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Infectious Diseases in Obstetrics and Gynecology
Volume 4 (1996), Issue 5, Pages 281-286
http://dx.doi.org/10.1155/S1064744996000543

Screening for Human Immunodeficiency Virus in Inner City Females With Abnormal Cervical Cytology

1Department of Obstetrics, Gynecology, and Reproductive Sciences, Mount Sinai Hospital, New York, New York, USA
2Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Medical University of South Carolina, 171 Ashley Avenue, Charleston 29425, SC, USA

Received 19 April 1996; Accepted 11 November 1996

Copyright © 1996 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective: This report evaluates the acceptance, results, and predictors of human immunodeficiency virus (HIV) infection in inner city women referred to a colposcopy clinic for abnormal cervical cytology.

Methods: HIV testing results of 1,908 inner city women referred for abnormal cervical cytology were analyzed retrospectively with respect to acceptance, race, ethnicity, Pap smear results, sexually transmitted diseases (STDs), HIV exposures, and final histologic findings.

Results: HIV testing was accepted by 50.4% of patients. Women who agreed to screening were significantly more likely to admit exposure to HIV or to be Hispanic, foreign-born, or have a history of multiple STDs. Of those screened, 3.3% were found to be HIV seropositive. Although higher grades of referral Pap smears were noted in the women found to be HIV seropositive, final histologic findings were not different. The only predictors of unknown HIV seropositivity were admitted HIV exposure and external condyloma.

Conclusions: Fifty percent of inner city women of unknown HIV status referred for abnormal cervical cytology will accept HIV serotesting and 3.3% are found to be positive. Most HIV-seropositive women can be detected based on either a history of exposure to HIV or the presence of external condyloma.