Factors associated with human papillomavirus (HPV) test acceptability in primary screening for cervical cancer: A mixed methods research synthesis

PREVENTIVE MEDICINE

卷:116

Review

Tatar, Ovidiu¹  Thompson, Erika²  Naz, Anila¹  Perez, Samara^1,3  Shapiro, Gilla K.^1,3  Wade, Kristina¹  Zimet, Gregory⁴  Gilca, Vladimir⁵  Janda, Monika⁶  Kahn, Jessica⁷  Daley, Ellen⁸  Rosberger, Zeev^1,3 

[1] Jewish Gen Hosp, Lady Davis Inst Med Res, 4333 Cote Ste Catherine Rd, Montreal, PQ H3T 1E4, Canada

[2] Univ North Texas, Hlth Sci Ctr, Sch Publ Hlth, Dept Hlth Behav & Hlth Syst, 3500 Camp Bowie,EAD 709M, Ft Worth, TX 76107 USA

[3] McGill Univ, Dept Psychol, 2001 McGill Coll, Montreal, PQ, Canada

[4] Indiana Univ Sch Med, Sect Adolescent Med, 410 West 10th St,HS 1001, Indianapolis, IN 46202 USA

[5] Inst Natl Sante Publ Quebec, 945 Wolfe Ave, Quebec City, PQ G1V 5B3, Canada

[6] Queensland Univ Technol, Fac Hlth, Brisbane, Qld, Australia

[7] Univ Cincinnati Ohio, Cincinnati Childrens Hosp Med Ctr, Div Adolescent & Transit Med, MLC 4000,3333 Burnet Ave, Cincinnati, OH 45229 USA

[8] Univ S Florida, Dept Community & Family Hlth, 13201 Bruce B Downs Blvd,MDC 56, Tampa, FL 33612 USA

关键词: Human papillomavirus;    Uterine Cervical Neoplasms;    Mass Screening;    Psychology;    Human Papillomavirus DNA Tests;    Review;    Mixed methods;    Barriers;    Facilitators;    Psychosocial;   

DOI  :  10.1016/j.ypmed.2018.08.034

来源: Elsevier

【 摘 要 】

Primary screening for cervical cancer is transitioning from the longstanding Pap smear towards implementation of an HPV-DNA test, which is more sensitive than Pap cytology in detecting high-risk lesions and offers greater protection against invasive cervical carcinomas. Based on these results, many countries are recommending and implementing HPV testing-based screening programs. Understanding what factors (e.g., knowledge, attitudes) will impact on HPV test acceptability by women is crucial for ensuring adequate public health practices to optimize cervical screening uptake. We used mixed methods research synthesis to provide a categorization of the relevant factors related to HPV primary screening for cervical cancer and describe their influence on women's acceptability of HPV testing. We searched Medline, Embase, PsycINFO, CINAHL, Global Health and Web of Science for journal articles between January 1, 1980 and October 31, 2017 and retained 22 empirical articles. Our results show that while most factors associated with HPV test acceptability are included in the Health Belief Model and/or Theory of Planned Behavior (e.g., attitudes, knowledge), other important factors are not encompassed by these theoretical frameworks (e.g., health behaviors, negative emotional reactions related to HPV testing). The direction of influence of psychosocial factors on HPV test acceptability was synthesized based on 14 quantitative studies as: facilitators (e.g., high perceived HPV test benefits), barriers (e.g., negative attitudes towards increased screening intervals), contradictory evidence (e.g., sexual history) and no impact (e.g., high perceived severity of HPV infection). Further population-based studies are needed to confirm the impact of these factors on HPV-based screening acceptability.

【 授权许可】

Free