Social and Structural Determinants of Cervical Health among Women Engaged in HIV Care View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2016-09

AUTHORS

Shalanda A. Bynum, Lisa T. Wigfall, Heather M. Brandt, Carmen Hampton Julious, Saundra H. Glover, James R. Hébert

ABSTRACT

Cervical cancer prevention/control efforts among women living with HIV/AIDS (WLH) are socially and structurally challenging. Healthcare access and perceived HIV stigma and discrimination are factors that may challenge risk reduction efforts. This study examined socio-structural determinants of cervical cancer screening among women engaged in HIV care. One hundred forty-five WLH seeking health/social services from AIDS Service Organizations in the southeastern US completed a questionnaire assessing factors related to cervical cancer prevention/control. Ninety percent were African American, mean age 46.15 ± 10.65 years. Eighty-one percent had a Pap test <1 year ago. Low healthcare access was positively associated with having a Pap test <1 year ago, (Odds ratio [OR] 3.80; 95 % Confidence interval [CI] 1.34-10.78). About 36 % reported ≥2 Pap tests during the first year after HIV diagnosis. Lower educational attainment was positively associated with having ≥2 Pap tests, OR 3.22; CI 1.08-9.62. Thirty-five percent reported more frequent Pap tests after diagnosis. Lower income was moderately associated with more frequent Pap tests post-diagnosis, OR 2.47; CI .98-6.23. Findings highlight the successes of HIV initiatives targeting socio-economically disadvantaged women and provide evidence that health policy aimed at providing and expanding healthcare access for vulnerable WLH has beneficial health implications. More... »

PAGES

2101-2109

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10461-016-1345-6

DOI

http://dx.doi.org/10.1007/s10461-016-1345-6

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1027293552

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/26955821


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