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Access to gynecological services and Papanicolau tests in HIV-infected Italian women: a questionnaire survey.

机译:在感染了艾滋病毒的意大利妇女中获得妇科服务和帕潘尼科劳检查的方法:问卷调查。

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The objective of the study was to evaluate the access to Papanicolau (Pap) tests of HIV-infected women in Italy. A cross-sectional survey on a cohort of HIV-infected women seen at 27 HIV clinics was performed. At each clinic a female physician involved in the care of HIV-infected women was asked questions on clinic and patients' characteristics and on access to Pap tests. The outcome of the study was to find the percentage of women who had not had a Pap test before coming to the HIV clinic and the percentage having had a Pap test in 2001. In the survey, 7,600 HIV-infected women were represented. Women who came to the clinic without having ever had a Pap test were 62+/-22%, while women who had had a Pap test in 2001 were 43+/-36%. Women who reported never having had a Pap test before coming to the HIV clinic were more often from the south than the north of Italy (17.9+/-49% from the north, 18+/-53% from the center and 9.3+/-83.9% from the south; p<0.001). This a difference disappeared when comparing thewomen who had had a Pap test in 2001 (28+/-39.6% from the north, 31.6+/-44.2% from the center and 25.6+/-45.7% from the south; p=0.88). Despite the published guidelines in Italy, only 38% of women had ever had a Pap test before coming to the HIV clinic and only 43% had had a Pap test in 2001. Strategies aimed to improve these proportions should be rapidly implemented at all levels of care organization.
机译:该研究的目的是评估意大利艾滋病毒感染妇女接受帕帕尼科劳(Pap)检测的可能性。进行了一项横断面调查,对在27个艾滋病诊所中观察到的一批HIV感染妇女进行了调查。在每个诊所中,都向一名女性医生提供了有关感染艾滋病毒的妇女护理的问题,这些问题涉及诊所和患者的特征以及获得巴氏检测的方法。该研究的结果是找到在去HIV诊所之前没有进行过Pap测试的女性百分比和在2001年进行过Pap测试的女性百分比。在该调查中,有7600名感染HIV的女性参与其中。从未接受过Pap检验的人中有62 +/- 22%进入诊所,而2001年接受过Pap检验的妇女为43 +/- 36%。报告称从未去过艾滋病诊所之前没有进行过巴氏检测的女性来自意大利南部比南部更多(北部为17.9 +/- 49%,中部为18 +/- 53%,而9.3 + /南部为-83.9%; p <0.001)。当比较2001年接受巴氏试验的妇女时,这种差异消失了(北部为28 +/- 39.6%,中央为31.6 +/- 44.2%,南部为25.6 +/- 45.7%; p = 0.88) 。尽管在意大利已经发布了指南,但2001年只有38%的妇女在去艾滋病诊所之前接受过巴氏检测,只有43%的妇女在2001年进行了巴氏检测。护理组织。

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