Perceived HIV stigmatization and association with cervical screening adoption among HIV-positive women in a Nigerian Secondary Health Facility: Implications for psychological interventions

Background. Women living with human immunodeficiency virus (HIV) are more likely to develop an increased risk of invasive cervical cancer. Morbidity and mortality due to cervical cancer could be reduced with early detection through cervical screening. Though uptake of cervical screening was investigated in Ethiopia, inconsistent findings were reported. Therefore, this systematic review and meta-analysis was designed to estimate the pooled prevalence of cervical cancer screening uptake among HIV-positive women and its associated factors in Ethiopia. Methods. A comprehensive search of PubMed/MEDLINE, Scopus, EMBASE, CINAHL, Google Scholar, Science Direct, and Cochrane Library was conducted. The data were extracted using a standardized data extraction format. Statistical analysis was done using the STATA, version 14, software. The heterogeneity of the studies was assessed using the I2 test. Funnel plots and Egger’s test were used to check publication bias. A random effects model was computed to estimate the pooled prevalence of cervical cancer screening uptake. Moreover, pooled odds ratios with 95% confidence intervals were used to determine the association of identified determinant factors with cervical cancer screening uptake. Results. A total of 10358 studies were retrieved, and 7 studies were included in the meta-analysis. The pooled prevalence of cervical cancer screening uptake among HIV-positive women in Ethiopia was 18.17% (95% CI : 11.23, 25.10) with exhibited heterogeneity (I2 = 96.6%; p<0.001). Educational status of women (AOR = 3.50; 95% CI : 1.85, 6.07), knowledge of women on cervical cancer (AOR = 3.26; 95% CI : 2.50, 4.43), and perceived susceptibility (AOR = 3.26; 95% CI : 2.26, 4.26) were significantly associated with cervical cancer screening uptake among HIV-positive women. Conclusion. The uptake of cervical cancer screening among HIV-positive women in Ethiopia was low. The findings of this study suggest the need to improve the existing national strategies of cervical cancer screening so as to strengthen reproductive health education and promotion, in addition to providing screening services. Furthermore, cervical screening service should be integrated to the routine care and treatment, so that HIV-positive women can get counseling services in every clinical contact.

Download Full-text

P51 Cervical screening in HIV-positive women: a cohort study

HIV Medicine ◽

10.1046/j.1468-1293.2000.00024-149.x ◽

2000 ◽

Vol 1 (3) ◽

pp. 188-188

Author(s):

Al Moore ◽

A Mocroft ◽

W Reid ◽

S Madge ◽

M Johnson

Keyword(s):

Cohort Study ◽

Cervical Screening ◽

Hiv Positive ◽

Hiv Positive Women

Download Full-text

Cervical screening vital for HIV-positive women

Nursing Standard ◽

10.7748/ns.14.28.9.s24 ◽

2000 ◽

Vol 14 (28) ◽

pp. 9-9

Keyword(s):

Cervical Screening ◽

Hiv Positive ◽

Hiv Positive Women

Download Full-text

Re: cervical screening in HIV-positive women in the East of England: recent CD4 as the predictive risk factor

International Journal of STD & AIDS ◽

10.1177/0956462416651350 ◽

2016 ◽

Vol 27 (12) ◽

pp. 1137-1137

Author(s):

Kajal Verma ◽

Samkeliso Blundell ◽

Siobhan Murphy ◽

Gary Brook

Keyword(s):

Risk Factor ◽

Cervical Screening ◽

Hiv Positive ◽

Predictive Risk Factor ◽

Hiv Positive Women ◽

Predictive Risk

Download Full-text

Knowledge and experience of a cohort of HIV-positive and HIV-negative Ghanaian women after undergoing human papillomavirus and cervical cancer screening

BMC Women s Health ◽

10.1186/s12905-019-0818-y ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 2

Author(s):

Arabella Stuart ◽

Dorcas Obiri-Yeboah ◽

Yaw Adu-Sarkodie ◽

Anna Hayfron-Benjamin ◽

Angela D. Akorsu ◽

...

Keyword(s):

Cervical Cancer ◽

Health Workers ◽

Cervical Screening ◽

Knowledge Score ◽

Hpv Infection ◽

Hiv Positive ◽

Hiv Status ◽

Hiv Positive Women ◽

Screening Study ◽

Hiv Negative

Abstract Background Cervical cancer is the most common cancer in women in Ghana, but knowledge and experience of women who have had cervical screening is under-evaluated. This study examined knowledge and understanding of HPV and cervical cancer and evaluated experiences of screening in a cohort of women of mixed HIV status. Methods This was a mixed methods study using questionnaires and focus group discussions, with a knowledge score constructed from the questionnaire. HIV-positive and HIV-negative women were recruited from a larger cervical screening study in Ghana and were interviewed 6 months after receiving screening. Quantitative data was analyzed and triangulated with qualitative data following thematic analysis using the framework approach. Results A total of 131 women were included (HIV-positive, n = 60). Over 80% of participants had a knowledge score deemed adequate. There was no difference between HIV-status groups in overall knowledge scores (p = 0.1), but variation was seen in individual knowledge items. HIV-positive women were more likely to correctly identify HPV as being sexually-transmitted (p = 0.05), and HIV negative women to correctly identify the stages in developing cervical cancer (p = < 0.0001). HIV-positive women mostly described acquisition of HPV in stigmatising terms. The early asymptomatic phase of cervical cancer made it difficult for women to define “what” cancer was versus “what” HPV infection was. All women expressed that they found it difficult waiting for their screening results but that receiving information and counselling from health workers alleviated anxiety. Conclusions Knowledge of women who had participated in a cervical screening study was good, but specific misconceptions existed. HIV-positive women had similar levels of knowledge to HIV-negative, but different misconceptions. Women expressed generally positive views about screening, but did experience distress. A standardized education tool explaining cervical screening and relevance specifically of HPV-DNA results in Ghana should be developed, taking into consideration the different needs of HIV-positive women.

Download Full-text