title: Patient-provider communication with HIV-positive women about abnormal Pap test results.
abstract: In this article, the authors examine communication between women living with human immunodeficiency virus (WLH) and health care providers (HCPs) regarding abnormal Pap tests. During the period of March 2011 through April 2012, 145 WLH were recruited from Ryan White funded clinics and community-based AIDS service organizations located in the southeastern United States. WLH who had an abnormal Pap test (69%, n = 100/145) were asked if their HCP shared and explained information about abnormal Pap tests. The authors performed chi-square tests and multivariable logistic regression analyses using Stata I/C 13. HCPs shared information about abnormal Pap tests with 60% of participants, and explained the information they shared to 78% of those. Health literate participants were more than three times as likely to have read the information received about abnormal Pap tests (adjusted odds ratio [aOR] = 3.49, 95% confidence interval [CI] 1.19-10.23), and almost five times as likely to have understood the cancer information they read (aOR = 4.70, 95% CI 1.55-14.24). Knowing other women who had had an abnormal Pap test was not significantly associated with cancer information seeking or processing after controlling for confounding factors. The present findings underscore the need to increase WLH's health literacy as an intermediate step to improving patient-provider communication among WLH. Lay sources of cancer information for WLH warrant further study.
authors.affiliation: a Institute for Partnerships to Eliminate Health Disparities, Arnold School of Public Health , University of South Carolina , Columbia , South Carolina , USA.|b Department of Health Services Policy and Management, Arnold School of Public Health , University of South Carolina , Columbia , South Carolina , USA.
authors.forename: Lisa T
authors.initials: LT
authors.lastname: Wigfall
authors.affiliation: c Department of Preventive Medicine and Biometrics, F. Edward Hébert School of Medicine , Uniformed Services University of the Health Sciences , Bethesda , Maryland , USA.
authors.forename: Shalanda A
authors.initials: SA
authors.lastname: Bynum
authors.affiliation: d South Carolina Statewide Cancer Prevention and Control Program, Arnold School of Public Health , University of South Carolina , Columbia , South Carolina , USA.|e Department of Health Promotion, Education, and Behavior, Arnold School of Public Health , University of South Carolina , Columbia , South Carolina , USA.
authors.forename: Daniela B
authors.initials: DB
authors.lastname: Friedman
authors.affiliation: d South Carolina Statewide Cancer Prevention and Control Program, Arnold School of Public Health , University of South Carolina , Columbia , South Carolina , USA.|e Department of Health Promotion, Education, and Behavior, Arnold School of Public Health , University of South Carolina , Columbia , South Carolina , USA.
authors.forename: Heather M
authors.initials: HM
authors.lastname: Brandt
authors.affiliation: d South Carolina Statewide Cancer Prevention and Control Program, Arnold School of Public Health , University of South Carolina , Columbia , South Carolina , USA.
authors.forename: Donna L
authors.initials: DL
authors.lastname: Richter
authors.affiliation: a Institute for Partnerships to Eliminate Health Disparities, Arnold School of Public Health , University of South Carolina , Columbia , South Carolina , USA.|b Department of Health Services Policy and Management, Arnold School of Public Health , University of South Carolina , Columbia , South Carolina , USA.
authors.forename: Saundra H
authors.initials: SH
authors.lastname: Glover
authors.affiliation: d South Carolina Statewide Cancer Prevention and Control Program, Arnold School of Public Health , University of South Carolina , Columbia , South Carolina , USA.|f Department of Epidemiology and Biostatistics, Arnold School of Public Health , University of South Carolina , Columbia , South Carolina , USA.
authors.forename: James R
authors.initials: JR
authors.lastname: Hébert
mesh_terms: D000328:Adult; D015992:Body Mass Index; D003142:Communication; D003430:Cross-Sectional Studies; D005260:Female; D005500:Follow-Up Studies; D015658:HIV Infections / Q000150:complications* / Q000175:diagnosis; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D057226:Information Seeking Behavior; D008403:Mass Screening; D065006:Papanicolaou Test; D010349:Patient Compliance; D011369:Professional-Patient Relations; D012424:Rural Population; D012907:Smoking / Q000453:epidemiology; D014505:Urban Population; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis / Q000517:prevention & control* / Q000821:virology; D014626:Vaginal Smears
keywords: Cervical cancer; HIV; HPV; health literacy; information seeking