{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T13:23:57Z","timestamp":1790429037368,"version":"4.1.0"},"reference-count":42,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2018,7,3]],"date-time":"2018-07-03T00:00:00Z","timestamp":1530576000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"BioReference Laboratories"},{"name":"Reducing Health Disparities Through Informatics (RHeaDI) training grant","award":["T32 NR007969"],"award-info":[{"award-number":["T32 NR007969"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:p>Cervical cancer is the third leading cause of cancer-related death and the second most diagnosed cancer among women in developing countries. We determined the prevalence of abnormal Papanicolaou (Pap), high-risk HPV (hrHPV), and colposcopy among transactional female sex workers (FSWs) in La Romana, Dominican Republic. The results of 144 FSWs of ages 18\u201354 years who completed a demographic interview and Pap testing with hrHPV detection between June 2015 and April 2016 were analyzed. Women with abnormal results were referred for colposcopy. Risk factors for abnormal Pap were assessed through bivariate and multivariate analyses. Overall, 36.1% (52\/144) of Paps were abnormal and 43.4% (62\/143) had hrHPV. Of all women with hrHPV and\/or abnormal Pap (68\/144; 47.2%), 61 (89.7%) were referred and 16 (26.2) underwent colposcopy. HPV16 and\/or 18\/45 was detected in 33.3% (15\/45) of low-grade Paps. Binge drinking, weekly (AOR 5.1, 95% CI: 1.8\u201314.5) or daily (AOR 4.9, 95% CI: 1.5\u201316.6), and age at first sexual relation (AOR 1.2, 95% CI: 1.0\u20131.5) were significantly associated ( p\u2009&lt;\u20090.05) with abnormal Pap. Although almost half of participants had abnormal Pap or hrHPV, few underwent colposcopy. Improving access to cervical cancer screening and follow-up for FSWs is imperative.<\/jats:p>","DOI":"10.1177\/0956462418779662","type":"journal-article","created":{"date-parts":[[2018,7,3]],"date-time":"2018-07-03T03:29:25Z","timestamp":1530588565000},"page":"1204-1214","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Cervical cancer screening among transactional female sex workers in the Dominican Republic"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8082-1607","authenticated-orcid":false,"given":"Sheyla D","family":"Richards","sequence":"first","affiliation":[{"name":"Program for Global and Population Health, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Stonbraker","sequence":"additional","affiliation":[{"name":"Columbia University School of Nursing, New York, NY, USA"},{"name":"Cl\u00ednica de Familia, La Romana, Dominican Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mina","family":"Halpern","sequence":"additional","affiliation":[{"name":"Cl\u00ednica de Familia, La Romana, Dominican Republic"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"Amesty","sequence":"additional","affiliation":[{"name":"Program for Global and Population Health, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA"},{"name":"Heilbrunn Department of Population and Family Health, Columbia University, Mailman School of Public Health, New York, NY, USA"},{"name":"Center for Family and Community Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,7,3]]},"reference":[{"key":"bibr1-0956462418779662","doi-asserted-by":"crossref","unstructured":"Torre LA, Bray F, Siegel RL, et\u00a0al. Global Cancer Statistics.\n                      Ca Cancer J Clin\n                      2012. 2015; 65: 87\u2013108.","DOI":"10.3322\/caac.21262"},{"key":"bibr2-0956462418779662","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-12-0147"},{"key":"bibr3-0956462418779662","unstructured":"Ach\u00e9caringo MM, Ramirez MN, Polanco JJ, et\u00a0al.\n                      Encuesta demograf\u00edca y de salud 2013\n                      . Santo Domingo, http:\/\/dominicanrepublic.unfpa.org\/sites\/default\/files\/pub-pdf\/DRDHS2013-Final02-10-2013.pdf 2013 (accessed 20 April 2017)."},{"key":"bibr4-0956462418779662","unstructured":"Bruni L, Barrionuevo-Rosas L, Albero G, et\u00a0al.\n                      Dominican Republic: human papillomavirus and related cancers \u2013 fact sheet 2016\n                      . Barcelona, http:\/\/www.hpvcentre.net\/statistics\/reports\/KEN_FS.pdf 2016 (accessed 21 April 2017)."},{"key":"bibr5-0956462418779662","doi-asserted-by":"publisher","DOI":"10.1186\/1750-9378-4-S1-S9"},{"key":"bibr6-0956462418779662","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2008.06.013"},{"key":"bibr7-0956462418779662","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2008.05.064"},{"key":"bibr8-0956462418779662","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(07)70158-5"},{"key":"bibr9-0956462418779662","unstructured":"Petrosky EJr, Bocchini JA, Hariri S, et\u00a0al.\n                      Use of 9-valent human papillomavirus (HPV) vaccine: updated HPV vaccination recommendations of the Advisory Committee on Immunization Practices\n                      2015; 64: 300\u2013304. DOI: mm6411a2 [pii]."},{"key":"bibr10-0956462418779662","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2012.07.055"},{"key":"bibr11-0956462418779662","unstructured":"Bruni L, Barrionuevo-Rosas L, Albero G, et\u00a0al.