Human Papillomavirus and Cervical Screening: Misconceptions Undermine Adherence

Panagopoulou, Efharis; Giata, Ourania; Montgomery, Anthony; Dinas, Kostantinos; Benos, Alexis

doi:10.4278/ajhp.09113-arb-364

Cited by 8 publications

(7 citation statements)

References 11 publications

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“…Their lack of participation in secondary prevention of HPV related cancer may be related to their overall lack of pap and HPV knowledge and is consistent with previous studies showing lack of knowledge is a real barrier to prevention seeking behaviors (Bynum et al, 2011;Juraskova, Obrien, et al, 2011). Additionally, many women do not understand the purpose of pap testing is to prevent cervical cancer (Hawkins et al, 2011;Panagopoulou et al, 2011;Vasconcelos et al, 2011). In fact, women most often report other reasons (contraception, pelvic pain or symptoms) for attending clinics for pap smear testing, not related to HPV or cervical cancer screening (Bayer et al, 2011;Bertram & Magnussen, 2008;Daley et al 2010;Friedman & Shepeard, 2007;Perrin et al, 2006;Vasconcelos et al, 2011).…”

Section: Impact On Knowledgesupporting

confidence: 83%

“…While most women have heard of and have undergone pap smear testing in the US, they do not fully understand the purpose of pap test screening (Hawkins et al, 2011;Panagopoulou, Giata, Montgomery, Dinas, & Benos, 2011;Vasconcelos, 2011). In fact, women most often report other reasons (contraception, pelvic pain or symptoms) for attending clinics for pap smear testing, not related to HPV or cervical cancer screening (Bayer, Nussbaum, Cabrera, & Paz-Soldan, 2011;Bertram & Magnussen, 2008;Daley et al 2010;Friedman & Shepeard, 2007;Perrin et al, 2006;Vasconcelos, 2011).…”

Section: Preventionmentioning

confidence: 99%

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Evaluating Changes in Knowledge, Beliefs, and Behaviors Associated with HPV Following an Educational Intervention among Women

Sheaves¹

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Evaluating Changes in Knowledge, Beliefs, and Behaviors Associated with HPV Following an Educational Intervention among Women Crystal Sheaves, MSN, APRN, FNP-BC. Background: Prevalence of HPV is estimated to be 10-15% among Americans. HPV is recognized as the causative agent in 99.7% of all cervical cancers. In 2006, a vaccine was released to prevent specific types of HPV that cause cervical cancer. Despite demonstrated vaccine safety and efficacy, vaccine rates are still low at less than 20% among women 18-26 years old. Vaccine uptake may be impacted by women's HPV knowledge and beliefs. Aims: The purpose of this study was to evaluate changes in women's knowledge, beliefs, and behaviors associated with HPV following an educational intervention study. Specifically, the study was designed to evaluate the effectiveness of a video-based HPV prevention education intervention as compared to the standard of care written HPV educational material on improving women's knowledge, beliefs, and behaviors regarding HPV prevention. Methods: This study used a quasi-experimental pre-test/post-test design with delayed intervention treatment for the control group. Recruitment included women 18-26 years of age who had not yet had the HPV vaccine. Results: Both the control and intervention group had low HPV knowledge prior to education. Knowledge scores increased significantly for both groups following education. Type of education had no significant impact on HPV knowledge. Women's willingness to accept the vaccine for themselves and their children increased for both groups over time, while the women in the video-based intervention were significantly more willing to accept the vaccine for their adolescent sons at time 2. Health beliefs related to HPV infection and HPV prevention also x LIST OF APPENDICIES Appendix A: (Information Sheet)…………………………………………………. ………….118 Appendix B: (Pre-test)………………………………………………………………………….

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Section: Impact On Knowledgesupporting

confidence: 83%

Section: Preventionmentioning

confidence: 99%

Evaluating Changes in Knowledge, Beliefs, and Behaviors Associated with HPV Following an Educational Intervention among Women

Sheaves¹

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“…A good secondary prevention, such as cervical cancer screening programs, could cover these potential gaps in HPV vaccination. However, concerns have been raised on the possible future consequences of HPV vaccination on the attendance at the cervical cancer screening programs, with possible lower compliance among vaccinated women who perceived themselves at lower risk of cervical cancer [61, 62]. Furthermore, since this systematic review indicates a protective effect of HPV vaccination on all CIN2+ lesions, we could therefore foresee a decrease in screening referrals and subsequent treatments of pre-malignant lesions in the future.…”

