Volume 15, Issue 1 (Vol.15, No.1 2019)                   irje 2019, 15(1): 87-94 | Back to browse issues page

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Nazari S, Keshavarz Z, Afrakhte M, Riazi H. Barriers to Cervical Cancer Screening in HIV Positive women: A Systematic Review of Recent Studies in the World. irje. 2019; 15 (1) :87-94
URL: http://irje.tums.ac.ir/article-1-6285-en.html
1- PhD Student of Reproductive Health, Student Research Committee, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Master of Midwifery, Faculty Member of North Khorasan University of Medical Sciences, Khorasan, Iran
2- Associate Professor, Departmen of Midwifery and Reproductive Health, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3- Professor, Department of Obstetrics and Gynecology, Professor, Department of Obstetrics and Gynecology, Shohada-E-Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4- Assistant Professor, Department of Midwifery and Reproductive Health, Midwifery and Reproductive Health Research Center, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran , h.riazi@sbmu.ac.ir
Abstract:   (1257 Views)
Background and Objectives: Cervical cancer is one of the five most common cancers in Iranian women. Considering the impact of HIV on cervical cancer and the low rate of cervical cancer screening in HIV positive women, this study was conducted to review the barriers to cervical cancer screening in HIV positive women.
 
Methods: In this systematic review, data were retrieved from Magiran, SID, Irandoc, Prequest, OVID, ScienceDirect, PubMed, Web of Science and Scupos databases from January 2000 to January 2018. The following keywords and their combination were used: cervical cancer screening, Pap smear, HIV-positive women, and barriers. The NOS (Newcastle-Ottawa Scale) checklist was used to evaluate the quality of the selected articles and the articles that scored more than six were included in the study.
 
Results: From 145 selected articles, 21 were included in the review based on the inclusion criteria. The most common reported screening barriers were the costs of test, lack of awareness, low education level, younger age, lack of information about screening centers, and fear of sampling. 
 
Conclusion: Considering the barriers to cervical cancer screening, increasing the level of awareness of the HIV-positive women, preparing free Pap smear services, and providing easier access to health centers for this high risk group could lead to early detection of cervical cancer.
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Type of Study: Research | Subject: Epidemiology
Received: 2019/08/5 | Accepted: 2019/08/5 | Published: 2019/08/5

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