima, Peru 2016, 28 (3):290 International Journal of STD & AIDSes
dc.identifier.issn0956-4624-
dc.identifier.issn1758-1052-
dc.identifier.doi10.1177/0956462416678121-
dc.identifier.urihttp://hdl.handle.net/10757/622280-
dc.descriptionEl texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado.es_PE
dc.description.abstractCervical cancer (CC) is the leading cause of cancer death among Peruvian women. Awareness shown by women living with HIV (WLHIV) of their increased risk and Papanicoloau (Pap) smear frequency is understudied, particularly in Peru. We assessed the uptake of guidelines-based CC screening practices and its associations with two predictors, knowledge of CC screening and risk and highly active antiretroviral therapy (HAART) adherence, among WLHIV. Collected by self-administered questionnaires from 2014 to 2016, we analyzed the data of 71 WLHIV. Most WLHIV (77.5%, n = 55/71) were overdue to CC screening by not having a Pap smear within the prior 12 months. WLHIV who had on-time Pap smears had a higher median composite ‘knowledge’ score of 3.0 ([interquartile range] 1.5–4) compared to 2.0 (IQR 1–3) for overdue WLHIV. On-time and overdue WLHIV had the same median composite ‘HAART adherence’ score of 3.0 (IQR 2–4). Bivariate analysis found no association between knowledge nor adherence with on-time Pap smears. Although on-time WLHIV were more knowledgeable about CC screening and risk, overall CC screening uptake was poor. Larger studies of this population are needed to assess the educational, social, and structural barriers contributing to this low prevalence of screening.es
dc.formatapplication/pdfes
dc.language.isoenges
dc.publisherSAGE Publications Ltdes
dc.relation.urlhttp://journals.sagepub.com/doi/10.1177/0956462416678121es
dc.rightsinfo:eu-repo/semantics/restrictedAccesses
dc.subjectHighly active antiretroviral therapyes
dc.subjectHuman immunodeficiency viruses
dc.subjectHuman papillomaviruses
dc.subjectPreventiones
dc.subjectWomenes
dc.titleCervical cancer screening practices, knowledge of screening and risk, and highly active antiretroviral therapy adherence among women living with human immunodeficiency virus in Lima, Perues
dc.typeinfo:eu-repo/semantics/articlees
dc.identifier.journalInternational Journal of STD & AIDSes
dc.description.peerreviewRevisión por pareses_PE
dc.contributor.emailjeanne_delgado@brown.edues_PE
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