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To investigate factors associated with colposcopy attendance in HPV-positive women in São Paulo, Brazil. We analyzed data from a prospective cohort of women positive for high-risk HPV (hr-HPV) undergoing cervical cancer screening in primary care services in São Paulo, Brazil. Non-pregnant women attending routine screening between December 2014 and March 2016 were offered an hr-HPV test, and those testing positive and aged 25years or older were invited for colposcopy. Sociodemographic information was recorded at study enrollment. We compare