Family Physicians' Knowledge of Risk Factors for Cervical Cancer

Ruffin, Mack T.

doi:10.1089/154099903768248267

Cited by 6 publications

(4 citation statements)

References 41 publications

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“…Those studies found that nearly all physicians knew that persistent HPV infection increases the risk of cervical dysplasia and cancer, 35,36 but another survey—a needs assessment of 2,748 members of the American Academy of Family Physicians conducted in 2003 (and therefore not representative of current levels of knowledge)—found that only 20% listed HPV as a risk factor for cervical cancer. 37 These prior estimates of low physician awareness are concerning given that the recent President’s Cancer Panel report encourages patient–provider communication about the vaccine. 13 …”

Section: Discussionmentioning

confidence: 99%

Predictors of Human Papillomavirus Awareness and Knowledge in 2013

Blake

Ottenbacher

Rutten

et al. 2015

American Journal of Preventive Medicine

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Background Nearly 80 million people in the U.S. are currently infected with at least one of two strains of human papillomavirus (HPV), which is associated with 70% of cervical cancers. Greater cervical cancer mortality has been observed among women of lower SES and those living in rural, versus urban, areas. African American and Hispanic women are significantly more likely to die from cervical cancer than non-Hispanic white women. Purpose To assess current population awareness of and knowledge about HPV and the HPV vaccine, as well as the contribution of sociodemographic characteristics to disparities in HPV awareness and knowledge. Methods Cross-sectional data were obtained from the National Cancer Institute’s 2013 Health Information National Trends Survey (HINTS; N=3,185). Multivariable logistic regression was employed to identify gaps in awareness and knowledge by sex, education, income, race/ethnicity, geographic area, and other important sociodemographic characteristics. Analyses were conducted in 2014. Results Sixty-eight percent of Americans had heard of HPV and the HPV vaccine. Consistent with the Knowledge Gap Hypothesis, awareness and knowledge were patterned by sex, age, education, and other important sociodemographic factors. Those in rural areas were less likely than those in urban areas to know that HPV causes cervical cancer. Less than 5% of Americans were aware that HPV often clears on its own without treatment. Conclusions Although awareness and knowledge of HPV is increasing, there are opportunities to target communication with populations for whom knowledge gaps currently exist, in order to promote dialogue about the vaccine among patients and their providers.

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Section: Discussionmentioning

confidence: 99%

Predictors of Human Papillomavirus Awareness and Knowledge in 2013

Blake

Ottenbacher

Rutten

et al. 2015

American Journal of Preventive Medicine

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“…Two recent surveys of U.S. clinicians found that only 33-40% overall knew that HPV could clear without medical intervention (Irwin et al, 2006; Jain et al, 2006), although obstetrician-gynecologists were much more likely to know that HPV clears spontaneously than physicians in family or internal medicine (67% versus 35% and 29%, respectively) (Irwin et al, 2006). While these studies found that nearly all physicians knew that persistent HPV infection increases the risk of cervical dysplasia and cancer (Irwin et al, 2006; Jain et al, 2006), a survey of 2,748 members of the American Academy of Family Physicians found that only 20% listed HPV as a risk factor for cervical cancer (Ruffin, 2003). Further, many clinicians are unaware that the HPV types that cause genital warts differ from those that cause cervical cancer (Henderson et al, 2007).…”

Section: Discussionmentioning

confidence: 99%

Knowledge of Human Papillomavirus: Differences by Self-Reported Treatment for Genital Warts and Sociodemographic Characteristics

Koshiol

Rutten

Moser

et al. 2009

Journal of Health Communication

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The aim of this study was to evaluate knowledge about human papillomavirus (HPV) in individuals with genital warts compared to women from the general population without genital warts. HPV knowledge among women reporting treatment for genital warts was compared to HPV knowledge in women reporting no treatment was assessed using data from the population-based 2005 Health Information National Trends Survey. Three percent (N=97) of women answered "yes" and 97% (N=3450) "no" to "Have you ever been treated for venereal warts or condyloma?" Women who reported treatment for genital warts were more likely to have heard of HPV (Odds ratio (OR): 2.4, 95% confidence interval (CI): 1.4-4.2 vs. no or don't know), to have been told they had HPV (OR: 24.5, 95% CI: 11.4-52.8), and to have accurate information about HPV, such as HPV causes cancer (OR: 2.7, 95% CI: 1.8-4.3). However, a large proportion (41%) of women who reported treatment for genital warts had not heard of HPV. These women tended to be older, poorer, less educated, nonHispanic black, less likely to have had a recent Pap test, and divorced, widowed, or separated. Women with genital warts are learning about HPV, but socioeconomically disadvantaged groups may need to be targeted.

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“…Further, of women who had health insurance reimbursement claims but did not have a Pap-test claim in the 3-year period, 44% had contacts with a primarycare provider or women's health-care provider in the 3-year period. A recent survey of 5000 randomly selected active members of the American Academy of Family Physicians (AAFP) indicated that this sample of physicians had a limited understanding of the risk factors for cervical cancer [25]. Because such knowledge is critical to initiating the screening process, educating primary care providers would be an important step in improving the screening rate.…”

Section: Discussionmentioning

confidence: 99%