Patient knowledge and attitudes toward cervical cancer screening after the 2012 screening guidelines

Clay, Jayanti M.; Daggy, Joanne; Fluellen, Sunetris; Edmonds, Brownsyne Tucker

doi:10.1016/j.pec.2018.10.004

Cited by 6 publications

(7 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Reported fears included that some cancers may be missed that would otherwise have been detected with the old program. Such fears could be linked to a misunderstanding of the natural history of cervical cancer and why changes to the program were made, as suggested by previous research (McRae et al 2014;O'Connor et al 2014;Clay et al 2019;Dodd et al 2019;Nagendiram et al 2020aNagendiram et al , 2020b. Our survey revealed certain misunderstandings regarding the specifics of the revised NCSP, with many incorrect responses to the knowledgebased questions, particularly in terms of what the old and new tests detect.…”

Section: Discussionmentioning

confidence: 67%

“…In 2017, the National Cervical Screening Program (NCSP) was revised and the traditional Papanicolaou (Pap) test was replaced with the Cervical Screening Test (CST; Australian Current literature has identified negative attitudes and barriers to accepting the revised NCSP among Australian women (McRae et al 2014;O'Connor et al 2014;Jayasinghe et al 2016;Yap et al 2016;Obermair et al 2018;Patel et al 2018;Clay et al 2019;Smith et al 2019;Nagendiram et al 2020aNagendiram et al , 2020b. The most significant are lack of knowledge and education on cervical cancer and HPV (McRae et al 2014;O'Connor et al 2014;Clay et al 2019;Dodd et al 2019;Nagendiram et al 2020aNagendiram et al , 2020b. Chief issues voiced by both women and clinicians regarding the change have been with delaying the start of screening from 18 to 25 years, and the increased interval between screenings (Yap et al 2016;Obermair et al 2018;Clay et al 2019;Dodd et al 2019;Smith et al 2019).…”

Section: Introductionmentioning

confidence: 99%

“…The most significant are lack of knowledge and education on cervical cancer and HPV (McRae et al 2014;O'Connor et al 2014;Clay et al 2019;Dodd et al 2019;Nagendiram et al 2020aNagendiram et al , 2020b. Chief issues voiced by both women and clinicians regarding the change have been with delaying the start of screening from 18 to 25 years, and the increased interval between screenings (Yap et al 2016;Obermair et al 2018;Clay et al 2019;Dodd et al 2019;Smith et al 2019). Additionally, the Pap test is regarded as being highly successful and women have expressed reluctance to change an already successful program (Obermair et al 2018;Dodd et al 2019), with some concerned that only testing for HPV will result in missed cervical cancer detection (McRae et al 2014;O'Connor et al 2014;Obermair et al 2018;Dodd et al 2019).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Awareness and attitudes towards the revised National Cervical Screening Program amongst women in rural New South Wales: a cross-sectional study

Gosbell

Panambalana

Stephenson

et al. 2023

Aust. J. Prim. Health

View full text Add to dashboard Cite

Background. Research exploring awareness and attitudes towards the revised National Cervical Screening Program (NCSP) amongst rural Australian women is limited. Given the increased incidence and mortality from cervical cancer in rural Australian women, this gap needs attention. This study examined awareness and attitudes of women in rural New South Wales (NSW) towards the revised NCSP. Methods. A cross-sectional survey was conducted with women aged 18-74 years currently residing in the Western NSW Primary Health Network region. The anonymous survey was distributed online via social media and email to eligible women. Results. In total, 309 rural women participated. The majority were 30-39 years old (35.9%) and had completed tertiary education (73.1%), figures which are higher than average for this rural region. Of these, 51.8% (160/309) were aware there had been a change to the NCSP. This information most commonly came from their healthcare provider (57.5%; 82/160). Three-quarters reported being happy or neutral with the change (76.1%; 235/309). Those who were aware of the revised NCSP were more likely to have a positive attitude toward it (P = 0.02). Fewer participants reported that they were never/unlikely to participate in screening under the revised NCSP (4.8%, 9/309) as compared to the previous program (15.5%, 48/309) after being provided with information about the revised NCSP. Women who reported an abnormal result under the previous NCSP were more likely to be concerned about the revised NCSP (P = 0.037), in particular the starting age of 25 years (P = 0.007) and the 5-yearly screening interval (P = 0.008). Conclusion. Awareness and knowledge levels play an important role in attitudes towards the revised NCSP in rural women. Strategies to increase participation rates should therefore target these areas. Healthcare professionals can take a central role in this information sharing process.

