Frequency of gynecologic follow-up and cervical cancer screening in the Swiss HIV cohort study

J Acquir Immune Defic Syndr. 2006 Dec 15;43(5):550-5. doi: 10.1097/01.qai.0000245884.66509.7a.


Background: According to current recommendations, HIV-infected women should have at least 1 gynecologic examination per year.

Objectives: To analyze factors associated with frequency of gynecologic follow-up and cervical cancer screening among HIV-infected women followed in the Swiss HIV Cohort Study (SHCS).

Methods: Half-yearly questionnaires between April 2001 and December 2004. At every follow-up visit, the women were asked if they had had a gynecologic examination and a cervical smear since their last visit. Longitudinal models were fitted with these variables as outcomes.

Results: A total of 2186 women were included in the analysis. Of the 1146 women with complete follow-up in the SHCS, 35.3% had a gynecologic examination in each time period, whereas 7.4% had never gone to a gynecologist. Factors associated with a poor gynecologic follow-up were older age, nonwhite ethnicity, less education, underweight, obesity, being sexually inactive, intravenous drug use, smoking, having a private infectious disease specialist as a care provider, HIV viral load <400 copies/mL, and no previous cervical dysplasia. No association was seen for living alone, CD4 cell count, and positive serology for syphilis.

Conclusions: Gynecologic care among well-followed HIV-positive women is poor and needs to be improved.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Female
  • HIV Infections / complications*
  • Humans
  • Practice Guidelines as Topic
  • Switzerland
  • Uterine Cervical Neoplasms / epidemiology*
  • Uterine Cervical Neoplasms / etiology*