J Assoc Nurses AIDS Care. 2020 Sep-Oct;31(5):497-516. doi: 10.1097/JNC.0000000000000194.
Women living with HIV in low-and-middle-income countries (LMICs) are at high risk of developing cervical cancer due to their immunocompromised status. Screening is an imperative prevention measure for early detection and for ultimately reducing high rates of cervical cancer; however, cervical cancer screening uptake among this group remains low. This systematic review aimed to identify barriers to cervical cancer screening among women living with HIV in LMIC. A comprehensive literature search was undertaken, and an analysis of included studies was completed to abstract major themes related to cervical cancer screening barriers for women living with HIV in LMIC. Lack of cervical cancer and cervical cancer screening knowledge among patients was found to be the most prevalent barrier to cervical cancer screening. Our findings highlight a dire need for interventions to increase knowledge and awareness of cervical cancer screening among women living with HIV in LMIC, along with addressing barriers within health care systems.
生活在中低收入国家（LMICs）的 HIV 感染者由于免疫功能低下，面临着罹患宫颈癌的高风险。筛查是早期发现和最终降低宫颈癌高发病率的重要预防措施；然而，这一人群的宫颈癌筛查参与率仍然很低。本系统评价旨在确定中低收入国家 HIV 感染者宫颈癌筛查障碍。进行了全面的文献检索，并对纳入的研究进行了分析，以提取与中低收入国家 HIV 感染者宫颈癌筛查障碍相关的主要主题。研究发现，患者对宫颈癌和宫颈癌筛查知识的缺乏是宫颈癌筛查的最常见障碍。我们的研究结果强调了迫切需要干预措施来提高中低收入国家 HIV 感染者对宫颈癌筛查的认识和了解，同时解决医疗保健系统中的障碍。
