Evidence map›Paper›PMID 38359369›Full record

ArticleJCO global oncology2024

Real-World Cervical Cancer Screening Uptake and Predictors of Visual Inspection With Acetic Acid Positivity Among Women Living With HIV in Care Programs in Western Kenya.

Chemtai Mungo, Omenge Orang'o, Susan Ofner, Beverly Musick, Constantin Yiannoutsos, Craig R Cohen, Darron Brown, Kara Wools-Kaloustian, Aggrey Semeere

Abstract read
In one paragraph

Article in JCO global oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Chemtai MungoDepartment of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC.ORCID 0000-0002-3655-4721
Omenge Orang'oAcademic Model Providing Access to Healthcare, Moi University, Eldoret, Kenya.
Susan OfnerDepartment of Biostatistics and Health Data Science, Indiana University, Indianapolis, IN.ORCID 0000-0001-8107-7859
Beverly MusickDepartment of Biostatistics and Health Data Science, Indiana University, Indianapolis, IN.ORCID 0000-0003-0334-6798
Constantin YiannoutsosDepartment of Biostatistics and Health Data Science, Indiana University R.M. Fairbanks School of Public Health, Indianapolis, IN.ORCID 0000-0001-9014-3651
Craig R CohenDepartment of Obstetrics, Gynecology & Reproductive Sciences, University of California San Francisco, San Francisco, CA.
Darron BrownDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN.ORCID 0000-0001-5887-4382
Kara Wools-KaloustianDepartment of Medicine, Indiana University School of Medicine, Indianapolis, IN.
Aggrey SemeereInfectious Diseases Institute, Kampala, Uganda.ORCID 0000-0003-1826-2239

Funding

East Africa International Epidemiology Database to evaluate AIDS (IeDEA) Regional ConsortiumU01AI069911 · NIAID · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI Leslie Anne Enane, AGGREY SEMWENDERO SEMEERE · 2006 to 2026
$57.7M
TRAINEESHIPS IN AIDS PREVENTION STUDIEST32MH019105 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Carol Suzanne Camlin, Glenn-Milo Santos · 1989 to 2026
$15.3M
United States-East Africa HIV-Associated Malignancy Research Center (USEAHAMRC) for Career Development and the Prevention, Early Detection and Efficient Linkage to Care for Virus-related CancersU54CA254571 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI MARTIN, JEFFREY N · 2020 to 2025
$5.6M
NCI NIH HHS U54 CA254571NIAID NIH HHS U01 AI069911NIMH NIH HHS T32 MH019105
6 · The paper itself

Abstract

purposeTo achieve the WHO cervical cancer elimination targets, countries globally must achieve 70% cervical cancer screening (CCS) coverage. We evaluated CCS uptake and predictors of screening positive at two public HIV care programs in western Kenya.

methodsFrom October 2007 to February 2019, data from the Family AIDS Care and Education Services (FACES) and Academic Model Providing Access to Healthcare (AMPATH) programs in western Kenya were analyzed. The study population included women age 18-65 years enrolled in HIV care. Screening uptake was calculated annually and overall, determining the proportion of eligible women screened. Multivariate logistic regression assessed predictors of positive screening outcomes.

resultsThere were 57,298 women living with HIV (WLWHIV) eligible for CCS across both programs during the study period. The mean age was 31.4 years (IQR, 25.9-37.8), and 39% were on antiretroviral therapy (ART) at the first CCS-eligible visit. Of all eligible women, 29.4% (95% CI, 29.1 to 29.8) underwent CCS during the study period, 27.0% (95% CI, 26.5 to 27.4) in the AMPATH program, and 35.6% (95% CI, 34.9 to 36.4) in the FACES program. Annual screening uptake varied greatly in both programs, with coverage as low as 1% of eligible WLWHIV during specific years. Age at first screening, CD4 count within 90 days of screening, current use of ART, and program (AMPATH

conclusionCCS uptake at two large HIV care programs in Kenya fell short of the WHO's 70% screening target. Screening rates varied significantly on the basis of the availability of funding specific to CCS, reflecting the limitations of vertical funding programs.

Indexed as

HIV InfectionsUterine Cervical NeoplasmsAcetic AcidAdolescentAdultAgedEarly Detection of CancerFemaleHumansKenyaMiddle AgedYoung AdultAcetic Acid

Identifiers

PMID38359369
PMCPMC10881085

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.