Gynecologic issues in the HIV-infected woman

Cejtin, Helen E.

doi:10.1016/s0889-8545(03)00084-6

Cited by 18 publications

(11 citation statements)

References 166 publications

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“…4,16 There is a clearly increased prevalence of squamous intraepithelial lesions (SIL) among HIV-infected women, and diagnosis of SIL in the HIV-infected woman always warrants colposcopic examination. 4,5,12 Confirmation of a high-grade cervical lesion mandates excisional treatment to prevent progression to invasive cervical cancer, an AIDS-defining illness. Furthermore, unlike other AIDS-associated infections, effective combination antiretroviral therapy and immune reconstitution are not clearly associated with reduction or regression of HPV-related lesions, including lower genital tract dysplasia, although study findings are mixed.…”

Section: Discussionmentioning

confidence: 99%

“…2 Women infected with HIV are at increased risk for many gynecological problems, including vaginitis, genital herpes, genital condylomata, pelvic inflammatory disease (PID), and lower genital tract dysplasia and neoplasia. [3][4][5] HIV-infected women have higher rates of cervical, vulvar, vaginal, and anal intraepithelial lesions than HIVuninfected women, 6 and invasive cervical cancer is an AIDSdefining illness. Based on our clinical experiences, however, we hypothesized that adherence to recommended gynecological care in our urban HIV clinic environment was poor.…”

Section: Introductionmentioning

confidence: 99%

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HIV Women's Health: A Study of Gynecological Healthcare Service Utilization in a U.S. Urban Clinic Population

Tello

Yeh

Keller

et al. 2008

Journal of Women's Health

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Background: Women infected with HIV have a high rate of many gynecological problems. Adherence to recommended gynecological care among women enrolled in our urban HIV clinics was hypothesized to be low. Conclusions: This analysis determined that the rate of clinic visit adherence is significantly lower for HIV gynecological care than for HIV primary care in the same population of women. Factors associated with HIV gynecological clinic visit noncompliance included African American race/ethnicity, substance use, and more advanced immunosuppression. We have planned additional quantitative and qualitative studies to examine the associations with and barriers to HIV gynecological care, with the goal of creating appropriate interventions toward improving gynecological healthcare utilization among women enrolled in urban HIV clinics.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

HIV Women's Health: A Study of Gynecological Healthcare Service Utilization in a U.S. Urban Clinic Population

Tello

Yeh

Keller

et al. 2008

Journal of Women's Health

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“…Given its disproportionate impact on women, the HIV/AIDS epidemic presents a direct threat to these advances in women’s reproductive health care. HIV infection increases the risk of pregnancy‐related morbidity and mortality, cervical cancer and a range of vaginal and cervical infections (Levine 2002; Cejtin 2003). The social stigma associated with HIV infection, coupled with women’s relative disempowerment in many countries, can lead to violent abuse of HIV‐positive women by their partners (Ojikutu & Stone 2005).…”

Section: Introductionmentioning

confidence: 99%

Missed opportunities to address reproductive health care needs among HIV‐infected women in antiretroviral therapy programmes

Myer

Rebe

Morroni

2007

Tropical Med Int Health

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Summaryobjectives To investigate the delivery of reproductive health care services in an antiretroviral therapy (ART) programme in Cape Town, South Africa.methods A cross-sectional survey was conducted among 227 consecutive women attending a hospitalbased ART outpatient service who had been on ART for at least one month. Semi-structured interviews investigating reproductive health issues and services received were conducted in participants' home language by a trained interviewer.results Sixty-seven per cent of the women were younger than 30 years and 75% were sexually active. The use of both condoms (70%) and hormonal contraceptives (31%) decreased with age, while the prevalence of sterilization (13%) increased with age. Few women knew about emergency contraception (EC) (7%) or termination of pregnancy (TOP) (13%). Approximately 45% of women had had a Papanicolau smear, and this was constant across all age groups. One in 10 women had experienced verbal or physical abuse by an intimate partner since their HIV diagnosis. More than 80% of women had discussed the use of condoms and other forms of contraception with a health care provider since their HIV diagnosis, but less than 5% had discussed EC or TOP, and no woman had discussed issues of partner violence.discussion These data delineate the large unmet need for reproductive health services among HIVinfected women receiving ART in this setting. While issues related to condom and contraceptive use are relatively well addressed, reproductive health services related to unintended pregnancy and partner violence appear to be neglected. The integration of a broad range of reproductive health services into ART programmes requires urgent attention in both research and policy-making circles.

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“…However, a chronic disease trajectory is fraught with potential long-term complications. The gynecologic health issues that can develop in women with HIV are of particular concern (40, 41). The adoption of effective symptom management strategies can help women living with HIV/AIDS live a more healthy and productive life.…”

Section: Introductionmentioning

confidence: 99%

Psychometric Properties of a Symptom Management Self-Efficacy Scale for Women Living with HIV/AIDS

Webel

Okonsky

2011

Journal of Pain and Symptom Management

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Context-Many people with HIV/AIDS find it difficult to manage the symptoms of the disease, but by adopting effective symptom management behavior, they increase the potential of alleviating the burden of those symptoms. Self-efficacy is a recognized mediator of successful behavior change and is utilized by many researchers and clinicians when developing symptom management interventions. Despite this, an instrument measuring the self-efficacy of symptom management behavior specifically for people living with HIV/AIDS has not yet been made available.Objective-To introduce and test the psychometric properties of the HIV Symptom Management Self-Efficacy for Women Scale (HSM-SEWS) for women with HIV/AIDS. This scale, a new 9-item measurement instrument, was modified from the Chronic Disease Self-Efficacy Scale.Methods-In this study, psychometric testing focused on the reliability and validity of the HSM-SEWS instrument. Reliability was assessed using Cronbach's alpha. Exploratory factor analysis with oblique promax rotation was used to examine validity and test hypothetical associations.Results-Eighty-nine HIV-positive women were recruited and asked to complete the scale every four weeks for a total of 16 weeks. Factor analysis supported a one-factor solution explaining 93% of the variance among items. Internal consistency of the nine items was found to range from 0.83-0.93, with an overall Cronbach's alpha of 0.92.Conclusions-Psychometric analyses suggest that the HIV Symptom Management SelfEfficacy for Women Scale is a reliable and valid instrument that measures the self-efficacy of symptom management behavior in women with HIV/AIDS and can be used during interventions and in research targeting this area of health care research.

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Gynecologic issues in the HIV-infected woman

Cited by 18 publications

References 166 publications

HIV Women's Health: A Study of Gynecological Healthcare Service Utilization in a U.S. Urban Clinic Population

HIV Women's Health: A Study of Gynecological Healthcare Service Utilization in a U.S. Urban Clinic Population

Missed opportunities to address reproductive health care needs among HIV‐infected women in antiretroviral therapy programmes

Psychometric Properties of a Symptom Management Self-Efficacy Scale for Women Living with HIV/AIDS

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