title: Factors affecting abnormal Pap smear follow-up among HIV-infected women.
abstract: Women with HIV infection are at least 10 times more likely to have an abnormal Pap smear than women who are HIV negative. Unfortunately, many women with HIV do not return for care after an abnormal Pap smear. Through the use of focus groups and individual interviews, HIV-positive women's experiences with abnormal Pap smears and the factors that affected whether they returned for care were explored. Two thirds of the 18 participants were minority women, and the average age was 40. Using techniques of constant comparative analysis, five factors were identified that affected whether women came back for care. These factors included fear, the asymptomatic nature of the problem, life circumstances, the participant's perspectives on health, and the health care provider. The findings from this study have implications for clinical practice and future research regarding adherence and abnormal Pap smear follow-up among women with HIV.
authors.affiliation: Department of Family Health Care Nursing, University of California, San Francisco, USA.
authors.forename: Priscilla D
authors.initials: PD
authors.lastname: Abercrombie
mesh_terms: D000328:Adult; D000359:Aftercare / Q000523:psychology*; D001291:Attitude of Health Personnel; D005163:Factor Analysis, Statistical; D005239:Fear; D005260:Female; D017144:Focus Groups; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008875:Middle Aged; D008913:Minority Groups / Q000523:psychology; D024802:Nurse's Role; D015404:Nursing Methodology Research; D065006:Papanicolaou Test; D010349:Patient Compliance / Q000523:psychology*; D010353:Patient Education as Topic; D010358:Patient Participation / Q000523:psychology; D036301:Qualitative Research; D011795:Surveys and Questionnaires; D002578:Uterine Cervical Dysplasia / Q000451:nursing / Q000473:pathology / Q000523:psychology* / Q000821:virology*; D014626:Vaginal Smears / Q000523:psychology*