Abstract:
OBJECTIVES:Despite the increasing number of interventions aiming to integrate cervical cancer screening into HIV clinics in sub-Saharan Africa, Women living with HIV (WLHIV) still have a high risk of developing cervical cancer. The aim of this study was to estimate the coverage of cervical cancer screening and associated factors among WLHIV in Abidjan, Côte d'Ivoire. DESIGN:Cross-sectional survey conducted from May to August 2017. SETTINGS:Outpatient setting in the four highest volume urban HIV clinics of government's or non-governmental organisation's sector in Côte d'Ivoire. PARTICIPANTS:All WLHIV, aged 25-55 years, followed since at least 1 year, selected through a systematic sampling procedure. INTERVENTION:A standardised questionnaire administered to each participant by trained healthcare workers. OUTCOME:Cervical cancer screening uptake. RESULTS:A total of 1991 WLHIV were included in the study, aged in median 42 years (IQR 37-47), and a median CD4 count (last known) of 563 (378-773) cells/mm3. Among the participants, 1913 (96.1%) had ever heard about cervical cancer, 1444 (72.5%) had been offered cervical cancer screening, mainly in the HIV clinic for 1284 (88.9%), and 1188 reported a personal history of cervical cancer screening for an overall coverage of 59.7% (95% CI 57.6 to 62.0). In multivariable analysis, university level (adjusted OR (aOR) 2.1; 95% CI 1.4 to 3.1, p<0.001), being informed on cervical cancer at the HIV clinic (aOR 1.5; 95% CI 1.1 to 2.0, p=0.017), receiving information self-perceived as 'clear and understood' on cervical cancer (aOR 1.7; 95% CI 1.4 to 2.2, p<0.001), identifying HIV as a risk factor for cervical cancer (aOR 1.4; 95% CI 1.1 to 1.8, p=0.002) and being proposed cervical cancer screening in the HIV clinic (aOR 10.1; 95% CI 7.6 to 13.5, p<0.001), were associated with cervical cancer screening uptake. CONCLUSION:Initiatives to support cervical cancer screening in HIV care programmes resulted in effective access to more than half of the WLHIV in Abidjan. Efforts are still needed to provide universal access to cervical cancer screening, especially among socioeconomically disadvantaged WLHIV.
journal_name
BMJ Openjournal_title
BMJ openauthors
Tchounga B,Boni SP,Koffi JJ,Horo AG,Tanon A,Messou E,Koulé SO,Adoubi I,Ekouevi DK,Jaquet Adoi
10.1136/bmjopen-2019-029882subject
Has Abstractpub_date
2019-08-30 00:00:00pages
e029882issue
8issn
2044-6055pii
bmjopen-2019-029882journal_volume
9pub_type
杂志文章,多中心研究相关文献
BMJ Open文献大全abstract:BACKGROUND:Prostate cancer incidence varies internationally largely attributable to differences in prostate-specific antigen (PSA) use. The aim of this study was to provide the most recent detailed international epidemiological comparison of prostate cancer incidence and mortality in six north-eastern European countrie...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-031856
更新日期:2019-10-09 00:00:00
abstract:OBJECTIVE:Public opinion and support can be powerful mandates for smoke-free policy. However, the scarcity of evidence on public opinion among Malaysians necessitates further investigation. Therefore, this study aimed to determine the level of support for smoke-free policy at various public domains and its associated f...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-020304
更新日期:2019-02-12 00:00:00
abstract:OBJECTIVES:To conduct a fully independent, external validation of a research study based on one electronic health record database using a different database sampling from the same population. DESIGN:Retrospective cohort analysis of β-blocker therapy and all-cause mortality in patients with cancer. SETTING:Two UK nati...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-007299
更新日期:2015-04-13 00:00:00
abstract:OBJECTIVE:To assess scientific publication and map research gaps on access to medicines (ATM) in Latin American and the Caribbean low-income and middle-income countries (LMIC). DESIGN:Scoping review. Two independent reviewers assessed studies for inclusion and extracted data from each study. INFORMATION SOURCES:Searc...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-002224
更新日期:2013-05-03 00:00:00
abstract:INTRODUCTION:Binge-eating disorder (BED) was included as its own diagnostic entity in the Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). An increasing number of treatment studies have been published, but an up-to-date comprehensive meta-analysis on diverse treatment approaches for B...
