title: An unmet cancer screening need of HIV-positive women in southeastern Nigeria.
abstract: BACKGROUND
  HIV infection and cervical cancer are common in Nigeria. HIV-positive women have a higher risk for cervical neoplasm; therefore, counseling and regular cervical cancer screening are recommended. After post-HIV testing counseling, HIV-positive women should be aware of the Papanicolaou (Pap) smear.
  
  
  OBJECTIVE
  To determine the coverage of cervical cancer screening information for HIV-positive women by the post-HIV testing counseling.
  
  
  METHODS
  Questionnaires were administered to 150 HIV-positive women and 150 HIV-negative controls after post-HIV testing counseling at the voluntary counseling and testing clinic of University of Nigeria Teaching Hospital, Enugu, Nigeria. Proportions of responses were compared by using a chi-square test at a 95% confidence level.
  
  
  RESULTS
  Thirty-three (22.0%) HIV-positive women and 57 (38%) HIV-negative women were aware of cervical cancer. The awareness of the Pap smear among HIV-positive women (4.0%) was lower than that of HIV-negative women (21.3%) (P < .001). However, this finding became insignificant after adjustment for educational status groups (P > .05). No respondent agreed to being informed of Pap smears during post-HIV testing counseling. After counseling on cervical cancer, 96.0% of the HIV-positive group and 98.7% of the HIV-negative group expressed willingness to undergo routine Pap screening.
  
  
  CONCLUSIONS
  Cervical cancer screening information is not part of post-HIV testing counseling for women in Enugu, southeastern Nigeria.
authors.affiliation: Department of Obstetrics & Gynecology. University of Nigeria Teaching Hospital, Enugu, Nigeria.
authors.forename: Cyril C
authors.initials: CC
authors.lastname: Dim
authors.forename: Ngozi R
authors.initials: NR
authors.lastname: Dim
authors.forename: Hyginus U
authors.initials: HU
authors.lastname: Ezegwui
authors.forename: Arthur C
authors.initials: AC
authors.lastname: Ikeme
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D055088:Early Detection of Cancer; D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000453:epidemiology* / Q000517:prevention & control; D006301:Health Services Needs and Demand; D006801:Humans; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D009549:Nigeria / Q000453:epidemiology; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis / Q000453:epidemiology / Q000517:prevention & control; D055815:Young Adult