加拿大消除宫颈癌之路:影响妇女参加基于人类乳头瘤病毒检测的初级宫颈筛查意向的因素全国调查

IF 7 Q1 HEALTH CARE SCIENCES & SERVICES
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引用次数: 0

摘要

背景 在加拿大,以 HPV 检测为基础的初级宫颈筛查正在取代细胞学检查。在其他国家,妇女的无准备状态和担忧阻碍了筛查的过渡和实施后的接受率。我们在 2022 年对 21-70 岁的人进行了一次全国范围的网络调查,并对筛查不足的人进行了超额采样。我们使用了五个经过加拿大验证的量表来测量基于 HPV 检测的筛查知识、态度和信念。我们使用多阶段预防采用过程模型评估了女性参与 HPV 检测和自我采样的意向阶段。结果在两组(充分筛查 n = 1778;筛查不足 n = 1570)中,较高的 HPV 知识与 HPV 检测意向相关,而较多的 HPV 检测个人障碍与较低的 HPV 检测或自我采样意向相关。在这两组中,对自我采样的担忧越高,自我采样的意愿就越低,而女性对自主性的需求越高,自我采样的意愿就越高。在筛查不足组中,年龄越大,HPV 检测和自我采样的意愿越低,而在加拿大居住满 10 年,自我采样的意愿越高。我们的研究结果可供政策制定者和医疗保健专业人员用来设计沟通策略,确保顺利过渡到基于 HPV 的初级宫颈筛查,尤其是针对筛查不足的人群。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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

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.

Funding

Canadian Institutes of Health Research project grant 165905.
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来源期刊
CiteScore
8.00
自引率
0.00%
发文量
0
期刊介绍: The Lancet Regional Health – Americas, an open-access journal, contributes to The Lancet's global initiative by focusing on health-care quality and access in the Americas. It aims to advance clinical practice and health policy in the region, promoting better health outcomes. The journal publishes high-quality original research advocating change or shedding light on clinical practice and health policy. It welcomes submissions on various regional health topics, including infectious diseases, non-communicable diseases, child and adolescent health, maternal and reproductive health, emergency care, health policy, and health equity.
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