Changes in Knowledge and Beliefs About Human Papillomavirus and Cervical Cancer Screening Intervals in Low-Income Women After an Educational Intervention

Roland, Katherine B.; Benard, Vicki B.; Greek, April; Hawkins, Nikki A.; Lin, Lavinia

doi:10.1177/2150131915624869

Cited by 12 publications

(9 citation statements)

References 23 publications

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“…These data demonstrate that the visual inspection test is, in fact, more likely to point towards HPV infection. As already demonstrated in the literature, sensitivity and specificity rates for detecting HSIL lesions are similar between the colposcopy and the visual inspection test, demonstrating that this alternative method can be useful for low-income populations in poorer regions [35,36]. Furthermore, the verisimilitude ratio showed that visual inspection was almost five times more accurate than cytology, decreasing the chances of false-negative results.…”

Section: Discussionsupporting

confidence: 66%

Clinical, laboratory and epidemiological aspects of HPV infection in a low-income population from South Bahia, Brazil

Gadelha

Dmv

et al. 2017

Epidemiol. Infect.

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The aim of this study was to determine the prevalence and risk factors for human papillomavirus (HPV) infection in the Southern region of the State of Bahia, evaluating the performance of alternative complementary methods for cervical lesion detection. Cervical samples from women who attended healthcare units were collected and diagnosed by visual inspection, cervical cytology and nested polymerase chain reaction (PCR). Moreover, hemi-nested PCR was performed to detect different HPV genotypes. The prevalence of HPV infection was 47·7%, with genotype 16 detected in most cases. Infection was associated with dyspareunia and bleeding (P < 0·001, odds ratio (OR) 5·6, 95% confidence interval (CI) 2·815-11·14) and hormonal contraceptive use (P = 0·007, OR 2·33, 95% CI 1·25-4·34). There was a positive correlation between positive PCR and positive visual inspection, cervical cytology and symptoms reported. Furthermore, visual inspection was twice as specific, and had a greater positive predictive value than cytology. We showed a high prevalence of HPV infection in Southern Bahia, with HPV 16 being the most common type, and visual inspection being most effective at detecting HPV lesions, corroborating the suggestion that it can be applied in routine gynecologic examinations for low-income populations.

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Section: Discussionsupporting

confidence: 66%

Clinical, laboratory and epidemiological aspects of HPV infection in a low-income population from South Bahia, Brazil

Gadelha

Dmv

et al. 2017

Epidemiol. Infect.

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“…The study selection flow diagram is presented in Figure 2. We retained 22 primary studies: 5 of qualitative methodology [29][30][31][32][33], 15 of quantitative methodology [34][35][36][37][38][39][40][41][42][43][44][45][46][47][48] and 2 in which both methodologies were used [49,50]. Seventeen studies originate in high income countries (8-USA, 2-Canada, 5-Europe and 2 in Australia) and five in low and middle income countries (1-Mexico, 1-El Salvador, 1-China, 1-India and 1 in Nigeria).…”

Section: Summary Of Included Studies and Study Qualitymentioning

confidence: 99%

“…Perceived benefits of the HPV test synthesize women's beliefs of the HPV test being accurate for early detection of cancer [29,38,46,50] despite possible concerns about the HPV test safety [29,50] and negative emotions and perceptions related to HPV testing such as anxiety about the test results [29], stigma and problems with communicating of positive results to significant others [33].…”

Section: Attitudes Beliefs and Subjective Normsmentioning

confidence: 99%

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Factors associated with human papillomavirus (HPV) test acceptability in primary screening for cervical cancer: A mixed methods research synthesis