Section: Discussionmentioning

confidence: 99%

HPV catch-up vaccination of young women: a systematic review and meta-analysis

et al. 2014

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BackgroundWhile prophylactic human papilloma virus (HPV) vaccination is considered effective in young girls, it is unclear whether a catch-up vaccination of older girls would be beneficial. We, therefore, aimed to examine the potential health impact of a HPV catch-up vaccination of girls who were too old at the time of vaccine introduction, hence aged 16 and older.MethodsWe systematically searched the literature for randomized clinical trials (RCTs) that examined the effect of HPV vaccines on overall mortality, cancer mortality and incidence, high-grade cervical intraepithelial neoplasia grade 2 and higher (CIN2+), vulvar intraepithelial neoplasia (VIN) and vaginal intraepithelial neoplasia (VaIN) grade 2 and higher lesions (VIN2+ and VaIN2+, respectively) genital warts (condyloma). We considered all lesions and those associated with HPV type(s) included in the vaccines. RCTs reporting on serious adverse events were also eligible. Selected publications were assessed for potential risk of bias, and we ascertained the overall quality of the evidence for each outcome using Grading of Recommendations Assessment, Development and Evaluation (GRADE). Meta-analyses were performed, assuming both random and fixed effects, to estimate risk ratios (RR) and corresponding 95% confidence intervals (CI), using intention-to-treat and per-protocol populations.ResultsWe included 46 publications reporting on 13 RCTs. Most of the RCTs had a maximum follow-up period of four years. We identified no RCT reporting on the effect of HPV catch vaccination on overall and cancer related mortality, and on cervical cancer incidence. We found a borderline protective effect of a HPV catch-up vaccination on all CIN2+, with a pooled RR of 0.80 (95% CI: 0.62-1.02) for a follow-up period of 4 years. A HPV catch-up vaccination was associated with a reduction in VIN2+ and VaIN2+ lesions, and condyloma. No difference in risk of serious adverse events was seen in vaccinated participants versus unvaccinated women (pooled RR of 0.99 (0.91-1.08)).ConclusionsThis systematic review indicates that a HPV catch-up vaccination could be beneficial, however the long-term effect of such a vaccination, and its effect on cervical cancer incidence and mortality is still unclear.Electronic supplementary materialThe online version of this article (doi:10.1186/1471-2458-14-867) contains supplementary material, which is available to authorized users.

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“…Es conocida la asociación entre la satisfacción que se tiene con el proveedor de cuidados y la adherencia a un determinado cuidado preventivo 27 , por lo tanto la atención brindada por un profesional es de relevancia ya que esa experiencia definirá la actitud que ellas, y potencialmente su entorno, tendrán frente al tamizaje. Cabe señalar que la adherencia de una mujer se relaciona directamente con la adherencia de su hija 28 .…”

Section: Las Entidades Que Son Más Prestigiosas Para Este Tipo De Exáunclassified

Características del Papanicolaou y de la atención recibida como factores para adherir (o no) al tamizaje. Estudio cualitativo en mujeres chilenas

Urrutia

Gajardo²

2018

Rev. chil. obstet. ginecol.

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características del Papanicolaou (PAP) como factores que influyen en la decisión de realizarse o no el examen. Método: Investigación cualitativa descriptiva con análisis de contenido. Cincuenta y siete mujeres chilenas de 4 consultorios distintos del Servicio de Salud Metropolitano Sur Oriente participaron de este estudio. Los datos fueron recogidos mediante la metodología de grupo focal. Resultados: Las características del procedimiento, la asociación a síntomas y a cáncer, la periodicidad, la experiencia con cercanos con cáncer y la susceptibilidad son temas asociados al examen. En lo que respecta a la atención, el tipo de sistema de salud, la falta de dinero, el género del profesional, las experiencias negativas previas, la falta de información y el sistema de agendamiento de horas fueron los temas analizados. Conclusión: La adherencia al tamizaje de cáncer cérvicouterino es un fenómeno multifactorial y debe ser abordado como tal. Los profesionales de la salud juegan un papel importante en la promoción del tamizaje y deben abordar de manera proactiva las percepciones y el conocimiento de las mujeres sobre el mismo, sin olvidar que la calidad de la atención también influye de forma importante en la decisión de realizarse o no el PAP.

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Human Papillomavirus and Cervical Screening: Misconceptions Undermine Adherence

Abstract: Findings highlight that misconceptions can adversely affect preventive behaviors and reduce the probability of an early diagnosis of cervical cancer.

Cited by 8 publications

References 11 publications

Evaluating Changes in Knowledge, Beliefs, and Behaviors Associated with HPV Following an Educational Intervention among Women

Evaluating Changes in Knowledge, Beliefs, and Behaviors Associated with HPV Following an Educational Intervention among Women

HPV catch-up vaccination of young women: a systematic review and meta-analysis

Características del Papanicolaou y de la atención recibida como factores para adherir (o no) al tamizaje. Estudio cualitativo en mujeres chilenas

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