Women's perspectives on the acceptability and feasibility of an HPV screen-and-treat approach to cervical cancer prevention in Iquitos, Peru: a qualitative study

被引:1
作者
Morse, Rachel M. [1 ]
Brown, Joanna [2 ]
Noble, Helen E. [3 ]
Lopez, E. Jennifer Rios [2 ]
Kohler-Smith, Anna [2 ]
Soto, Sandra [2 ]
del Cuadro, Daniel Lenin [4 ]
Diaz, Karina Gonzales [4 ]
Escudero, Magaly Figueredo [4 ]
del Aguila, Giannina Vasquez [4 ]
Jara, Lita E. Carrillo [4 ]
Delgado, Hermann F. Silva [5 ]
Palacios, Victor A. [6 ]
Santos-Ortiz, Carlos [6 ]
Gravitt, Patti E. [7 ]
Paz-Soldan, Valerie A. [1 ,2 ]
机构
[1] Tulane Univ, Sch Publ Hlth & Trop Med, Dept Trop Med, New Orleans, LA 70118 USA
[2] Assoc Benef PRISMA, Lima, Peru
[3] Univ Washington Northern Pacific, Global Hlth Fogarty Int Program, Seattle, WA USA
[4] Gerencia Reg Salud Loreto, Dept Canc Control & Prevent, Iquitos, Loreto, Peru
[5] Univ Nacl Amazonia Peruana, Fac Med Humana, Iquitos, Peru
[6] Minist Salud, Direcc Prevenc & Control Canc, Lima, Peru
[7] Univ Maryland, Sch Med, Dept Epidemiol & Publ Hlth, Baltimore, MD 21201 USA
关键词
Acceptability; Ablative therapy; Cervical cancer; Screen-and-treat; Thermal ablation; CARE;
D O I
10.1186/s12905-022-01943-3
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background The objective of this study was to explore women's experiences of a screen-and-treat approach with ablative therapy (referred to by the Spanish acronym TVT-TA) as a method of treatment following a positive HPV test in Iquitos, Peru. Methods A total of 111 in-depth interviews were conducted with 47 HPV positive women who attended the TVT-TA procedure at a primary-level healthcare facility. Interviews were conducted immediately before, immediately after, and six-weeks after TVT-TA. Results Most interviewed women reported experiencing moderate pain during ablative therapy and minimal pain immediately after and six weeks after ablative therapy. Women also stated that the pain was less intense than they had expected. The most common physical after-effects of treatment were bleeding and vaginal odor. Women experienced oscillating emotions with fear upon receiving a positive HPV result, calming after hearing about ablative therapy treatment, worry about pain from the treatment itself, relaxation with counseling about the procedure, and relief following treatment. Conclusions Nearly all participants emphasized that they were pleased with the TVT-TA process even if they had experienced pain during TVT-TA, recommended that TVT-TA be expanded and available to more women, and stated that TVT-TA was faster and easier than expected. This study found that TVT-TA is a feasible and acceptable means of treating HPV according to the women receiving the treatment.
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页数:12
相关论文
共 27 条
[1]  
[Anonymous], 2013, World Health Organization Guidelines
[2]  
[Anonymous], 2014, Comprehensive cervical cancer control: A guide to essential practice, V2nd
[3]   Effect of self-collection of HPV DNA offered by community health workers at home visits on uptake of screening for cervical cancer (the EMA study): a population-based cluster-randomised trial [J].
Arrossi, Silvina ;
Thouyaret, Laura ;
Herrero, Rolando ;
Campanera, Alicia ;
Magdaleno, Adriana ;
Cuberli, Milca ;
Barletta, Paula ;
Laudi, Rosa ;
Orellana, Liliana .
LANCET GLOBAL HEALTH, 2015, 3 (02) :E85-E94
[4]   Management of cervical premalignant lesions [J].
Basu, Partha ;
Taghavi, Katayoun ;
Hu, Shang-Ying ;
Mogri, Sushma ;
Joshi, Smita .
CURRENT PROBLEMS IN CANCER, 2018, 42 (02) :129-136
[5]  
Borja Rojas WE, 2017, National plan for the prevention and control of cervical cancer 2017-2021
[6]   Scale-Up of an Human Papillomavirus Testing Implementation Program in El Salvador [J].
Cremer, Miriam ;
Maza, Mauricio ;
Alfaro, Karla ;
Velado, Mario Morales ;
Felix, Juan ;
Castle, Philip E. ;
Kim, Jane ;
Gage, Julia C. .
JOURNAL OF LOWER GENITAL TRACT DISEASE, 2017, 21 (01) :26-32
[7]   Estimating the global cancer incidence and mortality in 2018: GLOBOCAN sources and methods [J].
Ferlay, J. ;
Colombet, M. ;
Soerjomataram, I. ;
Mathers, C. ;
Parkin, D. M. ;
Pineros, M. ;
Znaor, A. ;
Bray, F. .
INTERNATIONAL JOURNAL OF CANCER, 2019, 144 (08) :1941-1953
[8]   Cancer statistics for the year 2020: An overview [J].
Ferlay, Jacques ;
Colombet, Murielle ;
Soerjomataram, Isabelle ;
Parkin, Donald M. ;
Pineros, Marion ;
Znaor, Ariana ;
Bray, Freddie .
INTERNATIONAL JOURNAL OF CANCER, 2021, 149 (04) :778-789
[9]   Follow-up care of women with an abnormal cytology in a low-resource setting [J].
Gage, JC ;
Ferreccio, C ;
Gonzales, M ;
Arroyo, R ;
Huivín, M ;
Robles, SC .
CANCER DETECTION AND PREVENTION, 2003, 27 (06) :466-471
[10]   Factors associated with low adherence to cervical cancer follow-up retest among HPV plus / cytology negative women: a study in programmatic context in a low-income population in Argentina [J].
Gago, Juan ;
Paolino, Melisa ;
Arrossi, Silvina .
BMC CANCER, 2019, 19 (1)