TY - JOUR ID - 40695 TI - Comparison of Abnormal Cervical Cytology from HIV Positive Women, Female Sex Workers and General Population JO - International Journal of Community Based Nursing & Midwifery JA - IJCBNM LA - en SN - 2322-2476 AU - Vafaei, Homeira AU - Asadi, Nasrin AU - Foroughinia, Leila AU - Salehi, Alireza AU - Kuhnavard, Safieh AU - Akbarzadeh, Mojgan AU - Ravanbod, Hamid Reza AU - Mohamadalian, Ferdos AU - Kasraeian, Maryam AD - Maternal Fetal Medicine Research Center, Shiraz University of Medical Sciences, Shiraz, Iran AD - Department of Obstetrics and Gynecology, Shiraz University of Medical Sciences, Shiraz, Iran AD - Research Center for Traditional Medicine and History of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran AD - Department of Pathology, Shiraz University of Medical Sciences, Shiraz, Iran AD - Biomedical Science Centre, Charles Sturt University, Melbourne, Australia AD - Nursing School and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran Y1 - 2015 PY - 2015 VL - 3 IS - 2 SP - 76 EP - 83 KW - HIV/AIDs KW - Sex Worker KW - pap smear KW - Iran DO - N2 - Background: Sex workers and HIV seropositive women are at high risk of abnormal cervical cytology. The objective of this study was to compare the cervical cytology among three groups of women: active sex workers, HIV-infected women, and general population in Iran.Methods: This was a cross-sectional study performed in Hazrat Zeinab, Lavan clinics and drop in center (DIC) in Shiraz, Iran. This study was performed from October 2009 to October 2011. A total of 266 patients were assigned into three groups: sex-workers (85), HIV positive patients (100), and general population (81). Pap smear was performed for all participants from the exocervix and endocervix, using a plastic Ayres’s spatula and cytobrush. The samples were sent to a pathology center, using a liquid-based media. Results: The risk of cervical infection in sex workers and HIV positive women was greater than the general population (OR=5.47, 95% confidence interval [CI]:2.24, 13.40), (OR=3.71, 95% CI:1.52, 9.09), respectively. The frequency of abnormal cervical cytology in the HIV positive and sex worker groups was higher than the general population (OR=6. 76, 95% CI:2.25, 20.32), (OR=3. 80, 95% CI:1.19, 12.07), respectively. Low-grade squamous intraepithelial lesion (LSIL) and high-grade squamous intraepithelial lesion (HSIL) were associated with CD4 cell count<200Í106/L, P=0.021 and P<0.001, respectively.Conclusion: Vaginal infections were seen more often in the sex worker group, and abnormal cervical cytology was greater in the HIV positive group. UR - https://ijcbnm.sums.ac.ir/article_40695.html L1 - https://ijcbnm.sums.ac.ir/article_40695_860037443c5fe58ca3ffa6f8729c07ca.pdf ER -