Obstet Gynecol. 1996 Aug;88(2):269-73. Unique Identifier : AIDSLINE
OBJECTIVE: To characterize women reported with AIDS and invasive
cervical cancer in the first year of the expanded AIDS surveillance case
definition. METHODS: Using X2 testing and logistic regression, we
compared women with invasive cervical cancer with those having other
AIDS-defining illnesses. RESULTS: Of the 16,794 women 13 years old or
older and reported with AIDS in 1993, 217 (1.3%) had invasive cervical
cancer and 9113 (54.3%) had other opportunistic illnesses; the remaining
7464 (44.4%) had no opportunistic illnesses and were reported based on
immunologic criteria. Women with invasive cervical cancer were more
likely to have had AIDS diagnosed before 1993 (73 and 56%, respectively;
P < .01), to be younger (median age 33 and 35 years; P < .001), to be
white (31 and 21%; P < .01), and to reside in the south (41 and 34%; P <
.05). Among women reported with CD4+ counts, the median value was higher
in 149 women with invasive cervical cancer than in the 5993 with other
opportunistic illnesses (153 and 50 cells/microL, respectively). Women
with invasive cervical cancer were more likely to report injection drug
use (57 and 48%; P < .05). In multivariate analysis, Hispanic women were
0.6 times less likely to be reported with invasive cervical cancer than
were white women (P < .05). Among women infected through injecting drug
use, black women were 0.5 times less likely to be reported with invasive
cervical cancer (P < .001). CONCLUSION: Hispanic and black women
infected with HIV were less likely to be reported with invasive cervical
cancer, a finding that may be associated with inadequate access to
health care services. Women with invasive cervical cancer were less
severely immunosuppressed than women with other AIDS opportunistic
illnesses.
Acquired Immunodeficiency Syndrome/*COMPLICATIONS Adolescence Adult
Cervix Neoplasms/*COMPLICATIONS/EPIDEMIOLOGY/PATHOLOGY Female Human
Logistic Models Middle Age Neoplasm Invasiveness United
States/EPIDEMIOLOGY JOURNAL ARTICLE