\n                      Human papillomavirus and related diseases in Dominican Republic: Summary Report\n                      , http:\/\/www.hpvcentre.net\/statistics\/reports\/DOM.pdf 2017 (accessed 6 June 2017)."},{"key":"bibr12-0956462418779662","doi-asserted-by":"crossref","unstructured":"Shepherd JP, Frampton GK, Harris P. Interventions for encouraging sexual behaviours intended to prevent cervical cancer.\n                      Cochrane Database Syst Rev\n                      2014; Art. No.: CD001035. DOI:10.1002\/14651858.CD001035. pub.; 1\u2013185.","DOI":"10.1002\/14651858.CD001035.pub2"},{"key":"bibr13-0956462418779662","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0808516"},{"key":"bibr14-0956462418779662","unstructured":"Rojas Gom\u00e9z B, Rodr\u00edguez Monegro N, Rodr\u00edguez Aybar J, et al. Normas de prevenci\u00f3n, diagn\u00f3stico temprano y tratamiento de c\u00e1ncer c\u00e9rvico-uterino. Santo Domingo, http:\/\/www.msp.gob.do\/oai\/documentos\/Normas\/ENFERMEDADES%20NO%20TRANSMISIBLES\/CANCER-CERVICO-UTERINO.pdf 2007 (accessed 5 May 2017)."},{"key":"bibr15-0956462418779662","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2002.003749"},{"key":"bibr16-0956462418779662","unstructured":"COPRESIDA. Segunda Encuesta de Vigilancia de Comportamiento con Vinculacion Serologica en Poblaciones Claves Rep\u00fablica Dominicana. Santo Domingo, http:\/\/www.mcr-comisca.org\/sites\/all\/modules\/ckeditor\/ckfinder\/userfiles\/files\/ECVC%20Republica%20Dominicana%202012.pdf 2012 (accessed 21 April 2017)."},{"key":"bibr17-0956462418779662","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2009.03.009"},{"key":"bibr18-0956462418779662","doi-asserted-by":"publisher","DOI":"10.1378\/chest.06-2088"},{"key":"bibr19-0956462418779662","doi-asserted-by":"publisher","DOI":"10.1017\/S0021932012000715"},{"key":"bibr20-0956462418779662","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2004.042200"},{"key":"bibr21-0956462418779662","doi-asserted-by":"publisher","DOI":"10.2174\/1874613601307010058"},{"key":"bibr22-0956462418779662","doi-asserted-by":"publisher","DOI":"10.1136\/sti.2010.043315"},{"key":"bibr23-0956462418779662","doi-asserted-by":"publisher","DOI":"10.1097\/00007435-200103000-00001"},{"key":"bibr24-0956462418779662","doi-asserted-by":"publisher","DOI":"10.1590\/S1020-49892013000300003"},{"key":"bibr25-0956462418779662","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.16.1.1-17.2003"},{"key":"bibr26-0956462418779662","first-page":"107","volume":"2","author":"Monie A","year":"2008","journal-title":"Biol Targets Ther"},{"key":"bibr27-0956462418779662","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0169327"},{"key":"bibr28-0956462418779662","doi-asserted-by":"publisher","DOI":"10.1177\/0956462416651374"},{"key":"bibr29-0956462418779662","doi-asserted-by":"publisher","DOI":"10.1097\/LGT.0b013e31824ca9d5"},{"key":"bibr30-0956462418779662","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0088157"},{"key":"bibr31-0956462418779662","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199802123380703"},{"key":"bibr32-0956462418779662","doi-asserted-by":"publisher","DOI":"10.1007\/s10903-012-9653-z"},{"key":"bibr33-0956462418779662","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e3181677547"},{"key":"bibr34-0956462418779662","doi-asserted-by":"publisher","DOI":"10.1093\/alcalc\/agp095"},{"key":"bibr35-0956462418779662","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-012-0064-y"},{"key":"bibr36-0956462418779662","doi-asserted-by":"publisher","DOI":"10.1258\/095646207782212342"},{"key":"bibr37-0956462418779662","doi-asserted-by":"publisher","DOI":"10.1007\/s10461-010-9731-y"},{"key":"bibr38-0956462418779662","first-page":"92","volume":"34","author":"Deschamps MM","year":"2013","journal-title":"Rev Panam Salud Publica"},{"key":"bibr39-0956462418779662","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0072142"},{"key":"bibr40-0956462418779662","doi-asserted-by":"publisher","DOI":"10.1016\/j.alcohol.2008.02.003"},{"key":"bibr41-0956462418779662","first-page":"456","volume":"52","author":"Woodworth CD","year":"1992","journal-title":"Cancer Res"},{"key":"bibr42-0956462418779662","doi-asserted-by":"publisher","DOI":"10.1038\/nrc798"}],"container-title":["International Journal of STD &amp; AIDS"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0956462418779662","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0956462418779662","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0956462418779662","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:38:26Z","timestamp":1777675106000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0956462418779662"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,7,3]]},"references-count":42,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2018,10]]}},"alternative-id":["10.1177\/0956462418779662"],"URL":"https:\/\/doi.org\/10.1177\/0956462418779662","relation":{},"ISSN":["0956-4624","1758-1052"],"issn-type":[{"value":"0956-4624","type":"print"},{"value":"1758-1052","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,7,3]]}}}