{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T10:39:51Z","timestamp":1791283191043,"version":"4.1.0"},"reference-count":28,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2015,10,8]],"date-time":"2015-10-08T00:00:00Z","timestamp":1444262400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Women's Health"],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Women living with HIV infection are at higher risk for cervical cancer, an AIDS-defining diagnosis. We examined the prevalence of cervical cancer and sexually transmitted disease (STD) screening among human immunodeficiency virus (HIV)-infected women and factors associated with the receipt of Papanicolaou (Pap) tests.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We did a cross-sectional analysis of weighted data from a sample of HIV-infected adults receiving outpatient medical care. We used matched interview (report of Pap test) and medical record data (STD screenings) from HIV-infected women. We performed logistic regression to compute adjusted prevalence ratios and 95% confidence intervals for the association between demographic, behavioral, and clinical factors and receipt of Pap tests among HIV-infected women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Data were available for 2,270 women, who represent 112,894 HIV-infected women; 62% were African American, 17% were Hispanic\/Latina, and 18% were white. Most (78%) reported having a Pap test in the past year. Among sexually active women (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20091234), 20% reported sex without condoms, 27% were screened for gonorrhea, and 29% were screened for chlamydia. Being screened for STDs was less likely among women who did not have a Pap test in the past year (adjusted prevalence ratios 0.82, 95% confidence interval 0.77\u20130.87). Women who were \u226550 years of age and reported income above federal poverty level, no sexual activity, depression, no HIV care from an obstetrician\/gynecologist, and no documented STD tests, were less likely to report a Pap test (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Screening for cervical cancer and STDs among HIV-infected women is suboptimal. Clinical visits for Pap tests are an important opportunity for HIV-infected sexually active women to also receive STD screenings and counseling regarding condoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/jwh.2015.5368","type":"journal-article","created":{"date-parts":[[2015,10,8]],"date-time":"2015-10-08T15:27:43Z","timestamp":1444318063000},"page":"124-132","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":20,"title":["Screening for Cervical Cancer and Sexually Transmitted Diseases Among HIV-Infected Women"],"prefix":"10.1177","volume":"25","author":[{"given":"Emma L.","family":"Frazier","sequence":"first","affiliation":[{"name":"Centers for Disease Control and Prevention","place":["Georgia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madeline Y.","family":"Sutton","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention","place":["Georgia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yunfeng","family":"Tie","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention","place":["Georgia"]},{"name":"ICF International"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.D.","family":"McNaghten","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention","place":["Georgia"]},{"name":"Emory University","place":["Georgia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet M.","family":"Blair","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention","place":["Georgia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacek","family":"Skarbinski","sequence":"additional","affiliation":[{"name":"Centers for Disease Control and Prevention","place":["Georgia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,10,8]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Centers for Disease Control and Prevention (CDC).. HIV surveillance report 2011 vol. 23. Atlanta: CDC 2013. Available at: www.cdc.gov\/hiv\/topics\/surveillance\/resources\/reports Accessed December1 2014."},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/dji073"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2011.08.017"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e31828177d7"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.293.12.1471"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1993.03500060023008"},{"key":"e_1_3_3_8_2","first-page":"1492","article-title":"Gynecologic care for women with human immunodeficiency virus","volume":"117","author":"American College of Obstetricians and Gynecologists (ACOG)","year":"2009","unstructured":"American College of Obstetricians and Gynecologists (ACOG). Gynecologic care for women with human immunodeficiency virus. Obstet Gynecol, 2009; 117:1492\u20131509.","journal-title":"Obstet Gynecol"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0b013e3181acb64a"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2010.2465"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31826a8bbd"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2014.12.003"},{"key":"e_1_3_3_13_2","first-page":"1","article-title":"Sexually transmitted diseases treatment guidelines, 2010","volume":"59","author":"Workowski KA","year":"2010","unstructured":"Workowski KA, , Berman S; Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines, 2010. MMWR Recomm Rep, 2010; 59:1\u2013116.","journal-title":"MMWR Recomm Rep"},{"key":"e_1_3_3_14_2","first-page":"1","article-title":"National Center for HIV\/AIDS, Viral Hepatitis STD, and TB Prevention CDC. 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