Psychosexual distress following routine primary human papillomavirus testing: a longitudinal evaluation within the English Cervical Screening Programme
Objective To assess psychosexual distress over a 12-month period among women receiving different human papillomavirus (HPV) and cytology results in the context of the English HPV primary screening pilot. Design Longitudinal, between-group study. Setting Five sites in England where primary HPV testing was piloted. Population Women aged 24-65 years (n = 1133) who had taken part in the NHS Cervical Screening Programme. Methods Women were sent a postal questionnaire soon after receiving their screening results (baseline) and 6 and 12 months later. Data were analysed using linear regression models to compare psychosexual outcomes between groups receiving six possible combinations of HPV and cytology screening results, including a control group with normal cytology and no HPV test. Main outcome measures Psychosexual distress, assessed using six items from the Psychosocial Effects of Abnormal Pap Smears Questionnaire (PEAPS-Q). Results At all time points, there was an association between screening result group and psychosexual distress (allP < 0.001). At baseline, mean psychosexual distress score (possible range: 1-5) was significantly higher among women with HPV and normal cytology (B = 1.15, 95% CI 0.96-1.34), HPV and abnormal cytology (B = 1.02, 95% CI: 0.78-1.27) and persistent HPV (B = 0.90, 95% CI 0.70-1.10) compared with the control group (allP < 0.001). At the 6 and 12 month follow ups the pattern of results were similar, but coefficients were smaller. Conclusions Our findings suggest receiving an HPV-positive result can cause psychosexual distress, particularly in the short-term. Developing interventions to minimise the psychosexual burden of testing HPV-positive will be essential to avoid unnecessary harm to the millions of women taking part in cervical screening. Tweetable abstract Receiving an HPV-positive result following primary HPV testing can cause psychosexual distress, particularly in the short-term.
机构:
Chelsea & Westminster NHS Fdn Trust, St Stephens Ctr, HIV GUM Directorate, London SW10 9NH, EnglandChelsea & Westminster NHS Fdn Trust, St Stephens Ctr, HIV GUM Directorate, London SW10 9NH, England
Bickford, J.
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Barton, S. E.
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Chelsea & Westminster NHS Fdn Trust, St Stephens Ctr, HIV GUM Directorate, London SW10 9NH, EnglandChelsea & Westminster NHS Fdn Trust, St Stephens Ctr, HIV GUM Directorate, London SW10 9NH, England
Barton, S. E.
;
Mandalia, S.
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Chelsea & Westminster NHS Fdn Trust, St Stephens Ctr, HIV GUM Directorate, London SW10 9NH, EnglandChelsea & Westminster NHS Fdn Trust, St Stephens Ctr, HIV GUM Directorate, London SW10 9NH, England
机构:
UCL, Canc Res UK Hlth Behav Res Ctr, Dept Epidemiol & Publ Hlth, London WC1E 6BT, EnglandUCL, Canc Res UK Hlth Behav Res Ctr, Dept Epidemiol & Publ Hlth, London WC1E 6BT, England
Dodd, Rachael H.
;
McCaffery, Kirsten J.
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Univ Sydney, Screening & Test Evaluat Program STEP, Sydney, NSW 2006, Australia
Univ Sydney, Ctr Med Psychol & Evidence Based Decis Making CeM, Sydney, NSW 2006, AustraliaUCL, Canc Res UK Hlth Behav Res Ctr, Dept Epidemiol & Publ Hlth, London WC1E 6BT, England
McCaffery, Kirsten J.
;
Marlow, Laura A. V.
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UCL, Canc Res UK Hlth Behav Res Ctr, Dept Epidemiol & Publ Hlth, London WC1E 6BT, EnglandUCL, Canc Res UK Hlth Behav Res Ctr, Dept Epidemiol & Publ Hlth, London WC1E 6BT, England
Marlow, Laura A. V.
;
Ostini, Remo
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机构:
Univ Queensland, Fac Hlth Sci, Hlth Communities Res Ctr, Ipswich, Qld, AustraliaUCL, Canc Res UK Hlth Behav Res Ctr, Dept Epidemiol & Publ Hlth, London WC1E 6BT, England
Ostini, Remo
;
Zimet, Gregory D.
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Indiana Univ Sch Med, Sect Adolescent Med, Indianapolis, IN 46202 USAUCL, Canc Res UK Hlth Behav Res Ctr, Dept Epidemiol & Publ Hlth, London WC1E 6BT, England
Zimet, Gregory D.
;
Waller, Jo
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UCL, Canc Res UK Hlth Behav Res Ctr, Dept Epidemiol & Publ Hlth, London WC1E 6BT, EnglandUCL, Canc Res UK Hlth Behav Res Ctr, Dept Epidemiol & Publ Hlth, London WC1E 6BT, England
机构:
Univ Manchester, Div Human Dev, Acad Unit Obstet & Gynaecol, Manchester, Lancs, EnglandUniv Manchester, Div Human Dev, Acad Unit Obstet & Gynaecol, Manchester, Lancs, England
Kitchener, H. C.
;
Fletcher, I.
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CRC, Christie CRC Res Ctr, Psychol Med Grp, Manchester, EnglandUniv Manchester, Div Human Dev, Acad Unit Obstet & Gynaecol, Manchester, Lancs, England
Fletcher, I.
;
Robert, C.
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Univ Manchester, Biostat Grp, Manchester, Lancs, EnglandUniv Manchester, Div Human Dev, Acad Unit Obstet & Gynaecol, Manchester, Lancs, England
Robert, C.
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Wheeler, P.
