{"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":1790201374572,"version":"4.1.0"},"reference-count":37,"publisher":"BMJ","issue":"8","funder":[{"DOI":"10.13039\/100000009","name":"Foundation for the National Institutes of Health","doi-asserted-by":"publisher","award":["5U01AI069919"],"award-info":[{"award-number":["5U01AI069919"]}],"id":[{"id":"10.13039\/100000009","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2019,7,4]]},"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Despite the increasing number of interventions aiming to integrate cervical cancer screening into HIV clinics in sub-Saharan Africa, Women living with HIV (WLHIV) still have a high risk of developing cervical cancer. The aim of this study was to estimate the coverage of cervical cancer screening and associated factors among WLHIV in Abidjan, C\u00f4te d\u2019Ivoire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Cross-sectional survey conducted from May to August 2017.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Settings<\/jats:title>\n                    <jats:p>Outpatient setting in the four highest volume urban HIV clinics of government\u2019s or non-governmental organisation\u2019s sector in C\u00f4te d\u2019Ivoire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>All WLHIV, aged 25\u201355 years, followed since at least 1\u2009year, selected through a systematic sampling procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention<\/jats:title>\n                    <jats:p>A standardised questionnaire administered to each participant by trained healthcare workers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome<\/jats:title>\n                    <jats:p>Cervical cancer screening uptake.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 1991 WLHIV were included in the study, aged in median 42 years (IQR 37\u201347), and a median CD4 count (last known) of 563 (378-773) cells\/mm\n                      <jats:sup>3<\/jats:sup>\n                      . Among the participants, 1913 (96.1%) had ever heard about cervical cancer, 1444 (72.5%) had been offered cervical cancer screening, mainly in the HIV clinic for 1284 (88.9%), and 1188 reported a personal history of cervical cancer screening for an overall coverage of 59.7% (95% CI 57.6 to 62.0). In multivariable analysis, university level (adjusted OR (aOR) 2.1; 95% CI 1.4 to 3.1, p&lt;0.001), being informed on cervical cancer at the HIV clinic (aOR 1.5; 95% CI 1.1 to 2.0, p=0.017), receiving information self-perceived as \u2018clear and understood\u2019 on cervical cancer (aOR 1.7; 95% CI 1.4 to 2.2, p&lt;0.001), identifying HIV as a risk factor for cervical cancer (aOR 1.4; 95% CI 1.1 to 1.8, p=0.002) and being proposed cervical cancer screening in the HIV clinic (aOR 10.1; 95% CI 7.6 to 13.5, p&lt;0.001), were associated with cervical cancer screening uptake.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Initiatives to support cervical cancer screening in HIV care programmes resulted in effective access to more than half of the WLHIV in Abidjan. Efforts are still needed to provide universal access to cervical cancer screening, especially among socioeconomically disadvantaged WLHIV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2019-029882","type":"journal-article","created":{"date-parts":[[2019,8,31]],"date-time":"2019-08-31T07:45:45Z","timestamp":1567237545000},"page":"e029882","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":36,"title":["Cervical cancer screening uptake and correlates among HIV-infected women: a cross-sectional survey in C\u00f4te d\u2019Ivoire, West Africa"],"prefix":"10.1136","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8747-9610","authenticated-orcid":false,"given":"Boris","family":"Tchounga","sequence":"first","affiliation":[{"name":"Operations Research IeDEA, Programme PACCI, Site ANRS, Abidjan, Lagune, C\u00f4te d'Ivoire"},{"name":"Public Health Evaluation and Research, Elizabeth Glaser Pediatric AIDS Foundation, Yaounde, Center, Cameroon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon Pierre","family":"Boni","sequence":"additional","affiliation":[{"name":"Operations Research IeDEA, Programme PACCI, Site ANRS, Abidjan, Lagune, C\u00f4te d'Ivoire"},{"name":"Research, Programme National de Lutte contre le Cancer, Abidjan, Lagune, C\u00f4te d'Ivoire"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean Jacques","family":"Koffi","sequence":"additional","affiliation":[{"name":"Operations Research IeDEA, Programme PACCI, Site ANRS, Abidjan, Lagune, C\u00f4te d'Ivoire"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Apollinaire G","family":"Horo","sequence":"additional","affiliation":[{"name":"Service de Gyn\u00e9cologie obst\u00e9trique, CHU de Yopougon, Abidjan, Lagune, C\u00f4te d'Ivoire"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aristophane","family":"Tanon","sequence":"additional","affiliation":[{"name":"Service des Maladies Infectieuses et Tropicales, CHU de Treichville, Abidjan, C\u00f4te d'Ivoire"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eug\u00e8ne","family":"Messou","sequence":"additional","affiliation":[{"name":"Centre de Prise en Charge de Recherche et de Formation CEPREF, Abidjan, C\u00f4te d'Ivoire"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Serge-Olivier","family":"Koul\u00e9","sequence":"additional","affiliation":[{"name":"Unit\u00e9 de soins ambulatoires et de conseils d\u2019Abidjan, USAC, Abdjan, C\u00f4te d'Ivoire"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Innocent","family":"Adoubi","sequence":"additional","affiliation":[{"name":"Research, Programme National de Lutte contre le Cancer, Abidjan, Lagune, C\u00f4te d'Ivoire"},{"name":"Service de canc\u00e9rologie CHU de Treichville, Abidjan, Lagune, C\u00f4te d'Ivoire"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Didier K","family":"Ekouevi","sequence":"additional","affiliation":[{"name":"D\u00e9partement des Sciences Fondamentales et Sant\u00e9 Publique, Universit\u00e9 de Lom\u00e9, Lome, Togo"},{"name":"Centre Inserm 1219 and Institut de Sant\u00e9 Publique d\u2019\u00e9pid\u00e9miologie et de d\u00e9veloppement, Universit\u00e9 de Bordeaux, Bordeaux, Girond, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antoine","family":"Jaquet","sequence":"additional","affiliation":[{"name":"Centre Inserm 1219 and Institut de Sant\u00e9 Publique d\u2019\u00e9pid\u00e9miologie et de d\u00e9veloppement, Universit\u00e9 de Bordeaux, Bordeaux, Girond, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,8,30]]},"reference":[{"key":"2025101810304867000_9.8.e029882.1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21492"},{"key":"2025101810304867000_9.8.e029882.2","unstructured":"International Agency for Research on Cancer . 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