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Published in: BMC Women's Health 1/2018

Open Access 01-12-2018 | Research article

Information needs of young women vaccinated against HPV attending colposcopy: a qualitative study

Authors: Ailie Young, Seonaidh Cotton, Margaret Eleanor Cruickshank

Published in: BMC Women's Health | Issue 1/2018

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Abstract

Background

Previous studies have shown that woman attending their first cervical screening or colposcopy appointment experience negative emotions, primarily anxiety and fear. With the introduction of the Human Papillomavirus (HPV) vaccine, it is unknown whether these emotions will have altered or whether the information needs of vaccinated women will have changed. The objective of this study is to determine the knowledge, understanding and concerns that young women have about HPV when attending colposcopy and whether their information needs are met.

Methods

This is a qualitative study using semi-structured interviews which were audiotaped and transcribed. Data was analysed thematically, with recruitment until data saturation was reached. Women born after 01/09/1990 and attending colposcopy as a result of abnormal cytology were eligible to join the study. Recruitment took place in an out-patient regional colposcopy clinic, Aberdeen, Scotland.

Results

Fifteen women were interviewed. The majority of participants had some knowledge and understanding of HPV, cervical screening and colposcopy. Knowledge about the HPV vaccine was more limited; a third of participants misunderstood the effectiveness of the vaccine believing that is provided complete protection, and were left feeling that it had failed them. Some also felt that they were “test cases” for the vaccine.

