Department of Obstetrics and Gynaecology, College of Medical Sciences, Ahmadu Bello University Teaching Hospital/Ahmadu Bello University, Zaria, Kaduna State, Nigeria.
West Afr J Med. 2022 Mar 30;39(3):291-298.
Low awareness and lack of adequate services for cervical cancer screening and treatment of premalignant lesions of the cervix have been identified as some of the reasons for the high burden of cervical cancer in Sub-Saharan Africa. Women living with HIV infection are at a higher risk of developing cervical cancer than HIV negative women.
The study sought to assess the awareness of cervical cancer and screening services among women living with HIV in a HIV treatment centre. Factors that affect uptake of screening were also explored.
It was a qualitative study conducted from 26th August to 9th September 2019, in a HIV treatment centre in Zaria. A total of 61 HIV positive women participated in ten focus group discussions. Two key informant interviews were conducted with health care providers in the center.
Majority of the participants have heard about cervical cancer and cervical cancer screening during routine health talk in the clinic, however, most of them were not aware of the increased risk of cervical cancer among women living with HIV. Uptake of screening was low. Stigma, cost and lack of screening facility within the treatment center were the main barriers to screening uptake.
From our study, uptake of cervical cancer screening among women living with HIV was low. There is need to integrate cervical cancer screening services within the compact of care offered to all women living with HIV within HIV treatment centres.
在撒哈拉以南非洲，宫颈癌发病率居高不下，部分原因是人们对宫颈癌筛查的认识不足，且缺乏对宫颈癌前病变的治疗服务。与 HIV 阴性女性相比，感染 HIV 的女性罹患宫颈癌的风险更高。
本研究旨在评估 HIV 治疗中心的 HIV 阳性妇女对宫颈癌及其筛查服务的认知程度，并探讨影响筛查参与的因素。
这是一项于 2019 年 8 月 26 日至 9 月 9 日在扎里亚的一个 HIV 治疗中心进行的定性研究。共有 61 名 HIV 阳性妇女参加了 10 次焦点小组讨论。还对中心的 2 名卫生保健提供者进行了 2 次关键知情人访谈。
大多数参与者在诊所的常规健康讲座中听说过宫颈癌和宫颈癌筛查，但大多数人不知道 HIV 阳性妇女罹患宫颈癌的风险增加。筛查参与率低。筛查的障碍主要包括污名化、费用和治疗中心缺乏筛查设施。
我们的研究表明，HIV 阳性妇女的宫颈癌筛查参与率较低。需要在 HIV 治疗中心为所有 HIV 阳性妇女提供的关怀套餐中纳入宫颈癌筛查服务。
