ASPO Abstracts
Cervical cancer screening with HPV test among U.S. women: At the intersection of disability and high-risk for HIV infection
Category: Cancer Health Disparities
Conference Year: 2023
Abstract Body:
Purpose : In our previous analyses, we identified that women with disabilities were less likely to receive cervical cancer screening with HPV test. Previous studies have shown that women with disabilities are among key populations at a higher risk of HIV infection. The HPV test was recently recognized as the preferred method of cervical cancer screening by the American Cancer Society. The purpose of this study is to examine the prevalence of cervical cancer screening with HPV test among women at the intersection of disability and a high risk for HIV infection. Methods: Our sample of 76,732 women with disabilities came from the 2018 and 2020 Behavioral Risk Factor Surveillance System. Modified Poisson regressions were conducted to estimate the crude, adjusted prevalence ratios and 95% confidence intervals of cervical cancer screening with HPV test to determine differences between women with and without a high risk for HIV infection. Multivariable analyses adjusted for covariates including age, race/ethnicity, and sexual orientation. Results: The prevalence of cervical cancer screening with HPV test was 37.4% in the overall sample. Our adjusted regression analysis showed that women with a high risk of HIV infection had a higher prevalence of cervical cancer screening with HPV test than women without a high risk of HIV infection (aPR = 1.19; 95%CI 1.18, 1.20). Older age, non-heterosexual women, married and formerly married women had a lower prevalence of cervical cancer screening with HPV test. Conclusions: Women with disabilities and a high risk for HIV infection reported higher prevalence of cervical cancer screening with HPV test. Further research is needed to understand why women with disabilities without a high risk for HIV infection have a significantly lower prevalence of cervical cancer screening.
Keywords: Cervical cancer screening, HPV testing, disability, HIV