Prevalence and predictors of HIV screening in invasive cervical cancer: a 10 year cohort study

Alldredge, Jill; Leaf, Marie-Claire; Patel, Priya; Coakley, Katherine; Longoria, Teresa C.; McLaren, Christine E.; Randall, Leslie M.

doi:10.1136/ijgc-2019-000909

Cited by 3 publications

(1 citation statement)

References 13 publications

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“…In 2014, during the HIV in Europe Initiative, a set of guidelines were published regarding IC-HIVT for adults [18]. Although IC-HIVT is a cost-effective approach to identifying undiagnosed HIV [19][20][21], its implementation remains a major challenge in Australia [22], the United States [23,24], and Europe [25][26][27][28].…”

Section: Introductionmentioning

confidence: 99%

Enhancing indicator condition–guided HIV testing in Taiwan: a nationwide case–control study from 2009 to 2015

Lee,

Lin,

Lin

et al. 2024

BMC Public Health

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Background Although indicator condition (IC)-guided HIV testing (IC-HIVT) is effective at facilitating timely HIV diagnosis, research on IC categories and the related HIV risk in Taiwan is limited. To improve the adoption and spread of IC-HIVT in Taiwan, this study compared the IC categories of people living with HIV (PLWH) and non-HIV controls and investigated delays in the diagnosis of HIV infection. Methods This nationwide, retrospective, 1:10-matched case–control study analyzed data from the Notifiable Diseases Surveillance System and National Health Insurance Research Database to evaluate 42 ICs for the 5-year period preceding a matched HIV diagnostic date from 2009 to 2015. The ICs were divided into category 1 ICs (AIDS-defining opportunistic illnesses [AOIs]), category 2 ICs (diseases associated with impaired immunity or malignancy but not AOIs), category 3 ICs (ICs associated with sexual behaviors), and category 4 ICs (mononucleosis or mononucleosis-like syndrome). Logistic regression was used to evaluate the HIV risk associated with each IC category (at the overall and annual levels) before the index date. Wilcoxon rank-sum test was performed to assess changes in diagnostic delays following an incident IC category by HIV transmission routes. Results Fourteen thousand three hundred forty-seven PLWH were matched with 143,470 non-HIV controls. The prevalence results for all ICs and category 1–4 ICs were, respectively, 42.59%, 11.16%, 15.68%, 26.48%, and 0.97% among PLWH and 8.73%, 1.05%, 4.53%, 3.69%, and 0.02% among non-HIV controls (all P < 0.001). Each IC category posed a significantly higher risk of HIV infection overall and annually. The median (interquartile range) potential delay in HIV diagnosis was 15 (7–44), 324.5 (36–947), 234 (13–976), and 74 (33–476) days for category 1–4 ICs, respectively. Except for category 1 for men who have sex with men, these values remained stable across 2009–2015, regardless of the HIV transmission route. Conclusions Given the ongoing HIV diagnostic delay, IC-HIVT should be upgraded and adapted to each IC category to enhance early HIV diagnosis.

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Section: Introductionmentioning

confidence: 99%

Enhancing indicator condition–guided HIV testing in Taiwan: a nationwide case–control study from 2009 to 2015

Lee,

Lin,

Lin

et al. 2024

BMC Public Health

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Current evidence on the adoption of indicator condition guided testing for HIV in western countries: A systematic review and meta-analysis

et al. 2021

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Background: Indicator condition (IC) guided testing for HIV is an effective way to identify undiagnosed people living with HIV, but studies suggest its implementation is lacking. This systematic review provides an overview of the adoption of IC-guided testing in Western countries. Methods: Seven ICs were selected: tuberculosis (TB), malignant lymphoma, hepatitis B, hepatitis C, cervical/ vulvar carcinoma/intraepithelial neoplasia grade 2+ (CC/CIN2+, VC/VIN2+), and peripheral neuropathy (PN). Embase and Ovid MEDLINE were searched up to November 20th, 2020. Publications of all types, using data from 2009, reporting on HIV test ratios in patients 18 years in all settings in Western countries were eligible. HIV test ratios and positivity were reported per IC. A random effects-model for proportions was used to calculate estimated proportions (ES) with 95% CIs. This study was registered at PROSPERO, registration number CRD42020160243. Findings: Fifty-seven references, including 23 full-text articles and 34 other publications were included. Most (28/57) reported on HIV testing in TB. No reports on HIV testing in VC/VIN2+ or PN patients were eligible for inclusion. Large variation in HIV test ratios was observed between and within ICs, resulting from different testing approaches. Highest HIV test ratios (pooled ratio: 0¢72, 95%CI 0¢63À0¢80) and positivity (0¢05, 95% CI 0¢03À0¢06) were observed among TB patients, and lowest among CC/CIN2+ patients (pooled ES test ratio: 0¢12, 95%CI 0¢01À0¢31, positivity: 0¢00, 95%CI 0¢00À0¢00). Interpretation: IC-guided HIV testing is insufficiently implemented in Western countries. The large variation in test ratios provides insight into priority areas for implementing routine IC-guided HIV testing in the future. Funding: HIV Transmission Elimination in Amsterdam (H-TEAM) consortium and Aidsfonds (grant number P-42,702).

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Effect of telephone-based health education intervention models on cervical cancer screening compliance

Liu¹,

Zhang²,

Chen

et al. 2020

Medicine

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Background: Screening is an effective strategy for preventing and controlling the cervical cancer. Unfortunately, women are often less likely to adhere to cervical cancer screening procedures. Related research shows that the telephone-based health education model can improve the compliance of screening. At present, however, this practice is lack of persuasion. Therefore, this study makes a systematic meta-analysis on whether the telephone-based health education model can improve the compliance of screening by women. Methods: Retrievals will be made on PubMed, Web of Science, the Cochrane Library, EMBASE, and some clinical trial registration websites, and information on related randomized controlled trials (RCTs) will collected. After 2 researchers independently screen the literatures, they will extract the data and evaluate the bias risk contained in the collected studies, before meta-analysis is carried out with RevMan 5.3 software. Results: The available evidence will be systematically reviewed in terms of compliance with cervical cancer screening. Conclusion: The findings of this study will produce comprehensive evidence to identify whether the telephone-based health education model can improve women's compliance with cervical cancer screening.

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Prevalence and predictors of HIV screening in invasive cervical cancer: a 10 year cohort study

Cited by 3 publications

References 13 publications

Enhancing indicator condition–guided HIV testing in Taiwan: a nationwide case–control study from 2009 to 2015

Enhancing indicator condition–guided HIV testing in Taiwan: a nationwide case–control study from 2009 to 2015

Current evidence on the adoption of indicator condition guided testing for HIV in western countries: A systematic review and meta-analysis

Effect of telephone-based health education intervention models on cervical cancer screening compliance

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