Vaginal Dysplasia and HIV: An African American and Caribbean American Cohort Study
Joint Authors
Duthely, Lunthita M.
Potter, JoNell
Carugno, Jose A.
Suthumphong, Cayla Y.
Feldman, Erica B.
Source
Interdisciplinary Perspectives on Infectious Diseases
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-01-01
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background.
Vaginal cancer is a rare disease with poor clinical outcomes and limited therapeutic options.
In the United States (US), minority women and older women are disproportionately diagnosed with late-stage vaginal cancer.
Sociodemographic characteristics, risk behaviors, and cooccurring conditions are linked to vaginal intraepithelial neoplasia (VaIN).
The diagnosis of VaIN is more prevalent among older women and women living with HIV (WLWH).
The Caribbean basin has one of the highest rates of anogenital cancers in the Western Hemisphere.
In the US, vaginal infections are more prevalent among Caribbean women, and these infections contribute to higher rates of Human Papilloma Virus (HPV).
Given the high rate of anogenital cancers in the Caribbean and the high rates of HPV among Caribbean women in the US, we sought to describe the occurrence of VaIN in a cohort of Black non-Hispanic WLWH.
The cohort was followed by an interdisciplinary team of providers with the University of Miami, Miller School of Medicine.
Results.
Caribbean Americans were living with HIV longer and more were uninsured; more African Americans endorsed cigarette and illicit substance use.
Caribbean Americans trended towards the highest grades of VaIN (VaIN 2+) at baseline, but more African Americans progressed to VaIN 2+ in subsequent biopsies.
Conclusion.
In this cohort of Caribbean American and African American women living with HIV diagnosed with VaIN, Caribbean Americans had the highest grade of VaIN at baseline, but more African Americans progressed to more advanced stages of the disease.
American Psychological Association (APA)
Duthely, Lunthita M.& Carugno, Jose A.& Suthumphong, Cayla Y.& Feldman, Erica B.& Potter, JoNell. 2019. Vaginal Dysplasia and HIV: An African American and Caribbean American Cohort Study. Interdisciplinary Perspectives on Infectious Diseases،Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1168774
Modern Language Association (MLA)
Duthely, Lunthita M.…[et al.]. Vaginal Dysplasia and HIV: An African American and Caribbean American Cohort Study. Interdisciplinary Perspectives on Infectious Diseases No. 2019 (2019), pp.1-7.
https://search.emarefa.net/detail/BIM-1168774
American Medical Association (AMA)
Duthely, Lunthita M.& Carugno, Jose A.& Suthumphong, Cayla Y.& Feldman, Erica B.& Potter, JoNell. Vaginal Dysplasia and HIV: An African American and Caribbean American Cohort Study. Interdisciplinary Perspectives on Infectious Diseases. 2019. Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1168774
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1168774