Social and Structural Determinants of Cervical Health among Women Engaged in HIV Care
Social and Structural Determinants of Cervical Health among Women Engaged in HIV Care
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DOI：
10.1007/s10461-016-1345-6
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发表时间：
2016-09-01
影响因子：
4.4
通讯作者：
Hebert, James R.
中科院分区：
文献类型：
--
作者：
Bynum, Shalanda A.;Wigfall, Lisa T.;Hebert, James R.
Cervical cancer prevention/control efforts among women living with HIV/AIDS (WLH) are socially and structurally challenging. Healthcare access and perceived HIV stigma and discrimination are factors that may challenge risk reduction efforts. This study examined socio-structural determinants of cervical cancer screening among women engaged in HIV care. One hundred forty-five WLH seeking health/social services from AIDS Service Organizations in the southeastern US completed a questionnaire assessing factors related to cervical cancer prevention/control. Ninety percent were African American, mean age 46.15 +/- A 10.65 years. Eighty-one percent had a Pap test < 1 year ago. Low healthcare access was positively associated with having a Pap test < 1 year ago, (Odds ratio [OR] 3.80; 95 % Confidence interval [CI] 1.34-10.78). About 36 % reported aeyen2 Pap tests during the first year after HIV diagnosis. Lower educational attainment was positively associated with having aeyen2 Pap tests, OR 3.22; CI 1.08-9.62. Thirty-five percent reported more frequent Pap tests after diagnosis. Lower income was moderately associated with more frequent Pap tests post-diagnosis, OR 2.47; CI .98-6.23. Findings highlight the successes of HIV initiatives targeting socio-economically disadvantaged women and provide evidence that health policy aimed at providing and expanding healthcare access for vulnerable WLH has beneficial health implications.
