Self-reported health concerns and sexual behaviors in adolescents with cervical dysplasia

Biro, Frank M.; Rosenthal, Susan L.; Wildey, Linda S.; Hillard, Paula

doi:10.1016/0197-0070(91)90053-o

Cited by 18 publications

(3 citation statements)

References 17 publications

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“…Another review of this topic included data from English-speaking countries other than the United States [35]. We attempted to use validated outcome measures that are well-accepted surrogates for pregnancy rates, including frequency of sexual activity and use of contraception [36,37] in contrast to other studies, which have included less reliable outcomes such as intention to abstain from intercourse or to use contraception. Nevertheless, some may criticize our decision to include knowledge as an outcome, as some studies have called into question the correlation of knowledge with behavior [38].…”

Section: Discussionmentioning

confidence: 99%

School-based teenage pregnancy prevention programs: A systematic review of randomized controlled trials

Bennett

Assefi

2005

Journal of Adolescent Health

139

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Section: Discussionmentioning

confidence: 99%

School-based teenage pregnancy prevention programs: A systematic review of randomized controlled trials

Bennett

Assefi

2005

Journal of Adolescent Health

139

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“…The few studies reporting the level of knowledge about HPV among clinical subjects suggest that women are not at all knowledgeable about these viral infections. 8,9 The seriousness of this knowledge gap is obvious, as previous studies on other sexually transmitted diseases (STDs) have shown that adequate knowledge is important in altering health behaviors. 10 Although HPV testing recently has become widely available in many clinical settings, the impact of testing positive and its subsequent effect on the women's psychologic health remain unknown.…”

mentioning

confidence: 98%

Genital Human Papillomavirus Infections: Knowledge, Perception of Risk, and Actual Risk in a Nonclinic Population of Young Women

Ramirez¹,

Ramos²,

Clayton³

et al. 1997

Journal of Women's Health

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The purpose of this study was to assess knowledge, beliefs, and attitudes about genital human papillomavirus (HPV) infections in a group of young women in a nonclinic setting and to examine the association between perception of risk and actual risk. One hundred ten women attending a state university participated in the study and were asked to complete a self-administered questionnaire about knowledge and perceptions of risk. They were then offered testing for the virus using a self-administered vaginal method. The mean age was 20 +/- 1.2 years. Ninety (82%) were sexually experienced (SE), with a mean number of lifetime partners of 5.1 +/- 4.3. The mean knowledge score was less than the 68th percentile, reflecting low levels of knowledge about genital HPV infections. The SE group had a higher knowledge score than the sexually inexperienced (p < .02), but there were no differences in knowledge between those who chose to be tested and those who refused testing. The majority of women attributed negative emotion to being hypothetically tested positive for HPV. Emotions selected by > 50% of the group included feeling scared, angry, guilty, anxious, confused, dirty, regretful, and panicky. A greater negative emotion score was associated with refusing HPV testing (p < .002). Of the SE women, 58% (51) perceived themselves at risk, and, of this group, 71% (36) agreed to be tested. Of the women who agreed to HPV testing, 36% who perceived themselves at risk and 35% who did not perceive themselves at risk were, in fact, positive for HPV (p = ns). The majority of women have little knowledge of HPV infections and have attributed many negative emotions associated with infectivity. These negative attributes appear to influence women's decision making concerning HPV testing. The risk of HPV infection in this nonclinic group was substantial, suggesting that even in a nonclinic group, the prevalence of HPV is quite high. Perception of risk was unrelated to actual risk (HPV positive test), reflecting the lack of self-identified risk.

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“…As these new screening recommendations are adopted clinically, many adolescent and adult women will learn that they are infected with HPV (McCree, Leichliter, Hogben, & St Lawrence, 2003). Studies suggest that a diagnosis of genital warts by physical examination or CIN by cervical biopsy is associated with adverse effects on mood and relationships (Clarke, Ebel, Catotti, & Stewart, 1996; Conaglen, Hughes, Conaglen, & Morgan, 2001; Neill & Waldrop, 1998; Reed, Ruffin, Gorenflo, & Zazove, 1999) and positive effects on safer sexual behaviors (Biro, Rosenthal, Wildey, & Hillard, 1991; Maw, Reitano, & Roy, 1998). However, to our knowledge, no published studies have addressed the effects of a positive HPV DNA test on psychosocial health in adolescents.…”

mentioning

confidence: 99%

Personal meaning of human papillomavirus and pap test results in adolescent and young adult women.

et al. 2007

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Objective: As new cervical cancer screening recommendations are adopted, more adolescents may learn they are infected with human papillomavirus (HPV). The objective of this study was to explore personal meaning of HPV and Pap test results in adolescent and young adult women. Design: The authors recruited sexually active 14-to 21-year-old adolescent girls from an urban teen health center. Participants underwent HPV and Pap testing at baseline and returned 2 weeks later to receive test results and to be interviewed about their responses to test results. The authors analyzed interview transcripts using qualitative methods and developed a conceptual framework to explain participants' responses. Main Outcome Measures: Of the 100 participants, 51% were HPV positive and 23% had an abnormal Pap test. Personal meaning was comprised of four core dimensions: labeling of results, perceived risk of HPV-related disease, personal accountability, and anticipated shame or stigma. The association between test result and personal meaning was mediated through cognitive understanding of test results, which in turn was influenced by education about HPV and prior health experiences. Conclusion: Clinicians who communicate HPV and Pap test results to adolescent girls should provide accurate information in a nonjudgmental manner, take into account adolescents' personal experiences with sexually transmitted infections and cancer, and explore personal meaning of results such as anticipated risk and stigma. In this way, clinicians may be able to minimize adverse psychosocial outcomes while promoting positive reproductive health behaviors.

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Self-reported health concerns and sexual behaviors in adolescents with cervical dysplasia

Cited by 18 publications

References 17 publications

School-based teenage pregnancy prevention programs: A systematic review of randomized controlled trials

School-based teenage pregnancy prevention programs: A systematic review of randomized controlled trials

Genital Human Papillomavirus Infections: Knowledge, Perception of Risk, and Actual Risk in a Nonclinic Population of Young Women

Personal meaning of human papillomavirus and pap test results in adolescent and young adult women.

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