HIV infection among Uganda women with cervical cancer: a retrospective study.
OBJECTIVE
To assess whether there is an association between HIV and invasive cervical cancer (ICC).


METHODS
A case-control study was conducted in Kampala between 1993 and 1995. 116 women with ICC were matched by age and parity with 116 hospital controls. Participants were tested for HIV and interviewed to assess risk factors for ICC and HIV. The association between HIV and ICC was assessed by conditional logistic regression.


RESULTS
HIV prevalence was 18% among cases and 15% among controls. The odds of having ICC for HIV-infected patients was 1.27 (95% CI 0.58-2.80) when compared to controls, and the odds of being infected with HIV was higher in ICC patients aged <33 years (OR = 3.81) when compared to controls of similar age. HIV-infected ICC patients were younger (mean age 35.8 years) compared to 46.5 years in the ICC HIV-negative group (p = 0.021).


CONCLUSIONS
HIV is associated with an earlier onset of ICC.
Sekirime
Wilberforce Kigongo
WK
Department of Population and Family Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. wsekirime@hotmail.com
Gray
Ron
R
D000328:Adult; D017668:Age of Onset; D002294:Carcinoma, Squamous Cell / Q000453:epidemiology*; D016022:Case-Control Studies; D015897:Comorbidity; D005260:Female; D015658:HIV Infections / Q000453:epidemiology*; D006801:Humans; D008875:Middle Aged; D015995:Prevalence; D012189:Retrospective Studies; D012307:Risk Factors; D014454:Uganda; D002583:Uterine Cervical Neoplasms / Q000453:epidemiology* / Q000473:pathology