Association of Knowledge, Anxiety, and Fear with Adherence to Follow Up for Colposcopy

Brooks, Sandra E.; Gordon, Nancy J.; Keller, Sarah J.; Thomas, Simu K.; Chen, T. Timothy; Moses, Gloria

doi:10.1046/j.1526-0976.2002.61004.x

Cited by 14 publications

(11 citation statements)

References 14 publications

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“…There were nonsignificant differences in education, employment, and marital status between women who accepted colposcopy and those who refused, indicating that formal education and socioeconomic factors may not be major determinants in the uptake of colposcopy services. This is corroborated by some reports [7,11,12] but not others [4,13,14]. It is reasonable to speculate that local factors unique to given populations may influence default and refusal of colposcopy services.…”

Section: Discussionsupporting

confidence: 63%

Non‐uptake of colposcopy in a resource‐poor setting

Chigbu

Aniebue

2011

Intl J Gynecology & Obste

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Section: Discussionsupporting

confidence: 63%

Non‐uptake of colposcopy in a resource‐poor setting

Chigbu

Aniebue

2011

Intl J Gynecology & Obste

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“…Freeman‐Wang & Walker 2005). However, due to mixed findings from previous studies (Brooks et al . 2002; Pruitt et al .…”

Section: Introductionmentioning

confidence: 77%

Determinants of pre-procedural state anxiety and negative affect in first-time colposcopy patients: implications for intervention

Kola

Walsh

2011

European Journal of Cancer Care

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Women experience significant emotional distress in relation to further diagnostic evaluation of pre-cancerous cell changes of the cervix. However, less is known about the specific variables that contribute to elevated state anxiety and negative affect prior to colposcopy. The study aims to identify psychosocial factors that predict distress in this patient group, which can help in the development of more sophisticated interventions to reduce psychological distress. Socio-demographic variables, scores for state anxiety, negative affect, trait anxiety, fear of pain, coping style, pain-related expectancy and knowledge were assessed in 164 first-time colposcopy patients immediately before the colposcopy examination. Twenty-six per cent of variance in pre-colposcopy state anxiety was significantly explained by marital status, parity, trait anxiety, fear of minor pain and expectations of discomfort. Twenty-nine per cent of variance in pre-colposcopy negative affect was significantly explained by trait anxiety and expectations of pain. Women who are single, have children, are high trait anxious, and anticipate pain and discomfort appear to be at risk for pre-colposcopy distress. Interventions aimed at reducing pre-colposcopy psychological distress should include situation-specific variables that are amenable to change, and trait anxious women are likely to benefit from interventions to reduce distress.

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“…Having knowledge about one's health conditions or the risk of developing health conditions can promote healthy behaviors and treatment adherence . Better general knowledge about cancer is associated with cancer screening, earlier stage at presentation and survival, and enhanced satisfaction with care .…”

Section: Introductionmentioning

confidence: 99%

Racial/ethnic disparities in knowledge about one's breast cancer characteristics

Freedman

Kouri

West

et al. 2015

Cancer

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Background Understanding tumor characteristics is likely important but little is known about breast cancer patients’ knowledge of their disease. We assessed women's knowledge about their tumor characteristics, whether racial/ethnic disparities in knowledge exist, and whether education and health literacy influenced associations. Methods We surveyed a population-based cohort of women in Northern California with stage 0-III breast cancer diagnosed during 2010-2011 (participation rate=68.5%). Among 500 respondents (222 non-Hispanic white, 142 non-Hispanic black, and 136 Hispanic women), we examined racial/ethnic differences in knowledge about tumor characteristics (estrogen receptor [ER], Human Epidermal Growth Factor Receptor 2 [HER2], stage, grade) and correctness of tumor information (with California Cancer Registry data for confirmation). We used multivariate logistic regression to assess the probability of (a) ‘knowing’ tumor stage, receptor status, and grade and (b) ‘correctly answering’ tumor information by race/ethnicity. In sequential models, we examined the impact of education and health literacy on findings. Results Overall, 32%-82% reported knowing each of the 4 tumor characteristics and 20%-58% correctly reported these characteristics. After adjustment, black and Hispanic women were less likely than white women to know and have correct responses for stage, ER, and HER2 (all P<.05). Education and health literacy were significantly associated with knowing and having correct information for some characteristics, but these variables did not eliminate most of the racial/ethnic differences observed. Conclusions Knowledge about one's breast cancer was generally poor, particularly for minority women. Further study of how this knowledge may impact receipt of care and outcomes is warranted.

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Association of Knowledge, Anxiety, and Fear with Adherence to Follow Up for Colposcopy

Abstract: Pre-visit intervention may improve adherence and reduce anxiety associated with colposcopy.

Cited by 14 publications

References 14 publications

Non‐uptake of colposcopy in a resource‐poor setting

Non‐uptake of colposcopy in a resource‐poor setting

Determinants of pre-procedural state anxiety and negative affect in first-time colposcopy patients: implications for intervention

Racial/ethnic disparities in knowledge about one's breast cancer characteristics

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