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Vafaei, Homeira, Asadi, Nasrin, Foroughinia, Leila, Salehi, Alireza, Kuhnavard, Safieh, Akbarzadeh, Mojgan, Ravanbod, Hamid Reza, Mohamadalian, Ferdos, Kasraeian, Maryam. (1394). Comparison of Abnormal Cervical Cytology from HIV Positive Women, Female Sex Workers and General Population. سامانه مدیریت نشریات علمی, 3(2), 76-83.
Homeira Vafaei; Nasrin Asadi; Leila Foroughinia; Alireza Salehi; Safieh Kuhnavard; Mojgan Akbarzadeh; Hamid Reza Ravanbod; Ferdos Mohamadalian; Maryam Kasraeian. "Comparison of Abnormal Cervical Cytology from HIV Positive Women, Female Sex Workers and General Population". سامانه مدیریت نشریات علمی, 3, 2, 1394, 76-83.
Vafaei, Homeira, Asadi, Nasrin, Foroughinia, Leila, Salehi, Alireza, Kuhnavard, Safieh, Akbarzadeh, Mojgan, Ravanbod, Hamid Reza, Mohamadalian, Ferdos, Kasraeian, Maryam. (1394). 'Comparison of Abnormal Cervical Cytology from HIV Positive Women, Female Sex Workers and General Population', سامانه مدیریت نشریات علمی, 3(2), pp. 76-83.
Vafaei, Homeira, Asadi, Nasrin, Foroughinia, Leila, Salehi, Alireza, Kuhnavard, Safieh, Akbarzadeh, Mojgan, Ravanbod, Hamid Reza, Mohamadalian, Ferdos, Kasraeian, Maryam. Comparison of Abnormal Cervical Cytology from HIV Positive Women, Female Sex Workers and General Population. سامانه مدیریت نشریات علمی, 1394; 3(2): 76-83.

Comparison of Abnormal Cervical Cytology from HIV Positive Women, Female Sex Workers and General Population

International Journal of Community Based Nursing & Midwifery
مقاله 1، دوره 3، شماره 2 - شماره پیاپی 10، تیر 2015، صفحه 76-83    اصل مقاله (294.98 K)
نوع مقاله: Original article
نویسندگان
Homeira Vafaei1؛ Nasrin Asadi2؛ Leila Foroughinia2؛ Alireza Salehi* 3؛ Safieh Kuhnavard2؛ Mojgan Akbarzadeh4؛ Hamid Reza Ravanbod5؛ Ferdos Mohamadalian6؛ Maryam Kasraeian2
1Maternal Fetal Medicine Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
2Department of Obstetrics and Gynecology, Shiraz University of Medical Sciences, Shiraz, Iran
3Research Center for Traditional Medicine and History of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
4Department of Pathology, Shiraz University of Medical Sciences, Shiraz, Iran
5Biomedical Science Centre, Charles Sturt University, Melbourne, Australia
6Nursing School and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
چکیده
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.
کلیدواژه‌ها
HIV/AIDs؛ Sex Worker؛ Pap smear؛ Iran
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