Providing more balanced information on the harms and benefits of cervical cancer screening: A randomized survey among US and Norwegian women

Cyr, Pascale-Renée; Pedersen, Kine; Iyer, Anita L.; Bundorf, M. Kate; Goldhaber-Fiebert, Jeremy D.; Gyrd‐Hansen, Dorte; Kristiansen, Ivar Sønbø; Burger, Emily A.

doi:10.1016/j.pmedr.2021.101452

Cited by 2 publications

(2 citation statements)

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“…A high rate of sexual contact, having many partners, smoking, low immunity, high frequency of childbirth, and long-term use of oral contraceptives are reported as the risk factors in the development from dysplasia to cervical cancer (Burd, 2003). To reduce the development and incidence rate of cervical cancer, public dissemination of information concerning cervical cancer and regular gynecologic examination are required for early detection of cervical cancer (Cyr et al, 2021;Okuhara et al, 2021;Mattern et al, 2022). Moreover, as a preliminary step, HPV vaccination for young teens is essential to reducing cervical cancer incidence.…”

Section: Introductionmentioning

confidence: 99%

Knowledge and Awareness of Human Papillomavirus Vaccination and Cervical Cancer among Men and Women in Japan: A Questionnaire Survey

Horio

Ikeda

Zaitsu

et al. 2023

Asian Pac J Cancer Prev

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Background: In many advanced countries other than Japan, the incidence and mortality rates of cervical cancer, which is mainly caused by the human papillomavirus (HPV) infection, are decreasing probably due to the high rate of HPV vaccination and cervical cancer screening. In Japan, these rates are on the rise owing to the stagnation of vaccination and low screening rate. To improve these situations, active promotion of HPV vaccination and screening is required. As a preliminary stage, we investigated perceptions regarding cervical cancer and HPV vaccines among Japanese men and women and examined the difference in perceptions by sex. Methods: This was a prospective crosssectional questionnaire survey targeting Sojo University students and working adults. University students were targeted before learning about cervical cancer. Working adults were recruited on the basis of information from the Health Promotion of Health and Welfare Department of Kumamoto Prefectural Government in Japan and from companies via student organizations promoting cancer prevention. We surveyed respondents' knowledge and awareness about HPV vaccination and cervical cancer and performed logistic regression analysis to compare the results between men and women. Result: A total of 557 completed questionnaires (205 men and 352 women) were analyzed. Women had high levels of knowledge and awareness about HPV vaccination and cervical cancer compared with men. However, 70% of women surveyed had never been screened for cervical cancer. Conclusion: A total of 557 completed questionnaires (205 men and 352 women) were analyzed. Women had high levels of knowledge and awareness about HPV vaccination and cervical cancer compared with men. However, among surveyed women, the degree of knowledge and awareness was lower than that among women in other countries with established HPV vaccination programs. Furthermore, 70% of women surveyed had never been screened for cervical cancer.

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Section: Introductionmentioning

confidence: 99%

Knowledge and Awareness of Human Papillomavirus Vaccination and Cervical Cancer among Men and Women in Japan: A Questionnaire Survey

Horio

Ikeda

Zaitsu

et al. 2023

Asian Pac J Cancer Prev

View full text Add to dashboard Cite

show abstract

“…A European survey found that 95% were more likely to participate or had not changed their decision regarding future participation in breast cancer screening after being informed about both screening benefits and harms (49). In addition, a study of Norwegian and American women found that additional information on benefits and harms of cervical cancer screening did not significantly impact women's intention to participate in screening (50). This is similar to our finding that almost all women did not change or were more positive toward screening after reading the screening leaflet.…”

Section: Comparison With Other Studiesmentioning

confidence: 99%

Danish Women Make Decisions about Participation in Breast Cancer Screening prior to Invitation Information: An Online Survey Using Experimental Methods

Røssell,

Bekker,

Schonberg

et al. 2024

Med Decis Making

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Introduction At mammography screening invitation, the Danish Health Authority recommends women aged 50 to 69 y make an informed decision about whether to be screened. Previous studies have shown that women have very positive attitudes about screening participation. Therefore, we hypothesized that Danish women may already have decided to participate in breast cancer screening prior to receiving their screening invitation at age 50 y. Methods We invited a random sample of 2,952 Danish women aged 44 to 49 y (prescreening age) to complete an online questionnaire about barriers to informed screening decision making using the official digital mailbox system in Denmark. We asked participants about their screening intentions using 3 different questions to which women were randomized: screening presented 1) as an opportunity, 2) as a choice, and 3) as an opportunity plus a question about women’s stage of decision making. All women completed questions about background characteristics, intended participation in the screening program, use and impact of screening information, and preferences for the decision-making process. Data were linked to sociodemographic register data. Results A total of 790 (26.8%) women participated in the study. Herein, 97% (95% confidence interval: 96%–98%) reported that they wanted to participate in breast cancer screening when invited at age 50 y. When presented with the choice compared with the opportunity framing, more women rejected screening. When asked about their stage of decision making, most (87%) had already made a decision about screening participation and were unlikely to change their mind. Conclusion In our study, almost all women of prescreening age wanted to participate in breast cancer screening, suggesting that providing information at the time of screening invitation may be too late to support informed decision making. Highlights Almost all women of prescreening age (44–49 y) in our study wanted to participate in the Danish national mammography screening program starting at age 50 y. Early decision making represents a barrier for informed decision making as women in this study had intentions to participate in breast cancer screening prior to receiving an official screening invitation, and therefore, providing information at the time of screening invitation may be too late to support informed decision making. Very few women rejected screening participation; however, more women rejected screening when the information was framed as an active choice between having or declining breast cancer screening (continue with usual care) compared with presenting only the option of screening with no description of the alternative. Two-thirds of women reading the screening information in this study had unchanged attitudes toward screening after reading the presented information.

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Providing more balanced information on the harms and benefits of cervical cancer screening: A randomized survey among US and Norwegian women

Cited by 2 publications

References 31 publications

Knowledge and Awareness of Human Papillomavirus Vaccination and Cervical Cancer among Men and Women in Japan: A Questionnaire Survey

Knowledge and Awareness of Human Papillomavirus Vaccination and Cervical Cancer among Men and Women in Japan: A Questionnaire Survey

Danish Women Make Decisions about Participation in Breast Cancer Screening prior to Invitation Information: An Online Survey Using Experimental Methods

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