{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T22:09:34Z","timestamp":1790201374561,"version":"4.1.0"},"reference-count":36,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T00:00:00Z","timestamp":1762819200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001711","name":"Schweizerischer Nationalfonds zur F\u00f6rderung der Wissenschaftlichen Forschung","doi-asserted-by":"publisher","award":["33FIQ2\u20100_229621"],"award-info":[{"award-number":["33FIQ2\u20100_229621"]}],"id":[{"id":"10.13039\/501100001711","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>We assessed factors associated with attendance at gynaecological visits and cervical cancer screening, and estimated the incidence of cervical dysplasia and cancer among women with HIV (WWH) in Switzerland over two decades.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We used self\u2010reported gynaecological information, collected biannually, in the Swiss HIV Cohort Study between April 2001 and June 2022. We used mixed\u2010effects logistic regression to examine factors associated with attending yearly gynaecological visits and having cervical smears performed. We estimated cervical dysplasia and cancer incidence rates per 100\u2009000 person\u2010years and used Cox regression to assess factors associated with incident dysplasia and cancer.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 4052 included WWH, cervical smears were collected in 83% of 33\u2009097 pregnancy\u2010unrelated visits. Gynaecological visits were less common among older women, among those with lower education, or with a history of intravenous drug use. If a gynaecological visit occurred, cervical smears were less common among women of Black than White ethnicity. Among 3970 women included in the incidence analysis, 218 cervical dysplasias (crude rate: 466\/100\u2009000 person\u2010years) and 14 cervical cancers (crude rate: 28\/100\u2009000 person\u2010years) were recorded. Women who had cervical smears documented in a higher proportion of time periods were more likely to have a cervical dysplasia diagnosis but less likely to have a cervical cancer diagnosis documented.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We found substantial disparities in the uptake of gynaecological visits and cervical smears by age, education level, ethnicity and intravenous drug use. Implementing more targeted and integrated cervical cancer screening and gynaecological care models may help reduce these disparities and improve prevention of cervical cancer among WWH in Switzerland.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hiv.70137","type":"journal-article","created":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T11:48:07Z","timestamp":1762861687000},"page":"1963-1972","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Factors associated with uptake of gynaecological care and cervical cancer screening among women in the Swiss\n                    <scp>HIV<\/scp>\n                    Cohort Study"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-0925-3576","authenticated-orcid":false,"given":"Mailin","family":"Waldecker","sequence":"first","affiliation":[{"name":"Department of Gynecology and Obstetrics University Hospital of Bern and University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katayoun","family":"Taghavi","sequence":"additional","affiliation":[{"name":"Institute of Social and Preventive Medicine University of Bern  Bern Switzerland"},{"name":"Early Detection, Prevention and Infections Branch, International Agency for Research on Cancer World Health Organization (IARC\/WHO)  Lyon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8730-790X","authenticated-orcid":false,"given":"Chloe","family":"Pasin","sequence":"additional","affiliation":[{"name":"Institute of Medical Virology University of Zurich  Zurich Switzerland"},{"name":"SHARE Collaborative, Blizard Institute Queen Mary University of London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philip E.","family":"Tarr","sequence":"additional","affiliation":[{"name":"University Center for Internal Medicine and Infectious Diseases Service, Kantonsspital Baselland University of Basel  Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Hachfeld","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, University Hospital Bern University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aline","family":"Munting","sequence":"additional","affiliation":[{"name":"Service of Infectious Diseases Lausanne University Hospital and University of Lausanne  Lausanne Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene A.","family":"Abela","sequence":"additional","affiliation":[{"name":"Institute of Medical Virology University of Zurich  Zurich Switzerland"},{"name":"Department of Infectious Diseases and Hospital Epidemiology University Hospital Zurich  Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maja","family":"Weisser","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases University Hospital Basel  Basel Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bettina","family":"Schlatter","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics University Hospital of Bern and University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivier","family":"Nawej","sequence":"additional","affiliation":[{"name":"HIV Unit, Infectious Diseases Division, Department of Medicine University Hospital of Geneva  Geneva Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enos","family":"Bernasconi","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Ente Ospedaliero Cantonale University of Geneva and University of Southern Switzerland  Lugano Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0554-2875","authenticated-orcid":false,"given":"Eliane","family":"Rohner","sequence":"additional","affiliation":[{"name":"Institute of Social and Preventive Medicine University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9337-900X","authenticated-orcid":false,"given":"Karoline","family":"Aebi\u2010Popp","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases, University Hospital Bern University of Bern  Bern Switzerland"},{"name":"Department of Obstetrics and Gynecology Lindenhofspital  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"the Swiss HIV Cohort Study (SHCS)","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,11]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470\u20102045(10)70230\u20108"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21660"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214\u2010109X(20)30459\u20109"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000001765"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2022.101813"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41416\u2010020\u20100920\u20109"},{"key":"e_1_2_10_8_1","unstructured":"MolinaJ CalmyA LeviL AmbrosioniJ.EACS European AIDS Clinical Society 1. EACS Guidelines 12.0.2023."},{"key":"e_1_2_10_9_1","first-page":"97","volume-title":"Guideline for Screening and Treatment of Cervical Pre\u2010cancer Lesions for Cervical Cancer Prevention","author":"WHO","year":"2021"},{"key":"e_1_2_10_10_1","volume-title":"Empfehlungen f\u00fcr die Geb\u00e4rmutterhalskrebsvorsorge. Expertenbrief No 50","author":"Frey Tirri B","year":"2018"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.QAI.0000245884.66509.7A"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyab141"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0B013E31828177D7"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckae152"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/IJC.32260"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000000929"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002371"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2352\u20103018(17)30149\u20102"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.YPMED.2023.107494"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/JNCI\/89.12.868"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(88)90469\u20102"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/S12913\u2010023\u201009410\u2010X\/TABLES\/4"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17207473"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/08897077.2021.2010257"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2008.0881"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1089\/apc.2009.0295"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2020.12.011"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.4414\/smw.2012.13663"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.5603\/GP.a2018.0012"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000003972"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/S12913\u2010023\u201009326\u20106\/TABLES\/4"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1080\/14796694.2024.2409625"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1136\/BMJGH\u20102018\u2010001351"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/J.YPMED.2021.106900"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.7554\/ELIFE.80905"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470\u20102045(24)00189\u2010X\/ASSET\/3099EB3A\u2010C7CA\u201044D6\u20109E22\u2010EBDE8C3575DC\/MAIN.ASSETS\/GR3B.SML"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1002\/IJC.34850"}],"container-title":["HIV Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/hiv.70137","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T07:29:17Z","timestamp":1764574157000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/hiv.70137"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,11]]},"references-count":36,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1111\/hiv.70137"],"URL":"https:\/\/doi.org\/10.1111\/hiv.70137","archive":["Portico"],"relation":{},"ISSN":["1464-2662","1468-1293"],"issn-type":[{"value":"1464-2662","type":"print"},{"value":"1468-1293","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,11]]},"assertion":[{"value":"2025-07-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-10-18","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}