The prevalence of cervical abnormalities: Comparison of youth with perinatally acquired HIV and older women in Botswana

Southern African Journal of HIV Medicine

 
 
Field Value
 
Title The prevalence of cervical abnormalities: Comparison of youth with perinatally acquired HIV and older women in Botswana
 
Creator Phologolo, Thabo Matshaba, Mogomotsi Mathuba, Bathusi Mokete, Keboletse Tshume, Ontibile Lowenthal, Elizabeth
 
Subject health perinatal HIV; young women; visual inspection with acetic acid; cervical cancer screening; Africa
Description Background: Cervical cancer burden and prevalence of precursor lesions is unknown among young women living with HIV in high prevalence settings. Current cervical cancer screening guidelines in resource-limited settings with high HIV prevalence typically exclude adolescents and young women. After observing two cases of advanced cervical cancer among young women with perinatally acquired HIV, a pilot screening programme was established in Botswana.Objectives: To compare the prevalence of cervical abnormalities in young women with perinatally acquired HIV with women aged 30–49 years, regardless of HIV status.Method: We conducted a cross-sectional study of 30–49-year-old women who had visual inspection with acetic acid screening through the Botswana public sector programme, and youth (aged 15–24 years) with perinatally acquired HIV, at a single referral site between 2016 and 2018. We describe the prevalence of cervical abnormalities in each group as well as the crude prevalence ratio.Results: The prevalence of cervical abnormalities in women 30–49 years of age was 10.9% (95% confidence interval [CI]: 10.4, 11.4), and 10.1% (95% CI: 4.7, 18.3) for youth. The crude prevalence ratio was 1.07 (95% CI: 0.58, 2.01).Conclusion: Inclusion of youth living with HIV in cervical cancer screening services should be considered in settings with a high prevalence of HIV and cervical cancer.
 
Publisher AOSIS
 
Contributor This work was supported by a National Institutes of Health D43 HIV Research Training Program for Botswana (D43TW009781) grant. This work was made possible, in part, through core services and support from the Penn Center for AIDS Research (CFAR), an NIH-fu
Date 2023-03-28
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — cross sectional
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajhivmed.v24i1.1455
 
Source Southern African Journal of HIV Medicine; Vol 24, No 1 (2023); 5 pages 2078-6751 1608-9693
 
Language eng
 
Relation
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https://sajhivmed.org.za/index.php/hivmed/article/view/1455/3013 https://sajhivmed.org.za/index.php/hivmed/article/view/1455/3014 https://sajhivmed.org.za/index.php/hivmed/article/view/1455/3015 https://sajhivmed.org.za/index.php/hivmed/article/view/1455/3016
 
Coverage africa — adolescent; female; african
Rights Copyright (c) 2023 Thabo Phologolo, Mogomotsi Matshaba, Bathusi Mathuba, Keboletse Mokete, Ontibile Tshume, Elizabeth Lowenthal https://creativecommons.org/licenses/by/4.0
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