| ORIGINAL ARTICLE |
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| Year : 2017 | Volume
: 11
| Issue : 2 | Page : 90-95 |
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Cervical cytology pattern and human immunodeficiency virus serostatus of women seen in Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
Umma Sulaiman Bawa1, Abimbola Omolara Kolawole1, Nana Hauwa Madugu1, Sani Mohammed Shehu2
1 Department of Obstetrics and Gynaecology, Ahmadu Bello University Teaching Hospital, Shika, Zaria, Nigeria
2 Department of Pathology, Ahmadu Bello University Teaching Hospital, Shika, Zaria, Nigeria
Correspondence Address:
Abimbola Omolara Kolawole
Department of Obstetrics and Gynaecology, Ahmadu Bello University Teaching Hospital, Shika, Zaria, P. O. Box 7062, Kaduna
Nigeria
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/phmj.phmj_2_17
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Background: Cervical cancer is the second most common cancer in women worldwide. Human immunodeficiency virus (HIV) has been suggested to be a cofactor in the association between human papillomavirus and cervical intraepithelial neoplasia (CIN).
Aim: To determine the pattern of cervical cytology changes in women of different HIV status and characterise the sociodemographic factors that confound the changes seen.
Methods: This was a cross-sectional comparative study. This study was conducted in Gynaecology Clinic of Ahmadu Bello University Teaching Hospital, Zaria, Nigeria. Following informed consent, 272 HIV-positive (HIV+) and 275 HIV-negative (HIV−) women had questionnaires administered and Papanicolaou smears were taken.
Results: The average age of the respondents was 32.6 ± 6.8 years (range: 15–49 years). Mean parity for HIV+ women was 3.28 and 3.36 for HIV− women while 70.8% of HIV+ women were married comparable with 72.7% in HIV− women. Twenty-nine per cent of HIV+ women had positive smears for CIN compared with 16.4% in those that were HIV−. This was statistically significant (odds ratio = 2.05, P = 0.001). The high-grade lesions (CIN II and CIN III) tended to be higher in the HIV+ women (11.4%) than the HIV− women (0.7%).
Conclusion: HIV+ women in Zaria, Northern Nigeria, are at higher risk of severe cervical dysplasia compared with their counterparts who are HIV−. It is recommended that greater effort should be made to have an integrated reproductive healthcare service which includes cervical cytology within the HIV clinics. |
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