journal_title:BMJ open
pub_type: 杂志文章,meta分析,评审
doi:10.1136/bmjopen-2016-013655
更新日期:2017-03-29 00:00:00
abstract:OBJECTIVES:To compare the risk profile of women giving birth in private and public hospitals and the rate of obstetric intervention during birth compared with previous published rates from a decade ago. DESIGN:Population-based descriptive study. SETTING:New South Wales, Australia. PARTICIPANTS:691 738 women giving b...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-001723
更新日期:2012-09-10 00:00:00
abstract:INTRODUCTION:General Practitioners (GPs) and allied healthcare professionals working in primary care are regularly required to make decisions with, for and on behalf of patients who lack capacity. In England and Wales, these decisions are made for incapacitated adult patients under the Mental Capacity Act 2005, which p...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-038032
更新日期:2020-10-20 00:00:00
abstract:OBJECTIVES:Conduct a feasibility study on the effect of menstrual hygiene on schoolgirls' school and health (reproductive/sexual) outcomes. DESIGN:3-arm single-site open cluster randomised controlled pilot study. SETTING:30 primary schools in rural western Kenya, within a Health and Demographic Surveillance System. ...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2016-013229
更新日期:2016-11-23 00:00:00
abstract:OBJECTIVE:We aimed at summarising rates and factors associated with retention in HIV care prior to antiretroviral treatment (ART) eligibility in sub-Saharan Africa. DESIGN:We conducted a systematic literature review (2002-2014). We searched Medline/Pubmed, Scopus and Web of Science, as well as proceedings of conferenc...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2014-006927
更新日期:2015-06-24 00:00:00
abstract:OBJECTIVE:There have been calls to remove 'carcinoma' from terminology for in situ cancers such as ductal carcinoma in situ (DCIS), to reduce overdiagnosis and overtreatment. We investigated the effect of describing DCIS as 'abnormal cells' versus 'pre-invasive breast cancer cells' on women's concern and treatment pref...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2015-008094
更新日期:2015-11-02 00:00:00
abstract:OBJECTIVES:Medical image analysis practices face challenges that can potentially be addressed with algorithm-based segmentation tools. In this study, we map the field of automatic MR brain lesion segmentation to understand the clinical applicability of prevalent methods and study designs, as well as challenges and limi...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-042660
更新日期:2021-01-29 00:00:00
abstract:OBJECTIVES:Sustaining emergency care access is of great concern. The aim of this study is to evaluate access to emergency care in a repopulated village following the 2011 Fukushima disaster. DESIGN:This research was a retrospective observational study. The primary outcome measure was total emergency medical services (...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-023836
更新日期:2019-02-09 00:00:00
abstract:OBJECTIVES:The objective of this study was to investigate the role stressors, sociodemographic characteristics and job tasks of health surveillance assistants (HSAs) and to explore major predictors of role stressors and job satisfaction of HSAs in Malawi. SETTING:Data were collected from health centres and hospitals o...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-037000
更新日期:2020-11-14 00:00:00
abstract:OBJECTIVES:To investigate short-term and long-term effectiveness of simulation training to acquire a structured Airway Breathing Circulation Disability Exposure (ABCDE) approach for medical emergencies; and to examine which skills were learnt and maintained best. DESIGN:An observational study with a 3-4 months follow-...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-032023
更新日期:2020-07-06 00:00:00
abstract:OBJECTIVES:Limited data exist assessing the relationship between ambulance versus self-presentation and outcomes in patients with acute heart failure (AHF). SETTING:Clinical trial sites in North America. PARTICIPANTS:1068 patients enrolled in the Acute Studies of Nesiritide in Decompensated Heart Failure (ASCEND-HF) ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-010201
更新日期:2016-03-17 00:00:00
abstract:BACKGROUND:Large gaps exist in the implementation of guideline recommendations for cardiovascular disease (CVD) risk management. Electronic decision support (EDS) systems are promising interventions to close these gaps but few have undergone clinical trial evaluation in Australia. We have developed HealthTracker, a mul...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-002177
更新日期:2012-11-19 00:00:00
abstract:INTRODUCTION:Current pharmacological treatment options for hyperemesis gravidarum have been introduced based on scarce evidence and are often not sufficiently effective. Several case reports suggest that mirtazapine, an antidepressant, may be an effective treatment for hyperemesis gravidarum, but so far there are no co...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-034712
更新日期:2020-03-24 00:00:00
