Understanding women's hesitancy to undergo less frequent cervical cancer screening

被引:26
作者
Gerend, Mary A. [1 ,2 ]
Shepherd, Melissa A. [3 ,5 ]
Kaltz, Emily A. [4 ]
Davis, Whitney J. [3 ]
Shepherd, Janet E. [4 ]
机构
[1] Northwestern Univ, Feinberg Sch Med, Dept Med Social Sci, 633 N St Clair St, Chicago, IL 60611 USA
[2] Northwestern Univ, Dept Psychol, Weinberg Coll Arts & Sci, 2029 Sheridan Rd, Evanston, IL 60208 USA
[3] Florida State Univ, Dept Psychol, 1107 W Call St, Tallahassee, FL 32306 USA
[4] Florida State Univ, Coll Med, 1115 W Call St, Tallahassee, FL 32306 USA
[5] Univ Montevallo, Dept Behav & Social Sci, Comer Hall,Stn 6445, Montevallo, AL 35115 USA
关键词
Cervical cancer; Cancer screening; Pap smear; HPV DNA tests; Health services overuse; HUMAN-PAPILLOMAVIRUS; PAP TEST; KNOWLEDGE; RISK; INTERVENTIONS; VACCINATION; PREVENTION; CONFUSION; INTERVALS; BENEFITS;
D O I
10.1016/j.ypmed.2016.11.028
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Inappropriate cervical cancer screening (e.g., screening too often) can result in unnecessary medical procedures, treatment, and psychological distress. To balance the benefits and harms, cervical cancer screening guidelines were recently modified in favor of less frequent screening (i.e., every 3 to 5 years). This study investigated women's acceptance of less frequent cervical cancer screening and their primary concerns about extending the screening interval beyond one year. A national sample of 376 U.S. women ages 21-65 completed an online survey in 2014. Predictors of willingness to get a Pap test every 3 to 5 yearswere identified using logistic regression. We also examined perceived consequences of less frequent screening. Over two thirds were willing to undergo less frequent screening if it was recommended by their healthcare provider. Nevertheless, nearly 20% expressed discomfort with less frequent screening and 45% were either in opposition or unsure whether they would be comfortable replacing Pap testing with primary HPV testing. Women whose most recent Pap test was (vs. was not) within the past year and women who ever (vs. never) had an abnormal Pap test were less willing to extend the screening interval. Additionally, women who typically sawan obstetrician/gynecologist or nurse practitioner for their Pap test (vs. a family physician) were less accepting of the guidelines. Hesitancy about the longer screening interval appears to stem from concern about developing cancer between screenings. Findings contribute to the growing body of research on cancer overscreening and may inform interventions for improving adherence to cancer screening guidelines. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码:96 / 102
页数:7
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