Psychological, Behavioral, and Interpersonal Impact of Human Papillomavirus and Pap Test Results

Kahn, Jessica A.; Slap, Gail B.; Bernstein, David I.; Kollar, Linda M.; Tissot, Abbigail M.; Hillard, Paula; Rosenthal, Susan L.

doi:10.1089/jwh.2005.14.650

Cited by 67 publications

(84 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In preliminary studies of both adults and adolescents, HPV testing has been associated with anxiety, distress, perceived stigma, and fear of further testing and treatment procedures. (13,15,16,25) These types of responses may adversely impact adolescent decisions about future STI screening and follow-up. (26,27) Our previous work has demonstrated that cognitive understanding of HPV infection and Pap tests is a key factor in predicting psychosocial and behavioral responses to HPV infection and abnormal Pap tests.…”

Section: Discussionmentioning

confidence: 99%

“…Research suggests that these types of negative responses could decrease follow-up for diagnostic or treatment procedures. (13,(15)(16)(17)(18) Education may prevent or alleviate psychosocial distress by addressing women's concerns about HPV. (19) Finally, HPV vaccines have been developed that target the HPV types most commonly associated with cervical cancer, genital warts, or both.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Development of an HPV Educational Protocol for Adolescents

Wetzel¹,

Tissot²,

Kollar³

et al. 2007

Journal of Pediatric and Adolescent Gynecology

Self Cite

View full text Add to dashboard Cite

Study Objectives-To develop an educational protocol about HPV and Pap tests for adolescents, to evaluate the protocol for understandability and clarity, and to evaluate the protocol for its effectiveness in increasing knowledge about HPV.Design-In phase 1, investigators and adolescents developed the protocol. In phase 2, adolescents evaluated the protocol qualitatively, investigators evaluated its effectiveness in increasing HPV knowledge in a sample of adolescents, and the protocol was revised. In phase 3, investigators evaluated the effectiveness of the revised protocol in an additional adolescent sample. Setting-Urban, hospital-based teen health center.Participants-A total of 252 adolescent girls and boys in the three study phases.Main Outcome Measures-Pre-and post-protocol knowledge about HPV, measured using a 10-or 11-item scale.Results-Scores on the HPV knowledge scale increased significantly (p<.0001) among adolescents who participated in phases 2 and 3 after they received the protocol. Initial differences in scores based on race, insurance type and condom use were not noted post-protocol. Conclusion-The protocol significantly increased knowledge scores about HPV in this population, regardless of sociodemographic characteristics and risk behaviors. Effective, developmentally appropriate educational protocols about HPV and Pap tests are particularly important in clinical settings as cervical cancer screening guidelines evolve, HPV DNA testing is integrated into screening protocols, and HPV vaccines become available. In-depth, one-on-one education about HPV may also prevent adverse psychosocial responses and promote healthy sexual and Pap screening behaviors in adolescents with abnormal HPV or Pap test results. Synopsis-The investigators developed an educational protocol about HPV and Pap tests and evaluated its effectiveness in increasing knowledge about HPV among adolescents.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Development of an HPV Educational Protocol for Adolescents

Wetzel¹,

Tissot²,

Kollar³

et al. 2007

Journal of Pediatric and Adolescent Gynecology

Self Cite

View full text Add to dashboard Cite

show abstract

“…Some participants who did not intend to disclose to their sexual partners tended to be HPV-positive and to view abnormal results as stigmatizing or shameful. The HPV-infected women also reported feeling worse about their past and future sexual relationships (Kahn et al, 2005;McCaffery et al, 2004). Another study that examined the psychological impact on women being tested for HPV also reported that women with borderline or mild dyskaryotic Pap test results who were HPV-infected described more anxiety and distress, and had more interpersonal concerns than women with borderline or mild dyskaryotic smear results who were not HPV-infected (Maissi et al, 2004).…”

Section: Hpv-related Psychosocial Health Outcomesmentioning

confidence: 99%

“…Studies conducted with sexually active young women showed that most participants reported relief or happiness if HPV results were negative, and anxiety or distress if results were positive (Kahn et al, 2005;McCaffery et al, 2004). Some participants used coping mechanisms such as denial of an abnormal test result or its implications.…”