show abstract

Section: Discussionmentioning

confidence: 67%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Awareness and attitudes towards the revised National Cervical Screening Program amongst women in rural New South Wales: a cross-sectional study

Gosbell

Panambalana

Stephenson

et al. 2023

Aust. J. Prim. Health

View full text Add to dashboard Cite

show abstract

“…Previous studies have shown that patients who are more knowledgeable about screening practices are more likely to accept extended screening intervals. 14 , 25 Annual cytology, however, continues to be recommended by many providers, who express concern that extended screening intervals may reduce patient satisfaction, contraceptive provision, patient health and wellbeing, clinic volume, and financial reimbursement. 8 , 26 , 27 These concerns reflect the often contradictory incentives placed on providers.…”

Section: Discussionmentioning

confidence: 99%

“…Although annual cytology has not been recommended for many years, it continues to be a widely used screening strategy by providers and preferred by many patients. 8–12 It is estimated that 60%–70% of patients believe they should be receiving annual cytology 9 , 13 , 14 and over 50% prefer it to other screening strategies. 11 , 13 Patients' fear of missing cancer—whether between extended screens or with HPV testing without cytology—is a common determinant of more intensive screening schedule preferences.…”

Section: Introductionmentioning

confidence: 99%

Changing Preferences for a Cervical Cancer Screening Strategy: Moving Away from Annual Testing

Schrier

Holt

Kuppermann

et al. 2022

Women's Health Reports

View full text Add to dashboard Cite

Background: While annual cytology has not been recommended for many years, it remains many patients' preferred screening strategy for cervical cancer. Patient education and provider recommendations have been found effective in aligning professional society guidelines with patient preferences. We assessed whether an educational video with value elicitation exercises (utility assessments) changed screening strategy preferences among patients who had an initial preference for annual screening. Materials and Methods: We conducted an interventional study of English- or Spanish-speaking women 21–65 years of age, recruited from two women's health clinics in San Francisco, California ( n = 262). Participants were asked about their preferred method of screening before viewing a 7-minute educational video and using a computerized tool that elicited values for 23 different health states related to cervical cancer screening. Directly afterward, they were again asked about their preferred screening strategy. Multivariable regression analysis was utilized to identify independent predictors of changing preferences. Results: Of 246 enrollees, 62.6% (154/246) had an initial preference for annual cytology; after viewing the video and completing the values elicitation exercises, about half (72/154, 47%) preferred a strategy other than annual screening. Having attended college and being screened every 3 to 5 years in the recent past were independent predictors of changing preferences away from annual screening. In sensitivity analyses, 53.2% of average-risk participants changed preferences away from annual cytology ( p < 0.01). Conclusions: Viewing an educational video and conducting a series of value elicitation exercises were associated with a substantially decreased likelihood of preferring annual screening. These findings underscore the importance of patient-centered education to help support informed patient preferences.

show abstract

Perceptions of and barriers to cancer screening by the sexual and gender minority community: a glimpse into the health care disparity

Lombardo

Shimada

et al. 2022

Cancer Causes Control

View full text Add to dashboard Cite

Patient knowledge and attitudes toward cervical cancer screening after the 2012 screening guidelines

Cited by 6 publications

References 15 publications

Awareness and attitudes towards the revised National Cervical Screening Program amongst women in rural New South Wales: a cross-sectional study

Awareness and attitudes towards the revised National Cervical Screening Program amongst women in rural New South Wales: a cross-sectional study

Changing Preferences for a Cervical Cancer Screening Strategy: Moving Away from Annual Testing

Perceptions of and barriers to cancer screening by the sexual and gender minority community: a glimpse into the health care disparity

Contact Info

Product

Resources

About