Aharon Devora, Calderon Martha, Solari Vicky, Alarcon Patricia, Zunt Joseph
Icahn School of Medicine at Mount Sinai, New York, NY, United States.
Centro de Salud Alberto Barton del Callao, Callao, Lima, Peru.
PLoS One. 2017 Jan 6;12(1):e0169327. doi: 10.1371/journal.pone.0169327. eCollection 2017.
Cervical cancer is the most prevalent cancer among Peruvian women. Female sex workers (FSW) in Peru are at elevated risk for HPV infection, and receive annual Papanicolaou screening. The objective of this study was to identify barriers to follow-up for abnormal Pap smears among FSW in Peru.
97 FSW attending the Alberto Barton Health Center in Lima were surveyed regarding their STI screening history. 17 women with a history of an abnormal Pap smear were interviewed about their experiences regarding follow-up care.
Of the 27 HPV-positive women, only 8 (30%) received follow-up treatment. Of the 19 women who did not receive follow-up, 7 (37%) had not been informed of their abnormal result. Qualitative interviews revealed that the major barrier to follow-up was lack of knowledge about HPV and potential health consequences of an abnormal Pap smear.
HPV infection is highly prevalent in Peruvian FSW, yet only 30% of FSW with abnormal Pap smears receive follow-up care. The predominant barriers to follow-up were lack of standardization in recording and communicating results and insufficient FSW knowledge regarding health consequences of HPV infection. Standardization of record-keeping and distribution of educational pamphlets have been implemented to improve follow-up for HPV.
宫颈癌是秘鲁女性中最常见的癌症。秘鲁的女性性工作者感染人乳头瘤病毒（HPV）的风险较高，并且每年接受巴氏涂片检查。本研究的目的是确定秘鲁女性性工作者中宫颈涂片异常后续跟踪的障碍。
对在利马阿尔贝托·巴顿健康中心就诊的97名女性性工作者进行了关于性传播感染筛查史的调查。对17名有宫颈涂片异常病史的女性就其后续护理经历进行了访谈。
在27名HPV阳性女性中，只有8名（30%）接受了后续治疗。在19名未接受后续治疗的女性中，7名（37%）未被告知其异常结果。定性访谈显示，后续跟踪的主要障碍是对HPV以及宫颈涂片异常可能产生的健康后果缺乏了解。
HPV感染在秘鲁女性性工作者中非常普遍，但宫颈涂片异常的女性性工作者中只有30%接受了后续护理。后续跟踪的主要障碍是结果记录和传达缺乏标准化，以及女性性工作者对HPV感染健康后果的了解不足。已实施记录保存标准化和分发教育手册以改善对HPV的后续跟踪。