Section: Hpv-related Psychosocial Health Outcomesmentioning

confidence: 99%

“…These results indicated that HPV-infection alone could have a negative psychological impact on women. In summary, research has indicated that possible psychosocial responses to an HPV diagnosis are anxiety, denial, regret, fear of cancer, shame, stigma, concern about loss of reproductive function, concern about negative reactions from sexual partners, concern about partner infidelity or hostility towards the person believed to be the source of HPV infection, and decrease in physically intimate activities (Kahn et al, 2005;Maissi et al, 2004;McCaffery et al, 2004).…”

Section: Hpv-related Psychosocial Health Outcomesmentioning

confidence: 99%

See 1 more Smart Citation

What college women know, think, and do about human papillomavirus (HPV) and HPV vaccine

Ratanasiripong

Cheng

Enriquez

2013

Vaccine

View full text Add to dashboard Cite

Participants were a convenience sample of college women (n=384) ages 18 to 26 attending a large, public university in Southern California. An electronic self-administered survey was utilized to collect data. The theory of planned behavior provided a framework for understanding the factors associated with vaccine uptake and with post-vaccine sexual behaviors. Results: College women had good HPV/HPV vaccine knowledge. Over 90% of vaccinees and non-vaccinees knew that Pap test is still needed after the vaccination and an HPV vaccine does not protect against all STIs. Both groups also had positive attitudes toward mandatory vaccination. However, knowledge and attitudes toward the vaccine were not directly linked to the outcome predictors-intention to obtain the vaccine and vaccine uptake. While attitude toward getting vaccinated, subjective norms, and perceived behavioral control were correlated with the outcome predictors, subjective norms consistently predicted intention to obtain HPV vaccine and vaccine uptake. There were no significant differences in sexual behaviors (numbers of sexual partners in a life time, numbers of sexual partners in the past 12 months, condom use, condom use frequency) between non-vaccinees and vaccinees. The numbers of sexual partners before and after vaccination among vaccinees were also not significantly different. Conclusions: Strategies to ensure that those who are eligible for catch-up vaccination are vaccinated should include attention to college women's subjective norms. Vaccine mandatory proposal would not be unacceptable to this population and concerns that the HPV vaccine encourages unsafe sexual behaviors and practices among college aged women may be disregarded.

show abstract

Sharing a diagnosis of HPV-related head and neck cancer: The emotions, the confusion, and what patients want to know

et al. 2012

View full text Add to dashboard Cite

BACKGROUND Oropharyngeal cancers are increasingly associated with human papillomavirus (HPV). Little is known about the experience of patients receiving this diagnosis. METHODS Semi-structured interviews were conducted with 10 survivors of HPV-related oropharynx cancer. The interviews were transcribed and recurring themes were identified. RESULTS Physicians were a trusted source of information regarding HPV. Framing the diagnosis in terms of prognosis resonated with patients. The uncertainty about transmission, latency, and communicability colored the dialogue about HPV. Despite some understanding of prevalence and transmission, patients worried about their partner’s risk. Patients sought information about HPV on the internet, but it was not easily navigable. Emotional reactions to the diagnosis remained mostly cancer-centric rather than HPV-centric. A patient education handout was developed in response to patient questions. CONCLUSIONS Additional educational resources explaining the facts about HPV in HNSCC in a consistent way including content of highest priority to patients may improve understanding of HPV.

show abstract

Psychological, Behavioral, and Interpersonal Impact of Human Papillomavirus and Pap Test Results

Abstract: An understanding of young women's responses to HPV and Pap test results may help guide clinical interventions designed to prevent possibly harmful psychosocial and interpersonal responses to HPV and Pap testing but promote healthy sexual behaviors and regular screening.

Cited by 67 publications

References 32 publications

Development of an HPV Educational Protocol for Adolescents

Development of an HPV Educational Protocol for Adolescents

What college women know, think, and do about human papillomavirus (HPV) and HPV vaccine

Sharing a diagnosis of HPV-related head and neck cancer: The emotions, the confusion, and what patients want to know

Contact Info

Product

Resources

About