Factors associated with cervical cancer screening among young unmarried Japanese women: results from an internet-based survey

Kaneko, Noriyo

doi:10.1186/s12905-018-0623-z

Cited by 32 publications

(31 citation statements)

References 21 publications

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“…Three studies noted the invasiveness of the procedure being of particular concern [ 31 , 50 , 51 ]. Male physicians were also noted to impede motivation for screening in two studies [ 31 , 43 ].…”

Section: Resultsmentioning

confidence: 99%

Barriers and facilitators for cervical cancer screening among adolescents and young people: a systematic review

Kirubarajan

Leung

et al. 2021

BMC Women's Health

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Background Though cervical cancer is one of the leading causes of cancer-related death globally, its incidence is nearly entirely preventable. Young people have been an international priority for screening as this population has historically been under-screened. However, in both high-income and low-income countries, young people have not been screened appropriately according to country-specific guidelines. The aim of this systematic review was to systematically characterize the existing literature on barriers and facilitators for cervical cancer screening (CCS) among adolescents and young people globally. Methods We conducted a systematic review following PRISMA guidelines of three key databases: Medline-OVID, EMBASE, and CINAHL. Supplementary searches were done through ClinicialTrials.Gov and Scopus. Databases were examined from 1946 until the date of our literature searches on March 12th 2020. We only examined original, peer-reviewed literature. Articles were excluded if they did not specifically discuss CCS, were not specific to individuals under the age of 35, or did not report outcomes or evaluation. All screening, extraction, and synthesis was completed in duplicate with two independent reviewers. Outcomes were summarized descriptively. Risk of bias for individual studies was graded using an adapted rating scale based on the Risk of Bias Instrument for Cross-Sectional Surveys of Attitudes and Practices. Results Of the 2177 original database citations, we included 36 studies that met inclusion criteria. The 36 studies included a total of 14,362 participants, and around half (17/36, 47.2%) of studies specifically targeted students. The majority of studies (31/36, 86.1%) discussed barriers and facilitators to Pap testing specifically, while one study analyzed self-sampling (1/36, 2.8%), one study targeted HPV DNA testing (1/36, 2.8%), and the remainder (4/36, 11.1%) were not specified. Our systematic review found that there are three large categories of barriers for young people: lack of knowledge/awareness, negative perceptions of the test, and systemic barriers to testing. Facilitators included stronger relationships with healthcare providers, social norms, support from family, and self-efficacy. Conclusion There are unique barriers and facilitators that affect CCS rates in adolescents and young people. Health systems and healthcare providers worldwide should address the challenges for this unique population.

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Section: Resultsmentioning

confidence: 99%

Barriers and facilitators for cervical cancer screening among adolescents and young people: a systematic review

Kirubarajan

Leung

et al. 2021

BMC Women's Health

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“…Perceived barriers to cervical cancer screening was assessed using 15 items selected from previous research [18, 25]. Some of the items on this subscale include “It is too embarrassing to undertake cervical cancer screening” and “My partner will not want me to undertake cervical cancer screening.” The response options were rated on a 5-point Likert-type scale ranging from 1 ( strongly disagree ) to 5 ( strongly agree ).…”

Section: Methodsmentioning

confidence: 99%

Perceived seriousness mediates the influence of cervical cancer knowledge on screening practices among female university students in Ghana

2019

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BackgroundCervical cancer knowledge and awareness, as well as an individual’s perceptions about cervical cancer have been shown to significantly influence the screening practices of female students. Despite these studies, the mechanisms linking cervical cancer knowledge to screening practices among female students remain unexplored in the literature. Thus, this study examined the direct and indirect influences of cervical cancer knowledge on screening practices through perceptions about cervical cancer as informed by the health belief model.MethodsA cross-sectional survey design with a purposive sample of 200 female students were used in the study. Standardized questionnaires were used to measure cervical cancer knowledge, perceived susceptibility, perceived seriousness, perceived benefits, perceived barriers and cervical cancer screening behaviours. The Pearson product-moment correlation co-efficient and mediation analyses were used to analyse the data.ResultsOur findings showed that cervical cancer knowledge, perceived susceptibility, perceived seriousness and perceived benefits were significant and positively correlated with increased screening behaviours. However, only perceived seriousness significantly mediated the relationship between cervical cancer knowledge and screening behaviour. Cervical cancer knowledge remained a significant direct predictor of screening behaviour in all the models.ConclusionThese findings underscore the need for increased awareness with emphasis on the seriousness of cervical cancer among female university students as it plays a key role in influencing their screening behaviours.

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“…[32][33][34] Male gender of physicians was also noted to impede motivation for screening in two studies. 32,35 Stigma around cervical cancer was noted in 4 studies, 23,30,33,36 with two of the studies reporting stigma around the general act of visiting a gynecologist's o ce. 23,33 Con dentiality was a concern noted in three studies, [37][38][39] with two speci cally noting privacy from parents.…”

Section: Analysis Of Notable Barriersmentioning

confidence: 99%

“…Cost-free services, provision of babysitting services, and arranged transportation were also suggested. 25,35,39…”

Section: Analysis Of Notable Facilitatorsmentioning

confidence: 99%

WITHDRAWN: Barriers and Facilitators for Cervical Cancer Screening Among Young Women: A Systematic Review

Kirubarajan

Leung

et al. 2020

Preprint

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Background Though cervical cancer is one of the leading causes of death globally, its incidence is nearly entirely preventable. Young women have been an international priority for screening. However, in both high-income and low-income countries, young women have not been screened appropriately according to country-specific guidelines.The aim of this systematic review was to systematically characterize the existing literature on barriers and facilitators for cervical cancer screening among young women globally.MethodsWe conducted a systematic review following PRISMA guidelines of four databases: Medline-OVID, EMBASE, CINAHL, and ClinicalTrials.Gov. Databases were examined from inception until the date of our literature searches (12/03/2020). We only examined original, peer-reviewed literature. Articles were excluded if they did not specifically discuss cervical cancer screening, were not specific to young women, or did not report outcomes or evaluation. All screening, extraction, and synthesis was completed in duplicate with two independent reviewers. Outcomes were summarized descriptively. Risk of bias for individual studies was graded using an adapted rating scale based on the Risk of Bias Instrument for Cross-Sectional Surveys of Attitudes and Practices.ResultsOf the 2177 original database citations, we included 36 studies that met inclusion criteria. Our systematic review found that there are three large categories of barriers for young women: lack of knowledge/awareness, negative perceptions of the test, and practical barriers to testing. Facilitators included stronger relationships with healthcare providers, social norms, support from family, and self-efficacy.Conclusions There are unique barriers and facilitators that affect cervical cancer screening rates in young women. Health systems worldwide should address the challenges for this population.

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Factors associated with cervical cancer screening among young unmarried Japanese women: results from an internet-based survey

Cited by 32 publications

References 21 publications

Barriers and facilitators for cervical cancer screening among adolescents and young people: a systematic review

Barriers and facilitators for cervical cancer screening among adolescents and young people: a systematic review

Perceived seriousness mediates the influence of cervical cancer knowledge on screening practices among female university students in Ghana

WITHDRAWN: Barriers and Facilitators for Cervical Cancer Screening Among Young Women: A Systematic Review

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