title: Conventional Pap Smear Screening in HIV Seropositive Women in South India.
abstract: OBJECTIVE
  To assess the prevalence of Pap smear abnormalities and to characterize the associated risk factors in HIV seropositive women.
  
  
  METHODS
  We conducted a cross-sectional study on 252 HIV seropositive women in and around Krishna district, Andhra Pradesh, India by screening them for cervical cytological abnormalities by means of conventional Pap smear screening and the abnormalities reported as per modified Bethesda system.
  
  
  RESULTS
  The prevalence of Pap smear abnormalities in HIV seropositive women was found to be 7.17 % which was a twofold increased risk as compared to the general population. On analysis of the risk factors like younger age for abnormal pap smears, mean CD4 count, duration of disease, and ART/HAART therapy the difference between the two groups of HIV seropositive women with normal pap smears and seropositive women with abnormal pap smears was found to be not statistically significant.
  
  
  CONCLUSIONS
  HIV/AIDS is associated with a twofold increased risk for cervical cytological abnormalities, and hence the need for periodic pap smear screening in this high risk group to reduce the global burden of cervical cancer.
authors.affiliation: Department of Obstetrics and Gynecology, Siddhartha Medical College, Vijayawada, 520 008 Andhra Pradesh India ; Prabha Nursing Home, BRP Road, Vijayawada, 520 001 Andhra Pradesh India.
authors.forename: Kodey
authors.initials: K
authors.lastname: Prabha Devi
authors.affiliation: Department of Obstetrics and Gynecology, Siddhartha Medical College, Vijayawada, 520 008 Andhra Pradesh India.
authors.forename: Narigapalli
authors.initials: N
authors.lastname: Bindhu Priya
keywords: Anti Retro Viral Therapy (ART); Cervical cytological abnormalities; HIV; Highly Activated Anti Retro Viral Therapy (HAART); Pap smear screening