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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Risk factors for Cervical Intraepithelial Neoplasia in HIV-infected women on antiretroviral treatment in Côte d'Ivoire, West Africa
PLoS ONE, Volume 9, No. 3, Article e90625, Year 2014
Notification
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Description
Background: Facing the dual burden of invasive cervical cancer and HIV in sub-Saharan Africa, the identification of preventable determinants of Cervical Intraepithelial Neoplasia (CIN) in HIV-infected women is of paramount importance. Methods: A cervical cancer screening based on visual inspection methods was proposed to HIV-infected women in care in Abidjan, Côte d'Ivoire. Positively screened women were referred for a colposcopy to a gynaecologist who performed directed biopsies. Results: Of the 2,998 HIV-infected women enrolled, 132 (4.4%) CIN of any grade (CIN+) were identified. Women had been followed-up for a median duration of three years [IQR: 1-5] and 76% were on antiretroviral treatment (ART). Their median most recent CD4 count was 452 [IQR: 301-621] cells/mm3. In multivariate analysis, CIN+ was associated with a most recent CD4 count >350 cells/mm3 (OR: 0.3; 95% CI: 0.2-0.6) or ≥200-350 cells/mm3 (OR 0.6; 95% CI 0.4-1.0) (Ref: <200 cells/mm3 CD4) (p<10-4). Conclusions: The presence of CIN+ is less common among HIV-infected women with limited or no immune deficiency. Despite the potential impact of immunological recovery on the reduction of premalignant cervical lesions through the use of ART, cervical cancer prevention, including screening and vaccination remains a priority in West Africa while ART is rolled-out. © 2014 Jaquet et al.
Authors & Co-Authors
Jaquet, Antoine
France, Bordeaux
Université de Bordeaux
France, Paris
Inserm
Horo, Apollinaire Gninlgninrin
Cote D'ivoire, Abidjan
Centre Hospitalier Universitaire de Treichville
Ékouévi, Didier Koumavi
France, Bordeaux
Université de Bordeaux
France, Paris
Inserm
Cote D'ivoire, Abidjan
Centre Hospitalier Universitaire de Treichville
Toure, B.
Cote D'ivoire, Abidjan
Centre Hospitalier Universitaire de Treichville
Coffié, Patrick Ahuatchi
Cote D'ivoire, Abidjan
Centre Hospitalier Universitaire de Treichville
Effi, Ahoua Benjamin
Cote D'ivoire, Abidjan
Centre Hospitalier Universitaire de Treichville
Lenaud, Sêverin
Cote D'ivoire, Abidjan
Centre Hospitalier Universitaire de Treichville
Messou, Eugéne
Cote D'ivoire, Abidjan
Aconda
Minga, Albert Kla
Cote D'ivoire, Abidjan
Centre Médical de Suivi de Donneurs de Sang/cnts/primo-ci
Sasco, Annie Jeanne
France, Bordeaux
Université de Bordeaux
France, Paris
Inserm
Dabis, Franćois Ç.Ois
France, Bordeaux
Université de Bordeaux
France, Paris
Inserm
Zannou, Djimon Marcel
Unknown Affiliation
Koumakpaï, Sikiratou A.
Unknown Affiliation
Drabo, Joseph Youssouf
Burkina Faso, Ouagadougou
Chu Yalgado
Sawadogo, Adrien Bruno
Burkina Faso
Chu Souro Sanou
Yé, Diarra
Unknown Affiliation
Bosse, Clarisse Amani
Unknown Affiliation
Chenal, Henri
Unknown Affiliation
Eholié, Serge Paul
Cote D'ivoire, Abidjan
Centre Hospitalier Universitaire de Treichville
Koulé, Serge Olivier
Cote D'ivoire, Abidjan
Centre Hospitalier Universitaire de Treichville
Aka, Edmond Addi
Unknown Affiliation
Pety, Touré
Unknown Affiliation
Kouakou, Kouadio P.
Unknown Affiliation
Folquet, Madeleine Amorissani
Cote D'ivoire, Abidjan
C.h.u. de Cocody
Eboua, Tanoh François
Cote D'ivoire
Chu Yopougon
A Renner, Lorna
Unknown Affiliation
Wejse, Christian
Guinea-bissau, Bissau
Bandim Health Project
da Silva, Zacarias José
Guinea-bissau, Bissau
Bandim Health Project
Maïga, Moussa Youssouffa
Unknown Affiliation
Traoré, Hammar Alassane
Unknown Affiliation
Minta, Daouada K.
Unknown Affiliation
Dicko-Traoré, Fatoumata B.
Unknown Affiliation
Charurat, Manhattan E.
Unknown Affiliation
Ajayi, Samuel Oluwole
Nigeria, Abuja
Uath
Benson, Okwara
Nigeria, Benin
Ubth
Adebamowo, Clement
Nigeria, Benin
Ubth
Seydi, Moussa
Senegal
Chu Fann
Sy, Haby Signaté
Unknown Affiliation
Patassi, Akouda Akessiwe
Togo
Chu Tokoin/sylvanus Olympio
Lawson-Evi, Annette Koko
Togo
Chu Tokoin/sylvanus Olympio
Bissagnéné, Emmanuel
Unknown Affiliation
Arrivé, Élise
Unknown Affiliation
Leroy, Valeriane
Unknown Affiliation
Lewden, Charlotte
Unknown Affiliation
Gottlieb., Geoffrey S.
Unknown Affiliation
Statistics
Citations: 45
Authors: 45
Affiliations: 14
Identifiers
Doi:
10.1371/journal.pone.0090625
e-ISSN:
19326203
Research Areas
Cancer
Infectious Diseases
Study Locations
Multi-countries
Ivory Coast
Participants Gender
Female