abstract:INTRODUCTION:In rapidly developing countries such as India, the ubiquity of air pollution sources in urban and rural communities often results in ambient and household exposures significantly in excess of health-based air quality guidelines. Few efforts, however, have been directed at establishing quantitative exposure...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2015-008090
更新日期:2015-06-10 00:00:00
abstract:OBJECTIVES:To understand how the uptake of an extended primary care service in the evenings and weekend varied by day of week and over time. Secondary objectives were to understand patient demographics of users of the service and how these varied by type of appointment and to core hour users. DESIGN:Observational stud...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028138
更新日期:2019-09-05 00:00:00
abstract:OBJECTIVES:Rugby has a high injury incidence and therefore BokSmart introduced the Safe Six injury prevention programme in 2014 in an attempt to decrease this incidence. In 2015, BokSmart used a 'targeted marketing approach' to increase the awareness and knowledge of the Safe Six. Therefore, the aim of this study was t...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-018575
更新日期:2017-11-03 00:00:00
abstract:INTRODUCTION:Whether acupuncture is efficacious for patients with functional dyspepsia is still controversial. So we designed a randomised controlled trial to settle the problem. METHODS AND ANALYSIS:We designed a multicentre, two-arm, sham-controlled clinical trial. 200 participants with functional dyspepsia will be ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-003377
更新日期:2013-07-30 00:00:00
abstract:OBJECTIVE:To determine ethnic differences in the progression of chronic kidney disease (CKD) and risk of end-stage renal failure (ESRF) and death in adults with type 2 diabetes mellitus (T2DM), and to identify predictors of rapid renal decline. DESIGN:Observational community-based cohort study undertaken from 2006 to ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-020145
更新日期:2018-03-27 00:00:00
abstract:INTRODUCTION:'Take Home' Naloxone (THN) kits for use by peers in the event of an opioid overdose may reduce further overdose and deaths, but distribution through Drugs Services may not reach those at highest risk. Attendance by paramedics at emergency calls for patients who have suffered an overdose presents an opportu...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2013-004712
更新日期:2014-03-20 00:00:00
abstract:INTRODUCTION:Treatment fidelity is an important and often neglected component of complex behaviour change research. It is central to understanding treatment effects, especially for evaluations conducted outside of highly controlled research settings. Ensuring that promising interventions can be delivered adequately (ie...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-028417
更新日期:2019-07-30 00:00:00
abstract:BACKGROUND:Substantial amounts of public funds are invested in health research worldwide. Publicly funded randomised controlled trials (RCTs) often recruit participants at a slower than anticipated rate. Many trials fail to reach their planned sample size within the envisaged trial timescale and trial funding envelope....
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2016-015276
更新日期:2017-03-20 00:00:00
abstract:INTRODUCTION:Type 2 diabetes mellitus is a major source of morbidity and mortality in South Africa, spurred by increased urbanisation and unhealthy lifestyle factors. Local epidemiological data are required to inform health planning and policy. The purpose of this systematic review is to identify, collate and synthesis...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-021029
更新日期:2018-07-11 00:00:00
abstract:INTRODUCTION:Workplace social capital (WSC) has been shown to affect employees' well-being and health, yet it is not clear how public managers can create WSC and which forms of WSC are most important. This study is the first prospective cohort study to examine the relationship between management behaviour, WSC, well-be...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-039027
更新日期:2020-10-27 00:00:00
abstract:INTRODUCTION:Pharmacotherapy plays an important role in the treatment of major depression. At the initiation of antidepressant treatment, both improvement of symptoms in the short term and relapse prevention in the long term should be taken into account. However, there is insufficient evidence regarding the efficacy an...
journal_title:BMJ open
pub_type: 杂志文章,meta分析
doi:10.1136/bmjopen-2018-027574
更新日期:2019-05-19 00:00:00
abstract:OBJECTIVES:Multimorbidity is the presence of 2 or more medical conditions. This increasingly used assessment has not been assessed in a surgical population. The objectives of this study were to assess the prevalence of multimorbidity and its association with common outcome measures. DESIGN:A cross-sectional observatio...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究
doi:10.1136/bmjopen-2015-010126
更新日期:2016-03-31 00:00:00
abstract:OBJECTIVE:To analyse voluntary payment reports of pharmaceutical companies to German healthcare professionals (HCPs) in 2015 and 2016 based on an industry-self-regulating transparency codex. DESIGN AND PARTICIPANTS:Cohort study of all German HCPs who voluntarily agreed that at least one payment they received in 2015 a...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-037395
更新日期:2020-09-17 00:00:00