Comparison of Abnormal Cervical Cytology from HIV Positive Women, Female Sex Workers and General Population
BACKGROUND: Sex workers and HIV seropositive women are at high risk of abnormal cervical cytology. The objective of this study was to compare the cervical cytology among three groups of women: active sex workers, HIV-infected women, and general population in Iran
| Publié dans: | International journal of community based nursing and midwifery. - 2014. - 3(2015), 2 vom: 01. Apr., Seite 76-83 |
|---|---|
| Auteur principal: | |
| Autres auteurs: | , , , , , , , |
| Format: | Article |
| Langue: | English |
| Publié: |
2015
|
| Accès à la collection: | International journal of community based nursing and midwifery |
| Sujets: | Journal Article HIV/AIDs Iran Pap smear Sex Worker |
| Résumé: | BACKGROUND: Sex workers and HIV seropositive women are at high risk of abnormal cervical cytology. The objective of this study was to compare the cervical cytology among three groups of women: active sex workers, HIV-infected women, and general population in Iran METHODS: This was a cross-sectional study performed in Hazrat Zeinab, Lavan clinics and drop in center (DIC) in Shiraz, Iran. This study was performed from October 2009 to October 2011. A total of 266 patients were assigned into three groups: sex-workers (85), HIV positive patients (100), and general population (81). Pap smear was performed for all participants from the exocervix and endocervix, using a plastic Ayres's spatula and cytobrush. The samples were sent to a pathology center, using a liquid-based media RESULTS: The risk of cervical infection in sex workers and HIV positive women was greater than the general population (OR=5.47, 95% confidence interval [CI]:2.24, 13.40), (OR=3.71, 95% CI:1.52, 9.09), respectively. The frequency of abnormal cervical cytology in the HIV positive and sex worker groups was higher than the general population (OR=6. 76, 95% CI:2.25, 20.32), (OR=3. 80, 95% CI:1.19, 12.07), respectively. Low-grade squamous intraepithelial lesion (LSIL) and high-grade squamous intraepithelial lesion (HSIL) were associated with CD4 cell count<200Í106/L, P=0.021 and P<0.001, respectively CONCLUSION: Vaginal infections were seen more often in the sex worker group, and abnormal cervical cytology was greater in the HIV positive group |
|---|---|
| Description: | Date Completed 25.05.2015 Date Revised 09.04.2022 published: Print Citation Status PubMed-not-MEDLINE |
| ISSN: | 2322-2476 |