Tatar

Thompson

Naz

et al. 2018

Preventive Medicine

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Primary screening for cervical cancer is transitioning from the longstanding Pap smear towards implementation of an HPV-DNA test, which is more sensitive than Pap cytology in detecting high-risk lesions and offers greater protection against invasive cervical carcinomas. Based on these results, many countries are recommending and implementing HPV testing-based screening programs. Understanding what factors (e.g., knowledge, attitudes) will impact on HPV test acceptability by women is crucial for ensuring adequate public health practices to optimize cervical screening uptake. We used mixed methods research synthesis to provide a categorization of the relevant factors related to HPV primary screening for cervical cancer and describe their influence on women's acceptability of HPV testing. We searched Medline, Embase, PsycINFO, CINAHL, Global Health and Web of Science for journal articles between January 1, 1980 and October 31, 2017 and retained 22 empirical articles. Our results show that while most factors associated with HPV test acceptability are included in the Health Belief Model and/or Theory of Planned Behavior (e.g., attitudes, knowledge), other important factors are not encompassed by these theoretical frameworks (e.g., health behaviors, negative emotional reactions related to HPV testing). The direction of influence of psychosocial factors on HPV test acceptability was synthesized based on 14 quantitative studies as: facilitators (e.g., high perceived HPV test benefits), barriers (e.g., negative attitudes towards increased screening intervals), contradictory evidence (e.g., sexual history) and no impact (e.g., high perceived severity of HPV infection). Further population-based studies are needed to confirm the impact of these factors on HPV-based screening acceptability.

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“…(4-point scale; 1 ¼ No concern; 4 ¼ Much concern). We assessed screening knowledge using 10 items, adapted from previous surveys (12,16). All outcomes were assessed at pretest and posttest and dichotomized for analysis following similar studies.…”

Section: Messaging Content and Outcomesmentioning

confidence: 99%

Effects of Message Framing on Cervical Cancer Screening Knowledge and Intentions Related to Primary HPV Testing

Ogden

Leskinen

Sarma

et al. 2021

Cancer Prevention Research

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Numerous national guidelines now include primary human papillomavirus (HPV) testing as a recommended screening option for cervical cancer in the United States yet little is known regarding screening intentions for this specific screening strategy or interventions that may increase uptake. Gain-and loss-framed messaging can positively impact health behaviors; however, there is mixed evidence on which is more effective for cervical cancer screening, with no published evidence examining HPV testing. To help address this gap, this study compared the effects of message framing on screening knowledge and intentions related to primary HPV testing. We randomized females aged 21-65 (n ¼ 365) to receive brief messaging about cervical cancer screening with either gain-or loss-framing. In January-February 2020, participants completed pretest and posttest measures evaluating cervical cancer knowledge, beliefs, and intentions to be screened using HPV testing. We used generalized estimating equations to model message and framing effects on screening outcomes, controlling for age, education, race, and baseline measures. In comparison to pretest, messaging significantly increased HPV-related screening intentions [adjusted OR (aOR): 2.4 (1-3.5)] and knowledge [aOR: 1.7 (1.2-2.4)], perceived effectiveness of HPV testing [aOR: 4.3 (2.8-6.5)], and preference for primary HPV screening [aOR: 3.2 (1.2-8.5)], regardless of message framing. For all outcomes, no significant interaction by message framing was observed. Brief public health messaging positively impacted HPV-related screening intentions, knowledge, and beliefs, independent of message framing. In conjunction with other strategies, these results suggest that messaging could be an effective tool to increase uptake of primary HPV testing.Prevention Relevance: Primary HPV tests are more sensitive and offer greater reassurance than Pap tests alone yet use for routine cervical cancer screening remains low. Brief public health messaging can positively impact awareness, knowledge, and screening intention regarding primary HPV testing. Messaging campaigns paired with other strategies can increase uptake across populations.

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Changes in Knowledge and Beliefs About Human Papillomavirus and Cervical Cancer Screening Intervals in Low-Income Women After an Educational Intervention

Cited by 12 publications

References 23 publications

Clinical, laboratory and epidemiological aspects of HPV infection in a low-income population from South Bahia, Brazil

Clinical, laboratory and epidemiological aspects of HPV infection in a low-income population from South Bahia, Brazil

Factors associated with human papillomavirus (HPV) test acceptability in primary screening for cervical cancer: A mixed methods research synthesis

Effects of Message Framing on Cervical Cancer Screening Knowledge and Intentions Related to Primary HPV Testing

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