Conclusion

With the introduction of the HPV vaccine, the information and support needs of young women attending colposcopy are not fully met, leaving women with unanswered questions. With increasing numbers of vaccinated women entering the screening programme, it is timely to review the information available to these women.
Literature
1.
go back to reference Ferrer H, Trotter C, Hickman M, Audrey S. Barriers and facilitators to HPV vaccination of young women in high-income countries. BMC Public Health. 2014;14:700.CrossRef Ferrer H, Trotter C, Hickman M, Audrey S. Barriers and facilitators to HPV vaccination of young women in high-income countries. BMC Public Health. 2014;14:700.CrossRef
2.
go back to reference Cuzick J, Castanon A, Saseini P. Predicted impact of vaccination against human papillomavirus 16/18 on cancer incidence and cervical abnormalities in women aged 20-29 in the UK. Br J Cancer. 2010;102(5):933–9.CrossRef Cuzick J, Castanon A, Saseini P. Predicted impact of vaccination against human papillomavirus 16/18 on cancer incidence and cervical abnormalities in women aged 20-29 in the UK. Br J Cancer. 2010;102(5):933–9.CrossRef
3.
go back to reference The GlaxoSmithKlineVaccineHPV-007 Study Group. Sustained efficacy and immunogenicity of the human papillomavirus (HPV)-16/18 AS04- adjuvant vaccine: Analysis of a randomised placebo-controlled trial up to 6.4 years. The Lancet. 2009;374:1975–85.CrossRef The GlaxoSmithKlineVaccineHPV-007 Study Group. Sustained efficacy and immunogenicity of the human papillomavirus (HPV)-16/18 AS04- adjuvant vaccine: Analysis of a randomised placebo-controlled trial up to 6.4 years. The Lancet. 2009;374:1975–85.CrossRef
4.
go back to reference Centres for Disease Control and Prevention. Human papillomavirus. In: Atkinson W, Hamborsky J, Wolfe S, eds. Epidemiology and prevention of vaccine-preventable diseases . 12th ed. Washington DC: Public Health Foundation; 2012. p.139–149. Centres for Disease Control and Prevention. Human papillomavirus. In: Atkinson W, Hamborsky J, Wolfe S, eds. Epidemiology and prevention of vaccine-preventable diseases . 12th ed. Washington DC: Public Health Foundation; 2012. p.139–149.
8.
go back to reference Public Health England. Cervical screening. The colposcopy examination. Department of Health in association with NHS Cancer Screening Programmes and Cancer Research UK; 2008. Public Health England. Cervical screening. The colposcopy examination. Department of Health in association with NHS Cancer Screening Programmes and Cancer Research UK; 2008.
10.
go back to reference Austoker J. Cancer prevention in primary care: screening for cervical cancer. BMJ. 1994;309(6949):241.CrossRef Austoker J. Cancer prevention in primary care: screening for cervical cancer. BMJ. 1994;309(6949):241.CrossRef
11.
go back to reference Cestari ME, et al. The care needs of women infected with the human papilloma virus: a comprehensive approach. J Sch Nurs. 2012;46(5):1082–7. Cestari ME, et al. The care needs of women infected with the human papilloma virus: a comprehensive approach. J Sch Nurs. 2012;46(5):1082–7.
12.
go back to reference Al-Naggar RA, Al-Jashamy K, Chen R. Perceptions and opinions regarding human papilloma virus vaccination among young women in Malaysia. APJCP. 2010;11(6):1515–21.PubMed Al-Naggar RA, Al-Jashamy K, Chen R. Perceptions and opinions regarding human papilloma virus vaccination among young women in Malaysia. APJCP. 2010;11(6):1515–21.PubMed
15.
go back to reference Lester H, Wilson S. Is default from colposcopy a problem, and if so what can we do? A systematic review of the literature. Br J Med Pract. 1999;49(440):223–9. Lester H, Wilson S. Is default from colposcopy a problem, and if so what can we do? A systematic review of the literature. Br J Med Pract. 1999;49(440):223–9.
16.
go back to reference Herbert A, Johnson J, Patnick J. Achievable standards, benchmarks for reporting, and criteria for evaluating cervical cytopathology. Cytopatholgy. 2013;6:301–3.CrossRef Herbert A, Johnson J, Patnick J. Achievable standards, benchmarks for reporting, and criteria for evaluating cervical cytopathology. Cytopatholgy. 2013;6:301–3.CrossRef
17.
go back to reference Hendry M, Lewis R, Clements A, Damery S, Wilkinson C. "HPV? Never heard of it!": a systematic review of girls' and parents' information needs, views and preferences about human papillomavirus vaccination. Vaccine. 2013;31(45):5152–67.CrossRef Hendry M, Lewis R, Clements A, Damery S, Wilkinson C. "HPV? Never heard of it!": a systematic review of girls' and parents' information needs, views and preferences about human papillomavirus vaccination. Vaccine. 2013;31(45):5152–67.CrossRef
18.
go back to reference Palmer TJ, et al. HPV immunisation and increased uptake of cervical screening in Scottish women; observational study of routinely collected national data. Br J Cancer. 2016;114:576–81.CrossRef Palmer TJ, et al. HPV immunisation and increased uptake of cervical screening in Scottish women; observational study of routinely collected national data. Br J Cancer. 2016;114:576–81.CrossRef
19.
go back to reference Usha Kiran T, Jayawickrama N. Who are the women who default from colposcopy clinics? J Obstet Gynaecol. 2002;22(5):537–9.CrossRef Usha Kiran T, Jayawickrama N. Who are the women who default from colposcopy clinics? J Obstet Gynaecol. 2002;22(5):537–9.CrossRef
20.
go back to reference Anderson J, Mullins R, Siahpush M. Mass media campaign improves cervical screening across all socio-economic groups. Health Educ Res. 2009;24(5):867–75.CrossRef Anderson J, Mullins R, Siahpush M. Mass media campaign improves cervical screening across all socio-economic groups. Health Educ Res. 2009;24(5):867–75.CrossRef
21.
go back to reference Kester LM, Shedd-Steele RB, Dotson-Roberts CA, Smith J, Zimet GD. The effects of a brief educational intervention on human papillomavirus knowledge and intention to initiate HPV vaccination in 18-26year old young adults. Gynecol Oncol. 2014;132(S1):S9–S12.CrossRef Kester LM, Shedd-Steele RB, Dotson-Roberts CA, Smith J, Zimet GD. The effects of a brief educational intervention on human papillomavirus knowledge and intention to initiate HPV vaccination in 18-26year old young adults. Gynecol Oncol. 2014;132(S1):S9–S12.CrossRef
Metadata
Title
Information needs of young women vaccinated against HPV attending colposcopy: a qualitative study
Authors
Ailie Young
Seonaidh Cotton
Margaret Eleanor Cruickshank
Publication date
01-12-2018
Publisher
BioMed Central
Published in
BMC Women's Health / Issue 1/2018
Electronic ISSN: 1472-6874
DOI
https://doi.org/10.1186/s12905-018-0691-0

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