{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T22:19:40Z","timestamp":1761862780504,"version":"3.33.0"},"reference-count":20,"publisher":"SAGE Publications","issue":"8","license":[{"start":{"date-parts":[[2008,8,1]],"date-time":"2008-08-01T00:00:00Z","timestamp":1217548800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2008,8]]},"abstract":"<jats:p> We conducted a cross-sectional study with 385 HIV-positive women in Bangkok to assess the prevalence and predictors of cervical abnormalities on Papanicolaou (Pap) smear. Low-grade squamous intraepithelial lesions (LSIL), high-grade SIL (HSIL) and invasive cervical cell cancer (ICC) were assessed by cytological examination after Pap smear and logistic regression models were used to assess associations with patient characteristics. Overall prevalence of LSIL, HSIL and ICC were 11.2% (95% confidence interval [CI] 8.2-14.7%), 4.7% (95%CI 2.8-7.3%) and 0.5% (95%CI 0.06-1.9%), respectively. In multivariate models, only the nadir CD4 count and income remained significantly associated with cytological abnormalities, whereas smoking, hormonal contraceptive or antiretroviral use, condom use, parity and number of lifetime sexual partners were not associated. The odds ratio for having cytological abnormalities was 2.6 (95% CI 1.24-5.34) in those with a nadir CD4 count &lt;200 cells\/mm<jats:sup>3<\/jats:sup> compared with those with a higher nadir CD4 count, and 1.99 (1.11 -3.57) in those with an income of &lt;125 US dollars\/month compared with those with higher incomes. In settings where access to affordable treatment is improving, this study reinforces the importance of regular Pap smear screening in HIV-positive women, particularly those with low nadir CD4 counts and lower incomes. <\/jats:p>","DOI":"10.1258\/ijsa.2007.007222","type":"journal-article","created":{"date-parts":[[2008,7,28]],"date-time":"2008-07-28T17:12:55Z","timestamp":1217265175000},"page":"529-532","source":"Crossref","is-referenced-by-count":14,"title":["Nadir CD4 count and monthly income predict cervical squamous cell abnormalities in HIV-positive women in a resource-limited setting"],"prefix":"10.1177","volume":"19","author":[{"given":"Somsamorn","family":"Mangclaviraj","sequence":"first","affiliation":[{"name":"Thai Red Cross AIDS Research Centre, 104 Ratchadamri Road;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen J","family":"Kerr","sequence":"additional","affiliation":[{"name":"HIV-Netherlands-Australia-Thailand Research Collaboration (HIV-NAT);"},{"name":"National Centre in HIV Epidemiology and Clinical Research, University of New South Wales, Sydney, Australia;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Surasith","family":"Chaithongwongwatthana","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jintanat","family":"Ananworanich","sequence":"additional","affiliation":[{"name":"HIV-Netherlands-Australia-Thailand Research Collaboration (HIV-NAT);"},{"name":"South East Asia Research Collaboration with Hawaii (SEARCH), Bangkok, Thailand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernard","family":"Hirschel","sequence":"additional","affiliation":[{"name":"Geneva University Hospital. Geneva, Switzerland;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"Emery","sequence":"additional","affiliation":[{"name":"National Centre in HIV Epidemiology and Clinical Research, University of New South Wales, Sydney, Australia;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David A","family":"Cooper","sequence":"additional","affiliation":[{"name":"National Centre in HIV Epidemiology and Clinical Research, University of New South Wales, Sydney, Australia;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pichai","family":"Chotnopparatpattara","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiat","family":"Ruxrungtham","sequence":"additional","affiliation":[{"name":"Thai Red Cross AIDS Research Centre, 104 Ratchadamri Road;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Praphan","family":"Phanuphak","sequence":"additional","affiliation":[{"name":"HIV-Netherlands-Australia-Thailand Research Collaboration (HIV-NAT);"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2008,8,1]]},"reference":[{"key":"bibr1-ijsa.2007.007222","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.10453"},{"key":"bibr2-ijsa.2007.007222","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/94.19.1469"},{"key":"bibr3-ijsa.2007.007222","unstructured":"UNAIDS\/UNFPA\/UNIFEM. Women and AIDS: Confronting the Crisis, 2004. 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