On the path toward cervical cancer elimination in Canada: a national survey of factors influencing women's intentions to participate in human papillomavirus test-based primary cervical screening

被引:3
作者
Tatar, Ovidiu [1 ,2 ]
Haward, Ben [1 ,3 ,4 ]
Perez, Samara [5 ,6 ,7 ,8 ]
Zhu, Patricia [1 ]
Brotherton, Julia [9 ]
Decker, Kathleen [10 ,11 ]
Lofters, Aisha K. [12 ,13 ]
Mayrand, Marie-Helene [14 ]
Mcbride, Emily [14 ]
Ogilvie, Gina [15 ,16 ,17 ,18 ]
Shapiro, Gilla K. [18 ,19 ]
Smith, Laurie W. [15 ,16 ,17 ,18 ]
Steben, Marc [7 ,20 ]
Waller, Jo [19 ,21 ,22 ]
Zimet, Gregory D. [20 ]
Rosberger, Zeev [1 ,6 ,7 ,15 ,21 ,22 ,23 ,24 ]
机构
[1] McGill Univ, Jewish Gen Hosp, Lady Davis Inst Med Res, 3755 Chemin Cote Ste Catherine, Montreal, PQ H3T 1E2, Canada
[2] Ctr Hosp Univ Montreal, Res Ctr, Montreal, PQ, Canada
[3] Harvard Univ, Harvard Law Sch, Cambridge, MA 02138 USA
[4] Harvard Univ, Harvard TH Chan Sch Publ Hlth, Cambridge, MA 02115 USA
[5] McGill Univ Hlth Ctr, Cedars Canc Ctr, Psychosocial Oncol Program, Div Support & Palliat Care, Montreal, PQ, Canada
[6] McGill Univ, Gerald Bronfman Dept Oncol, Montreal, PQ, Canada
[7] HPV Global Act, Montreal, PQ, Canada
[8] Res Inst McGill Univ Hlth Ctr, Montreal, PQ, Canada
[9] Univ Melbourne, Melbourne Sch Populat & Global Hlth, Melbourne, Australia
[10] Univ Manitoba, Dept Community Hlth Sci, Winnipeg, MB, Canada
[11] Canc Care Manitoba, Paul Albrechtsen Res Inst, Winnipeg, MB, Canada
[12] Univ Toronto, Dept Family & Community Med, Toronto, ON, Canada
[13] Womens Coll Hosp, Dept Family & Community Med, Toronto, ON, Canada
[14] Univ Montreal, Dept Obstet & Gynecol, Montreal, PQ, Canada
[15] Kingss Coll London, Inst Psychiat Psychol & Neurosci, London, England
[16] BC Ctr Dis Control, Vancouver, BC, Canada
[17] Univ British Columbia, Fac Med, Vancouver, BC, Canada
[18] Women Hlth Res Inst, Vancouver, BC, Canada
[19] Univ Hlth Network, Princess Margaret Canc Ctr, Dept Support Care, Toronto, ON, Canada
[20] Univ Montreal, Sch Publ Hlth, Montreal, PQ, Canada
[21] Queen Mary Univ London, Wolfson Inst Populat Hlth, London, England
[22] Indiana Univ, Emeritus Sch Med, Indianapolis, IN USA
[23] McGill Univ, Dept Psychiat, Montreal, PQ, Canada
[24] McGill Univ, Dept Psychol, Montreal, PQ, Canada
来源
LANCET REGIONAL HEALTH-AMERICAS | 2024年 / 39卷
基金
加拿大健康研究院;
关键词
Cervical screening; HPV testing; Self-sampling; Attitudes and beliefs; Screening intentions; Obstetrics and gynecology; Public health; Reproductive health; Women's health; Human papillomavirus; Cancer prevention; Behavioural sciences; FOLLOW-UP; KNOWLEDGE; ATTITUDES; ONTARIO; SAMPLE; COHORT;
D O I
10.1016/j.lana.2024.100901
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background HPV test-based primary cervical screening is replacing cytology in Canada. In other countries, women's unpreparedness and concerns hindered the transition and post-implementation screening uptake. We investigated psychosocial correlates of intentions of screening in eligible individuals to participate in HPV-based primary cervical screening. Methods We conducted a nationwide web-based survey of individuals aged 21-70 years in 2022 and oversampled under-screened individuals. We used five Canadian-validated scales to measure HPV test-based screening knowledge, attitudes, and beliefs. Using the multistage Precaution Adoption Process Model, we assessed women's stage of intentions to participate in HPV testing and self-sampling. We estimated associations of psychosocial factors with intentions' stage using multinomial logistic regression. Findings In both groups (adequately screened n = 1778; under-screened n = 1570), higher HPV knowledge was associated with intention for HPV testing and more personal barriers to the HPV test were associated with lower intentions to participate in HPV testing or use of self-sampling. In both groups, higher self-sampling concerns were associated with lower intentions for self-sampling and higher women's need for autonomy was associated with increased intentions for self-sampling. In the under-screened group, increased age was associated with lower intentions for HPV testing and self-sampling, while living in Canada for <10 years was associated with higher intentions. Interpretation Our results could be used by policymakers and healthcare professionals to design communication strategies and ensure a smooth transition to HPV-based primary cervical screening, especially for under-screened individuals. FundingCanadian Institutes of Health Research project grant 165905.
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页数:14
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