METHODS: A cross-sectional study was conducted with 130 WLWH and 147 age-matched healthy controls, who underwent gynecological examinations at Beijing Ditan Hospital. The presence of abnormal cervical cytology in WLWH was predicted after performing a logistic regression analysis.
RESULTS: Multivariate logistic regression revealed three independent factors, among which CD4 cell counts of more than 350 cells/μL was the protective factor, while human papillomavirus infection and abnormal vaginal pH were the risk factors.
CONCLUSIONS: Vaginal microecological disorders can increase the risk of abnormal cervical cytology in WLWH.
方法:对130名WLWH和147名年龄匹配的健康对照进行了横断面研究,他在北京地坛医院做了妇科检查。在进行逻辑回归分析后,可以预测WLWH中异常宫颈细胞学的存在。
结果:多因素logistic回归显示了三个独立因素,其中CD4细胞计数超过350细胞/μL是保护因子,而人乳头瘤病毒感染和阴道pH异常是危险因素。
结论:阴道微生态紊乱可增加WLWH宫颈细胞学异常的风险。