Screening for Human Immunodeficiency Virus in Inner City Females With Abnormal Cervical Cytology

[摘要] Objective:This report evaluates the acceptance, results, and predictors of human immunodeficiencyvirus (HIV) infection in inner city women referred to a colposcopy clinic for abnormal cervicalcytology.Methods:HIV testing results of 1,908 inner city women referred for abnormal cervical cytologywere analyzed retrospectively with respect to acceptance, race, ethnicity, Pap smear results, sexuallytransmitted diseases (STDs), HIV exposures, and final histologic findings.Results:HIV testing was accepted by 50.4% of patients. Women who agreed to screening weresignificantly more likely to admit exposure to HIV or to be Hispanic, foreign-born, or have a historyof multiple STDs. Of those screened, 3.3% were found to be HIV seropositive. Although highergrades of referral Pap smears were noted in the women found to be HIV seropositive, final histologicfindings were not different. The only predictors of unknown HIV seropositivity were admittedHIV exposure and external condyloma.Conclusions:Fifty percent of inner city women of unknown HIV status referred for abnormalcervical cytology will accept HIV serotesting and 3.3% are found to be positive. Most HIV-seropositivewomen can be detected based on either a history of exposure to HIV or the presenceof external condyloma.

[学科分类] 妇产科学