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HIV status, age at cervical Cancer screening and cervical cytology outcomes in an opportunistic screening setting in Nigeria: a 10-year Cross sectional data analysis.


ABSTRACT: Background:Invasive cervical cancer (ICC) is more prevalent in HIV infected women and occurs at younger median age than in HIV negative women. Organized cervical cancer screening (CCS) is presently lacking in Nigeria, and the age at CCS is not known in this population. We sought to examine the age at CCS, the cytology outcomes and whether outcomes differ by HIV infection status in an opportunistic screening setting. Methods:Cross-sectional analysis of data on a sample of women who had received a CCS in an opportunistic screening service in Jos, Nigeria over a 10-year time period (2006-2016). We used logistic regression models to estimate the independent effect of patient-reported HIV and age at CCS and odds ratios for abnormal cytology outcomes adjusting for other covariates. We also assessed the correlation between median age at CCS and severity of abnormal cervical cytology outcomes. Statistical analyses were done on STATA version 14, College Station, Texas, USA. Results:In a sample of 14,088, the median age at CCS was 37?years (IQR; 30-45). For HIV infected women vs. uninfected women, CCS occurred at earlier ages (35.0?±?7.4 vs 38.2?±?10.2?years, p?

SUBMITTER: Musa J 

PROVIDER: S-EPMC6884842 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature

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HIV status, age at cervical Cancer screening and cervical cytology outcomes in an opportunistic screening setting in Nigeria: a 10-year Cross sectional data analysis.

Musa Jonah J   Achenbach Chad J CJ   Evans Charlesnika T CT   Jordan Neil N   Daru Patrick H PH   Silas Olugbenga O   Sagay Atiene S AS   Anorlu Rose R   Mehta Supriya D SD   Wehbe Firas F   Simon Melissa A MA   Adewole Isaac F IF   Hou Lifang L   Murphy Robert L RL  

Infectious agents and cancer 20191129


<h4>Background</h4>Invasive cervical cancer (ICC) is more prevalent in HIV infected women and occurs at younger median age than in HIV negative women. Organized cervical cancer screening (CCS) is presently lacking in Nigeria, and the age at CCS is not known in this population. We sought to examine the age at CCS, the cytology outcomes and whether outcomes differ by HIV infection status in an opportunistic screening setting.<h4>Methods</h4>Cross-sectional analysis of data on a sample of women who  ...[more]

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