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Univ Manchester, Div Human Dev, Acad Unit Obstet & Gynaecol, Manchester, Lancs, EnglandUniv Manchester, Div Human Dev, Acad Unit Obstet & Gynaecol, Manchester, Lancs, England
Wheeler, P.
;
Almonte, M.
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机构:
London Sch Hyg & Trop Med, Non Communicable Dis Epidemiol Unit, London WC1, EnglandUniv Manchester, Div Human Dev, Acad Unit Obstet & Gynaecol, Manchester, Lancs, England
Almonte, M.
;
Maguire, P.
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机构:
CRC, Christie CRC Res Ctr, Psychol Med Grp, Manchester, EnglandUniv Manchester, Div Human Dev, Acad Unit Obstet & Gynaecol, Manchester, Lancs, England
机构:
Chelsea & Westminster NHS Fdn Trust, St Stephens Ctr, HIV GUM Directorate, London SW10 9NH, EnglandChelsea & Westminster NHS Fdn Trust, St Stephens Ctr, HIV GUM Directorate, London SW10 9NH, England
Bickford, J.
;
Barton, S. E.
论文数: 0引用数: 0
h-index: 0
机构:
Chelsea & Westminster NHS Fdn Trust, St Stephens Ctr, HIV GUM Directorate, London SW10 9NH, EnglandChelsea & Westminster NHS Fdn Trust, St Stephens Ctr, HIV GUM Directorate, London SW10 9NH, England
Barton, S. E.
;
Mandalia, S.
论文数: 0引用数: 0
h-index: 0
机构:
Chelsea & Westminster NHS Fdn Trust, St Stephens Ctr, HIV GUM Directorate, London SW10 9NH, EnglandChelsea & Westminster NHS Fdn Trust, St Stephens Ctr, HIV GUM Directorate, London SW10 9NH, England
机构:
UCL, Canc Res UK Hlth Behav Res Ctr, Dept Epidemiol & Publ Hlth, London WC1E 6BT, EnglandUCL, Canc Res UK Hlth Behav Res Ctr, Dept Epidemiol & Publ Hlth, London WC1E 6BT, England
Dodd, Rachael H.
;
McCaffery, Kirsten J.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sydney, Screening & Test Evaluat Program STEP, Sydney, NSW 2006, Australia
Univ Sydney, Ctr Med Psychol & Evidence Based Decis Making CeM, Sydney, NSW 2006, AustraliaUCL, Canc Res UK Hlth Behav Res Ctr, Dept Epidemiol & Publ Hlth, London WC1E 6BT, England
McCaffery, Kirsten J.
;
Marlow, Laura A. V.
论文数: 0引用数: 0
h-index: 0
机构:
UCL, Canc Res UK Hlth Behav Res Ctr, Dept Epidemiol & Publ Hlth, London WC1E 6BT, EnglandUCL, Canc Res UK Hlth Behav Res Ctr, Dept Epidemiol & Publ Hlth, London WC1E 6BT, England
Marlow, Laura A. V.
;
Ostini, Remo
论文数: 0引用数: 0
h-index: 0
机构:
Univ Queensland, Fac Hlth Sci, Hlth Communities Res Ctr, Ipswich, Qld, AustraliaUCL, Canc Res UK Hlth Behav Res Ctr, Dept Epidemiol & Publ Hlth, London WC1E 6BT, England
Ostini, Remo
;
Zimet, Gregory D.
论文数: 0引用数: 0
h-index: 0
机构:
Indiana Univ Sch Med, Sect Adolescent Med, Indianapolis, IN 46202 USAUCL, Canc Res UK Hlth Behav Res Ctr, Dept Epidemiol & Publ Hlth, London WC1E 6BT, England
Zimet, Gregory D.
;
Waller, Jo
论文数: 0引用数: 0
h-index: 0
机构:
UCL, Canc Res UK Hlth Behav Res Ctr, Dept Epidemiol & Publ Hlth, London WC1E 6BT, EnglandUCL, Canc Res UK Hlth Behav Res Ctr, Dept Epidemiol & Publ Hlth, London WC1E 6BT, England
机构:
Univ Manchester, Div Human Dev, Acad Unit Obstet & Gynaecol, Manchester, Lancs, EnglandUniv Manchester, Div Human Dev, Acad Unit Obstet & Gynaecol, Manchester, Lancs, England
Kitchener, H. C.
;
Fletcher, I.
论文数: 0引用数: 0
h-index: 0
机构:
CRC, Christie CRC Res Ctr, Psychol Med Grp, Manchester, EnglandUniv Manchester, Div Human Dev, Acad Unit Obstet & Gynaecol, Manchester, Lancs, England
Fletcher, I.
;
Robert, C.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Manchester, Biostat Grp, Manchester, Lancs, EnglandUniv Manchester, Div Human Dev, Acad Unit Obstet & Gynaecol, Manchester, Lancs, England
Robert, C.
;
Wheeler, P.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Manchester, Div Human Dev, Acad Unit Obstet & Gynaecol, Manchester, Lancs, EnglandUniv Manchester, Div Human Dev, Acad Unit Obstet & Gynaecol, Manchester, Lancs, England
Wheeler, P.
;
Almonte, M.
论文数: 0引用数: 0
h-index: 0
机构:
London Sch Hyg & Trop Med, Non Communicable Dis Epidemiol Unit, London WC1, EnglandUniv Manchester, Div Human Dev, Acad Unit Obstet & Gynaecol, Manchester, Lancs, England
Almonte, M.
;
Maguire, P.
论文数: 0引用数: 0
h-index: 0
机构:
CRC, Christie CRC Res Ctr, Psychol Med Grp, Manchester, EnglandUniv Manchester, Div Human Dev, Acad Unit Obstet & Gynaecol, Manchester, Lancs, England