{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T04:24:21Z","timestamp":1777868661116,"version":"3.51.4"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2017,11,22]],"date-time":"2017-11-22T00:00:00Z","timestamp":1511308800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,11,22]],"date-time":"2017-11-22T00:00:00Z","timestamp":1511308800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"name":"Instituto de Medicina Integral Prof. Fernando Figueira- IMIP"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2018,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the prevalence of anal intraepithelial lesions and associated risk factors in women with cervical neoplasia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      The present cross\u2010sectional study enrolled patients with intraepithelial or invasive cervical neoplasia who had been referred to the lower genital tract pathology outpatient department of the Instituto de Medicina Integral Prof. Fernando Figueira, Recife, Brazil, between December 1, 2008, and December 31, 2009; patients with\n                      <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\n                      infections were excluded. All participants underwent anal cytology and high\u2010resolution anoscopy; sociodemographic and clinical risk factors were identified using multivariate analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      There were 324 patients included and 37 (11.4%) had anal intraepithelial neoplasia. Factors associated with anal intraepithelial neoplasia in the multivariate analysis were being older than 35\u00a0years of age (\n                      <jats:italic>P=<\/jats:italic>\n                      0.002), having completed no more than 4\u00a0years of education (\n                      <jats:italic>P=<\/jats:italic>\n                      0.012), anomalous anal cytology (\n                      <jats:italic>P=<\/jats:italic>\n                      0.003), and anomalous high\u2010resolution anoscopy findings (\n                      <jats:italic>P&lt;<\/jats:italic>\n                      0.001); subclinical\n                      <jats:styled-content style=\"fixed-case\">HPV<\/jats:styled-content>\n                      lesions on vulvoscopy (\n                      <jats:italic>P=<\/jats:italic>\n                      0.057) were not associated with anal intraepithelial neoplasia.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>\n                      The prevalence of anal intraepithelial neoplasia was high among patients with cervical neoplasia who did not have\n                      <jats:styled-content style=\"fixed-case\">HIV<\/jats:styled-content>\n                      , particularly patients older than 35\u00a0years.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.12367","type":"journal-article","created":{"date-parts":[[2017,10,28]],"date-time":"2017-10-28T07:36:37Z","timestamp":1509176197000},"page":"233-240","source":"Crossref","is-referenced-by-count":5,"title":["Cross\u2010sectional study of anal intraepithelial lesions in women with cervical neoplasia without\n                    <scp>HIV<\/scp>"],"prefix":"10.1002","volume":"140","author":[{"given":"Sandra A.","family":"Her\u00e1clio","sequence":"first","affiliation":[{"name":"Department of Pathology of the Lower Genital 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