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There is evidence that HIV-positive women in Catalonia are at high risk for cervical cancer and have a high prevalence of oncogenic genotypes. Catalonia’s screening protocol recommends that HIV-positive women undergo Pap smear at least annually, and more frequently depending on CD4 count. The objective of the present study is to describe the cervical cancer screening among HIV-positive women in Catalonia, with an emphasis on screening coverage. This study included 479 HIV-positive women from the PISCIS cohort. Participants completed a clinicalepidemiological survey that included sociodemographic, behavioral, clinical, and screening history variables. All patients also underwent a gynecological exam, including endocervical sampling for conventional or liquid cytology (Papanicolau). 50.6% of the women reported annual PAP screenings; 11% had never had a Pap smear; and screening coverage for the last two-year was only 60.0%. The finding of low screening coverage is consistent with the high prevalence of cervical cancer in HIV-positive women in Catalonia. It is important to educate both medical professionals and HIV-positive women on the consequences of failure to screen for cervical cancer, diagnostic techniques to detect asymptomatic HPV, and methods of primary prevention.

Low Prevalence of Cervical Cancer Screening Among HIV-Positive Women in Catalonia (Spain)