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J Health Care Poor Underserved. 2011;22(4 Suppl):16-22. doi: 10.1353/hpu.2011.0159.

HIV-associated anal dysplasia: experience from a multiethnic-HIV clinic in Hawaii.

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1
Department of medicine, University of Hawaii John A. Burns School of Medicine, 3675 Kilauea Avenue, Honolulu, HI 96816, USA.

Abstract

PURPOSE:

To assess the proportion as well as predictors of anal dysplasia in HIV-infected Asian/Pacific Islanders.

METHODS:

This was a retrospective chart review evaluating the proportion of anal dysplasia among a multiethnic population from an ambulatory university-based HIV clinic in Hawaii. Demographic, clinical, and virologic parameters were examined with respect to abnormal anal Pap smear. Variables included: Pap smear results (outcome variable), cytology results, age, self-reported ethnicity, CD4/ nadir CD4 counts, HIV viral load, antiretroviral therapy use, Hepatitis B and C co-infections, history of sexually transmitted diseases, personal history of cancer, tobacco use, alcohol use, intravenous drug abuse, family history of cancer, and history of genital/anal warts.

RESULTS:

There were no significant differences in rates of abnormal Pap smear among the ethnic groups. Abnormal Pap smears were associated with history of genital warts (7% normal vs. 18% abnormal, p=.01) and alcohol consumption (16% vs. 27%, p=.05). Hepatitis B infection and current anti-retroviral therapy (ART) were associated with normal Pap cytology (9.7% vs. 0%, p=.03) and (96.8% vs. 86.5%, p=.05) respectively.

CONCLUSIONS:

No differences in the proportion of abnormal Pap smears were seen among ethnic groups followed within an ambulatory HIV clinic.

PMID:
22102303
PMCID:
PMC3249424
DOI:
10.1353/hpu.2011.0159
[Indexed for MEDLINE]
Free PMC Article

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