{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T08:06:37Z","timestamp":1759565197798,"version":"3.44.0"},"reference-count":11,"publisher":"BMJ","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Fam Plann Reprod Health Care"],"accepted":{"date-parts":[[2011,6,17]]},"published-print":{"date-parts":[[2011,10]]},"abstract":"<jats:sec>\n                  <jats:title>Introduction<\/jats:title>\n                  <jats:p>The 2008 National HIV testing guidelines produced jointly by the British Association of Sexual Health and HIV, British HIV Association and British Infection Society recommend HIV testing for patients attending termination of pregnancy (TOP) services and patients diagnosed with cervical intraepithelial neoplasia (CIN) Grade 2 or above. The aim is to reduce the time between acquisition and diagnosis of HIV by encouraging testing in settings where patients present with indicator diseases. Benefits of earlier HIV diagnosis include improved survival, prevention of onward transmission, and optimisation of maternal health when planning pregnancy. There is evidence that HIV reduces the effectiveness of standard treatment for CIN 2\/3 and cervical cancer. The experience of antenatal screening indicates that the majority of women accept HIV screening if it is offered as part of a package of care.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This retrospective case notes review of 60 HIV-positive women, diagnosed between 1 January 2006 and 31 July 2009, collected data on age, ethnicity, length of time in the UK, timing of HIV diagnosis and possible timing of acquisition relative to attendance at colposcopy or TOP services, CD4 count and symptoms at diagnosis and cervical cytology history.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The authors found that three (5%) women were diagnosed with CIN Grade 2 or above prior to HIV diagnosis; HIV testing at the time of TOP may have resulted in earlier diagnosis for three (5%) women. There was at least one missed opportunity for earlier diagnosis in five (8%) cases.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>The authors suggest further work should be undertaken to establish HIV prevalence in TOP and colposcopy services and that HIV testing should become standard practice in the management of CIN 2\/3 and cervical cancer.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/jfprhc-2011-100106","type":"journal-article","created":{"date-parts":[[2011,8,11]],"date-time":"2011-08-11T23:59:34Z","timestamp":1313107174000},"page":"201-203","source":"Crossref","is-referenced-by-count":8,"title":["HIV testing in colposcopy and termination of pregnancy services: a missed opportunity?"],"prefix":"10.1136","volume":"37","author":[{"given":"Aparna","family":"Briggs","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David G","family":"Partridge","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sylvia","family":"Bates","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2011,8,11]]},"reference":[{"key":"2025090221575285000_37.4.201.1","unstructured":"National Institute for Health and Clinical Excellence. PH33 Increasing the Uptake of HIV Testing Among Black Africans in England: Guidance. 2011. http:\/\/guidance.nice.org.uk\/PH33\/Guidance\/pdf\/English [accessed 5 May 2011]."},{"key":"2025090221575285000_37.4.201.2","unstructured":"Health Protection Agency. HIV in the United Kingdom: 2010 Report. 2010. http:\/\/www.hpa.org.uk\/web\/HPAweb&HPAwebStandard\/HPAweb_C\/1287145264558 [accessed 5 May 2011]."},{"key":"2025090221575285000_37.4.201.3","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(09)70282-7"},{"key":"2025090221575285000_37.4.201.4","doi-asserted-by":"publisher","DOI":"10.1258\/095646206778145703"},{"key":"2025090221575285000_37.4.201.5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2004.10.003"},{"key":"2025090221575285000_37.4.201.6","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1155\/S1064744996000543","article-title":"Screening for human immunodeficiency virus in inner city females with abnormal cervical cytology","volume":"4","author":"Jennings","year":"1996","journal-title":"Infect Dis Obstet Gynecol"},{"key":"2025090221575285000_37.4.201.7","doi-asserted-by":"crossref","first-page":"1040","DOI":"10.1016\/0140-6736(92)93056-S","article-title":"Acceptability of screening for HIV seroprevalence in women with cervical pathology","volume":"340","author":"McCarthy","year":"1992","journal-title":"Lancet"},{"key":"2025090221575285000_37.4.201.8","doi-asserted-by":"publisher","DOI":"10.1006\/gyno.1993.1115"},{"key":"2025090221575285000_37.4.201.9","doi-asserted-by":"crossref","first-page":"590","DOI":"10.1097\/01.olq.0000175420.35851.6b","article-title":"HIV sentinel surveillance among women seeking elective pregnancy termination, San Francisco","volume":"32","author":"Drey","year":"2005","journal-title":"Sex Transm Dis"},{"key":"2025090221575285000_37.4.201.10","first-page":"25","article-title":"Voluntary named HIV testing amongst women undergoing termination of pregnancy is feasible and acceptable","volume":"9","author":"Crowe","year":"2008","journal-title":"HIV Med"},{"key":"2025090221575285000_37.4.201.11","unstructured":"Health Protection Agency. Time to Test for HIV: Expanded Healthcare and Community Testing in England, Interim Report. 2010. http:\/\/www.hpa.org.uk\/web\/HPAweb&HPAwebStandard\/HPAweb_C\/1287145269283 [accessed 5 May 2011]."}],"container-title":["Journal of Family Planning and Reproductive Health Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/jfprhc-2011-100106","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,9,3]],"date-time":"2025-09-03T04:58:01Z","timestamp":1756875481000},"score":1,"resource":{"primary":{"URL":"https:\/\/jfprhc.bmj.com\/lookup\/doi\/10.1136\/jfprhc-2011-100106"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,8,11]]},"references-count":11,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2011,9,16]]},"published-print":{"date-parts":[[2011,10]]}},"alternative-id":["10.1136\/jfprhc-2011-100106"],"URL":"https:\/\/doi.org\/10.1136\/jfprhc-2011-100106","relation":{},"ISSN":["1471-1893","2045-2098"],"issn-type":[{"type":"print","value":"1471-1893"},{"type":"electronic","value":"2045-2098"}],"subject":[],"published":{"date-parts":[[2011,8,11]]}}}