{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T01:15:01Z","timestamp":1784250901013,"version":"3.55.0"},"reference-count":23,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T00:00:00Z","timestamp":1731283200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100007553","name":"Aids Fonds","doi-asserted-by":"publisher","award":["P\u201061803"],"award-info":[{"award-number":["P\u201061803"]}],"id":[{"id":"10.13039\/100007553","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Cervical cancer and its precursor are labeled as HIV indicator conditions, justifying the recommendation of HIV testing for all patients. This study aimed to assess the acceptance and patients' and gynecologists' perceptions on HIV testing in patients with cervical dysplasia at the colposcopy outpatient clinic in hospitals in the Netherlands.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional study was conducted between May 2021 and February 2023 to implement point\u2010of\u2010care HIV testing in five hospitals in the Rotterdam region, the Netherlands. We included patients aged 18\u2009years and older, without documented HIV, presenting with cervical dysplasia. The primary outcome was the HIV test acceptance rate. Secondary outcomes were the HIV positivity rate and the association between dysplasia severity and test acceptance. We also assessed patients' and gynecologists' perspectives on this testing strategy with a questionnaire.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 563 patients, 523 accepted HIV testing, resulting in a test acceptance rate of 92.9% (95% confidence interval, 90.45%\u201394.88%). Testing rates were consistent among participating hospitals (91.6%\u2013100.0%) None of the patients tested positive for HIV. Severity of dysplasia was not associated with test acceptance (<jats:italic>P<\/jats:italic>\u2009=\u20090.768). Most patients (<jats:italic>n<\/jats:italic>\u2009=\u2009500, 96.0%) reported good or higher experience with this testing strategy. The main barriers for gynecologists to offer HIV testing were lack of time (<jats:italic>n<\/jats:italic>\u2009=\u200922, 33.9%) and fear to offend a patient (<jats:italic>n<\/jats:italic>\u2009=\u20097, 12.5%). Less than half (<jats:italic>n<\/jats:italic>\u2009=\u200919, 39.3%) of gynecologists believed an HIV test should be offered to all patients with cervical dysplasia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Point\u2010of\u2010care HIV testing at colposcopy outpatient clinics was well accepted by patients. The data indicate that the primary barrier lies with the physicians to offer such testing.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.16010","type":"journal-article","created":{"date-parts":[[2024,11,11]],"date-time":"2024-11-11T14:10:14Z","timestamp":1731334214000},"page":"155-162","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["High acceptability of point\u2010of\u2010care <scp>HIV<\/scp> testing at the colposcopy outpatient clinic in hospitals in the Netherlands"],"prefix":"10.1002","volume":"169","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5665-5407","authenticated-orcid":false,"given":"R. L. O.","family":"van de Laar","sequence":"first","affiliation":[{"name":"Department of Gynaecology Oncology Erasmus MC Cancer Institute, University Medical Center  Rotterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-2826-5355","authenticated-orcid":false,"given":"C. C. E.","family":"Jordans","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology and Infectious Diseases Erasmus University Medical Center  Rotterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-5193-9265","authenticated-orcid":false,"given":"A.","family":"Salmaan","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology and Infectious Diseases Erasmus University Medical Center  Rotterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2757-9230","authenticated-orcid":false,"given":"W.","family":"Hofhuis","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Franciscus Gasthuis and Vlietland  Rotterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6517-8439","authenticated-orcid":false,"given":"S. A. H. M.","family":"van den Tillaart","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology IJsselland Hospital  Capelle aan den IJssel The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1467-6290","authenticated-orcid":false,"given":"I. A. M.","family":"van der Avoort","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Ikazia Hospital  Rotterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9983-4061","authenticated-orcid":false,"given":"P. J.","family":"Timmers","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology Maasstad Hospital  Rotterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8899-7412","authenticated-orcid":false,"given":"H. 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C.","family":"van Doorn","sequence":"additional","affiliation":[{"name":"Department of Gynaecology Oncology Erasmus MC Cancer Institute, University Medical Center  Rotterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1904-6450","authenticated-orcid":false,"given":"C.","family":"Rokx","sequence":"additional","affiliation":[{"name":"Department of Medical Microbiology and Infectious Diseases Erasmus University Medical Center  Rotterdam the Netherlands"},{"name":"Department of Internal Medicine Erasmus University Medical Center  Rotterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,11,11]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"Europe Hi.Guidance.pdf. 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