Co‐testing in cervical screening among 40‐ to 42‐year‐old women is unreasonable

Background: Cervical cancer is the 2nd commonest cancer among women worldwide and the most common cancer among women in developing countries like Nigeria. Though preventable by screening for premalignant and early cervical lesions, this is predicated on the knowledge and practice of a cervical screening. Objective: To assess the knowledge and practice of cervical cancer screening among women in Orlu, Local Government Area(LGA) Imo State, Nigeria. Materials & Methods: A community based cross-sectional study with the use of 502 interviewer – administered questionnaires was conducted among women in Orlu LGA of Imo State. All the women in the communities attending the annual August Meeting who consented were recruited for this study. Results: The study showed that the mean age of the respondents was 42±2.8years. Furthermore, 82.3% of respondents attained postsecondary school educational level, 61.8% & 21.1% were multiparous and grand multiparous respectively. Also, 80.5% of respondents have heard about cervical cancer screening. Majority (67.5%) of these respondents heard it from health care providers. There was a positive statistically significant relationship between educational status and the likelihood of having knowledge of cervical cancer screening, (p< 0.01). The level of practice of cervical cancer screening was very low among the respondents(13.5%).Though majority of the respondents have high level of educational attainment this did not reflect their practice of cervical cancer screening. Conclusion: There was high knowledge of cervical cancer and cervical screening modalities among women in Orlu but their practice of cervical cancer screening was very low. There is an urgent need to educate and encourage women on the benefits of cervical cancer screening. Key words: cervical cancer, knowledge, Practice, Orlu women, Screening.

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Development, implementation and early evaluation of a pilot cervical screening clinic for women who have been sexually assaulted

10.26226/morressier.5731a407d462b8028d88c795 ◽

2016 ◽

Author(s):

Jill Zelin

Keyword(s):

Cervical Screening ◽

Early Evaluation ◽

Sexually Assaulted ◽

Screening Clinic

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NHS Cervical Screening

Impact ◽

10.1080/2058802x.2015.11963980 ◽

2015 ◽

Vol 1 (2) ◽

pp. 28-30

Author(s):

Hazel Squires ◽

John Ranyard

Keyword(s):

Cervical Screening

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Cervical screening in high-income countries: the need for quality assurance, adjunct biomarkers and rational adaptation to HPV vaccination

Preventive Medicine ◽

10.1016/j.ypmed.2020.106382 ◽

2020 ◽

pp. 106382

Author(s):

Karin Sundström ◽

Eva Herweijer ◽

Jiangrong Wang

Keyword(s):

Quality Assurance ◽

Cervical Screening ◽

Hpv Vaccination ◽

High Income

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Accelerating action on cervical screening in lower- and middle-income countries (LMICs) post COVID-19 era

Preventive Medicine ◽

10.1016/j.ypmed.2020.106294 ◽

2021 ◽

Vol 144 ◽

pp. 106294

Author(s):

Yin Ling Woo ◽

Patti Gravitt ◽

Swee Kheng Khor ◽

Chiu Wan Ng ◽

Marion Saville

Keyword(s):

Cervical Screening ◽

Middle Income ◽

Middle Income Countries

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The cost of cervical screening by general practitioners

The Medical Journal of Australia ◽

10.5694/j.1326-5377.1992.tb121528.x ◽

1992 ◽

Vol 156 (10) ◽

pp. 740-740 ◽

Cited By ~ 2

Author(s):

J A Dickinson ◽

H Britt ◽

C Bridges‐Webb ◽

S Neary

Keyword(s):

General Practitioners ◽

Cervical Screening ◽

The Cost

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P63 Improving cervical smear uptake through an Automated Voice Messages Reminder

BJS Open ◽

10.1093/bjsopen/zrab032.062 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

Author(s):

Francesca Bladt ◽

Felyx Wong ◽

Francesca Bladt

Keyword(s):

Cervical Cancer ◽

Low Cost ◽

Cervical Screening ◽

Telephone Triage ◽

Cervical Smear ◽

Screening Programs ◽

Smear Test ◽

Voice Message ◽

The Uk ◽

Busy Schedule

Abstract National cervical screening programs have played a pivotal role in the prevention of cervical cancer. However, practices across the UK have reached an all-time low in cervical screening uptake. This study aimed to assess the efficacy of implementing an automated voice message reminder within the local general practice (GP) telephone triage system and explore the reasons which deter eligible patients away from cervical screening. A 20-second voice-message reminder in the telephone queue was played, addressing key risk factors along with a message from a child who lost his mother to cervical cancer. From the anonymised GP database, weekly new smear test bookings were monitored from 4 weeks prior until 2 weeks after the intervention was implemented. To qualitatively assess factors which deter patients away from screening, female patients were randomly sampled to fill in an anonymous questionnaire. The use of a low-cost 20 second voice message in the telephone queue across UK GP practices could be an effective method to increase cervical smear test coverage towards the national target of 80%. 35 questionnaire responses were received, main themes reported for not attending screening include embarrassment(37%), busy schedule(32%) and cultural differences(24%). In the week following the intervention, cervical smear tests increased more than 2-fold, from an average of 12 to 26 smears per week. This could be partly due to the convenient timing of voice recording, reminding them to book both appointments simultaneously and the child’s emotive message.

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Patterns of anxiety and distress over 12 months following participation in HPV primary screening

Sexually Transmitted Infections ◽

10.1136/sextrans-2020-054780 ◽

2021 ◽

pp. sextrans-2020-054780

Author(s):

Laura A V Marlow ◽

Emily McBride ◽

Deborah Ridout ◽

Alice S Forster ◽

Henry Kitchener ◽

...

Keyword(s):

Positive Result ◽

Short Form ◽

Cervical Screening ◽

General Health Questionnaire ◽

Psychological Impact ◽

Control Group ◽

Abnormal Cytology ◽

Normal Cytology ◽

Time Specific ◽

Over Time

ObjectivesMany countries are now using primary human papillomavirus (HPV) testing for cervical screening, testing for high-risk HPV and using cytology as triage. An HPV-positive result can have an adverse psychological impact, at least in the short term. In this paper, we explore the psychological impact of primary HPV screening over 12 months.MethodsWomen were surveyed soon after receiving their results (n=1133) and 6 (n=762) and 12 months (n=537) later. Primary outcomes were anxiety (Short-Form State Anxiety Inventory-6) and distress (General Health Questionnaire-12). Secondary outcomes included concern, worry about cervical cancer and reassurance. Mixed-effects regression models were used to explore differences at each time point and change over time across four groups according to their baseline result: control (HPV negative/HPV cleared/normal cytology and not tested for HPV); HPV positive with normal cytology; HPV positive with abnormal cytology; and HPV persistent (ie, second consecutive HPV-positive result).ResultsWomen who were HPV positive with abnormal cytology had the highest anxiety scores at baseline (mean=42.2, SD: 15.0), but this had declined by 12 months (mean=37.0, SD: 11.7) and was closer to being within the ‘normal’ range (scores between 34 and 36 are considered ‘normal’). This group also had the highest distress at baseline (mean=3.3, SD: 3.8, scores of 3+ indicate case-level distress), but the lowest distress at 12 months (mean=1.9, SD: 3.1). At 6 and 12 months, there were no between-group differences in anxiety or distress for any HPV-positive result group when compared with the control group. The control group were less concerned and more reassured about their result at 6 and 12 months than the HPV-positive with normal cytology group.ConclusionsOur findings suggest the initial adverse impact of an HPV-positive screening result on anxiety and distress diminishes over time. Specific concerns about the result may be longer lasting and efforts should be made to address them.

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