SOCIODEMOGRAPHIC PROFILE OF GENITAL HPV IN A SUBSET OF HIV POSITIVE WOMEN

MAHIMA LALL; DR NEERJA BHATLA; DR RM GUPTA; DR AASHISH CHOUDHARY; DR LALIT DAR

Volume : VIII, Issue : XII, December - 2019

SOCIODEMOGRAPHIC PROFILE OF GENITAL HPV IN A SUBSET OF HIV POSITIVE WOMEN

Mahima Lall, Dr Neerja Bhatla, Dr Rm Gupta, Dr Aashish Choudhary, Dr Lalit Dar

Abstract :

Introduction: 90% of cervical cancers harbour high risk HPV (HRHPV). Women living with HIV AIDS (WLHA) have a higher risk of developing cervical dysplasias due to high risk behaviour associated with increased chances of acquiring genital HPV. Cytology including Pap smears (Papanicolaou) is used for screening of invasive cervical intraepithelial neoplasia (CIN). Aim and Objective: Our objective was to identify sociodemographic factors associated with genital HPV infection. Methods: We enrolled 100 WLHA, at the All India Institute of Medical Sciences (AIIMS), New Delhi who were asked a detailed questionnaire which was filled after interviewing each patient for the following sociodemographic details; age, level of education, occupation, monthly income, risk factors for HIV, HIV status of husband, duration of HIV and duration of the antiretroviral therapy (ART). Awareness among the women regarding cervical cancer screening and knowledge about Pap smear was asked. We assessed the associations between sociodemographic factors and HPV infection. Results: HPV genotyping yielded results for 93 women, 62/93 (66.7%) who were positive for any HPV type, mean age of subjects was 34.9 years. Majority of the HPV positive women belonged to the lower–middle class and were uneducated (42/93; 45.16%) and unaware of cervical cancer screening. There was a statistically significant (p 0.043) association between cytological abnormalities and HPV positivity and the clinical history.