{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:37:06Z","timestamp":1777927026471,"version":"3.51.4"},"reference-count":43,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2013,9,18]],"date-time":"2013-09-18T00:00:00Z","timestamp":1379462400000},"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":["Int J STD AIDS"],"published-print":{"date-parts":[[2014,4]]},"abstract":"<jats:p>Individual and sexual partner characteristics may increase the risk of abnormal cervical cytology among women in human immunodeficiency virus (HIV)-discordant relationships. Papanicolaou smears were obtained in a prospective cohort of Kenyan HIV-discordant couples. Of 441 women, 283 (64%) were HIV-infected and 158 (36%) were HIV-uninfected with HIV-infected partners. Overall, 79 (18%) had low-grade and 25 (6%) high-grade cervical abnormalities. Male herpes simplex virus type 2 (HSV-2) seropositivity and lower couple socioeconomic status were associated with cervical abnormalities ( p\u2009&lt;\u20090.05). HIV-uninfected women with HIV-infected male sex partners (CD4\u2009&gt;\u2009350 cells\/\u00b5L) had the lowest prevalence of high-grade cervical lesions. HIV-infected women (CD4\u2009&gt;\u2009350 cells\/\u00b5L) and HIV-uninfected women with HIV-infected partners (CD4\u2009\u2264\u2009350 cells\/\u00b5L) were at similar intermediate risk ( p\u2009&gt;\u20090.05), and HIV-infected women (CD4\u2009\u2264\u2009350 cells\/\u00b5L) had significantly higher risk of high-grade cervical abnormalities ( p\u2009=\u20090.05). Women in HIV-discordant relationships have high rates of cervical lesions and this may be influenced by couple-level factors, including HIV status and CD4 count of the infected partner.<\/jats:p>","DOI":"10.1177\/0956462413504554","type":"journal-article","created":{"date-parts":[[2013,9,18]],"date-time":"2013-09-18T23:41:22Z","timestamp":1379547682000},"page":"315-324","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Individual and partner risk factors associated with abnormal cervical cytology among women in HIV-discordant relationships"],"prefix":"10.1177","volume":"25","author":[{"given":"Jason","family":"Soh","sequence":"first","affiliation":[{"name":"School of Medicine, Virginia Commonwealth University, Richmond, VA, USA"},{"name":"Department of Epidemiology, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne F","family":"Rositch","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Johns Hopkins University, Baltimore, MD, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Koutsky","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brandon L","family":"Guthrie","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, University of Washington, Seattle, WA, USA"},{"name":"Department of Global Health, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert Y","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Medicine, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rose K","family":"Bosire","sequence":"additional","affiliation":[{"name":"Centre for Public Health Research, Kenya Medical Research Institute, Nairobi, Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ann","family":"Gatuguta","sequence":"additional","affiliation":[{"name":"School of Public Health, Kenyatta University, Nairobi, Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer S","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, University of North Carolina, Chapel Hill, NC, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"James","family":"Kiarie","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Nairobi, Nairobi, Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Lohman-Payne","sequence":"additional","affiliation":[{"name":"Department of Global Health, University of Washington, Seattle, WA, USA"},{"name":"Department of Paediatrics and Child Health, University of Nairobi, Nairobi, Kenya"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carey","family":"Farquhar","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, University of Washington, Seattle, WA, USA"},{"name":"Department of Global Health, University of Washington, Seattle, WA, USA"},{"name":"Department of Medicine, University of Washington, Seattle, WA, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2013,9,18]]},"reference":[{"key":"bibr1-0956462413504554","unstructured":"WHO\/ICO. 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