{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T20:21:11Z","timestamp":1792614071484,"version":"4.5.0"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,6,22]],"date-time":"2023-06-22T00:00:00Z","timestamp":1687392000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the impact of HIV on access to invasive cervical cancer (ICC) care and overall survival (OS) in a time of universal access to antiretroviral therapy (ART).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cohort of women prospectively diagnosed with ICC was consecutively recruited from 2018 to 2020 in public\/private cancer centers in C\u00f4te d'Ivoire. Follow\u2010up data were collected through facility\u2010 and phone\u2010based approaches. Logistic and Cox regression models allowed analysis of factors associated with access to cancer care and OS, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 294 women with ICC aged 50\u2009years (interquartile range [IQR] 43\u201360) were enrolled, including 21.4% of women living with HIV (WLHIV), 87% being on ART. An advanced ICC clinical stage (III\u2013IV) was less frequent in WLHIV (63.5% vs. 77.1% in HIV\u2010uninfected women; <jats:italic>P<\/jats:italic>\u2009=\u20090.029). Cancer care was initiated in 124 (42.2%) women (54.0% in WLHIV; 39.0% in HIV\u2010uninfected; <jats:italic>P<\/jats:italic>\u2009=\u20090.030). Factors independently associated with access to cancer care were International Federation of Gynecology and Obstetrics (FIGO) stage I\u2013II (adjusted odds ratio [aOR] 3.58, 95% CI 2.01\u20136.38) and no treatment by traditional healers prior to ICC diagnosis (aOR 3.69, 95% CI 1.96\u20136.96). The 2\u2010year OS was 37.9% (95% CI 30.0\u201347.9). HIV status was not predictive of mortality (adjusted hazard ratio [aHR] 0.98, 95% CI 0.60\u20131.69). An advanced clinical stage was the only measured predictor of death (aHR 1.59, 95% CI 1.02\u20132.47).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In a time of universal access to ART, HIV infection was not associated with OS among women with ICC in C\u00f4te d'Ivoire. Higher access to cancer care in WLHIV might be mediated by enhanced access to ICC screening services, supporting the need to expand these services to other types of healthcare facilities.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14925","type":"journal-article","created":{"date-parts":[[2023,6,24]],"date-time":"2023-06-24T23:16:15Z","timestamp":1687648575000},"page":"392-401","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Impact of <scp>HIV<\/scp> infection on access to cancer care and survival among women with invasive cervical cancer in C\u00f4te d'Ivoire: A prospective cohort study"],"prefix":"10.1002","volume":"163","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0630-9135","authenticated-orcid":false,"given":"Simon P.","family":"Boni","sequence":"first","affiliation":[{"name":"Programme PAC\u2010CI  Abidjan C\u00f4te d'Ivoire"},{"name":"National Cancer Control Program  Abidjan C\u00f4te d'Ivoire"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Apollinaire","family":"Horo","sequence":"additional","affiliation":[{"name":"Gynecology and Obstetrics Department Felix Houphou\u00ebt Boigny University, University Hospital of Yopougon  Abidjan C\u00f4te d'Ivoire"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Didi\u2010Kouko\u2010Coulibaly","sequence":"additional","affiliation":[{"name":"Alassane Ouattara National Centre of Oncology and Radiotherapy (CNRAO)  Abidjan C\u00f4te d'Ivoire"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aristophane","family":"Tanon","sequence":"additional","affiliation":[{"name":"Infectious and Tropical Diseases Department University Hospital of Treichville  Abidjan C\u00f4te d'Ivoire"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Boris K.","family":"Tchounga","sequence":"additional","affiliation":[{"name":"Elizabeth Glazer Paediatric AIDS Foundation  Yaound\u00e9 Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick A.","family":"Coffie","sequence":"additional","affiliation":[{"name":"Programme PAC\u2010CI  Abidjan C\u00f4te d'Ivoire"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Claude","family":"Comoe","sequence":"additional","affiliation":[{"name":"National Cancer Control Program  Abidjan C\u00f4te d'Ivoire"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raoul D.","family":"Moh","sequence":"additional","affiliation":[{"name":"Programme PAC\u2010CI  Abidjan C\u00f4te d'Ivoire"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fran\u00e7ois","family":"Dabis","sequence":"additional","affiliation":[{"name":"University of Bordeaux, National Institute for Health and Medical Research (INSERM) UMR 1219, Research Institute for Sustainable Development (IRD) EMR 271, Bordeaux Population Health Centre  Bordeaux France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Innocent","family":"Adoubi","sequence":"additional","affiliation":[{"name":"National Cancer Control Program  Abidjan C\u00f4te d'Ivoire"},{"name":"Oncology Department Felix Houphou\u00ebt Boigny University, University Hospital of Treichville  Abidjan C\u00f4te d'Ivoire"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antoine","family":"Jaquet","sequence":"additional","affiliation":[{"name":"University of Bordeaux, National Institute for Health and Medical Research (INSERM) UMR 1219, Research Institute for Sustainable Development (IRD) EMR 271, Bordeaux Population Health Centre  Bordeaux France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"The IeDEA West Africa Collaboration","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,6,22]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"GLOBOCAN 2020: New Global Cancer Data | UICC. 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