Document Detail


Knowledge of cervical cancer prevention and human papillomavirus among women with HIV.
MedLine Citation:
PMID:  20106513     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To assess knowledge of and attitudes towards human papillomavirus (HPV), Pap testing, and the HPV vaccine.
METHODS: In a multicenter U.S. cohort study, women with the human immunodeficiency virus (HIV) and at-risk comparison women completed 44-item standardized self-report questionnaires exploring their knowledge of cervical cancer prevention, HPV, and HPV vaccination. Results were correlated with demographic variables, measures of education and attention, and medical factors. Data were clustered using principal component analysis. Significant associations were assessed in multivariable models.
RESULTS: Among 1588 women, HIV seropositive women better understood facts about cervical cancer prevention and HPV than seronegative women, but both had substantial knowledge deficits. Almost all women considered Pap testing important, although 53% of HIV seropositive and 48% of seronegative women considered cervical cancer not preventable (P=0.21). Only 44% of HIV seropositive women knew Paps assess the cervix, versus 42% of HIV seronegative women (P=0.57). Both groups understood that HPV causes genital warts and cervical cancer (67% of HIV seropositive vs. 55% of seronegative women, P=0.002). About half of both groups considered HPV vaccination extremely important for cervical cancer prevention. HIV seronegative women were more likely to report learning of HPV vaccination through advertising than from clinicians (81% vs. 64%, P<0.0001).
CONCLUSION: High risk women need effective education about cervical cancer prevention, HPV, and HPV vaccination.
Authors:
L Stewart Massad; Charlesnika T Evans; Tracey E Wilson; Johanna L Goderre; Nancy A Hessol; Donna Henry; Christine Colie; Howard D Strickler; Alexandra M Levine; D Heather Watts; Kathleen M Weber
Related Documents :
10600293 - Synthesis of ifn-gamma by cd8(+) t cells is preserved in hiv-infected women with hpv-re...
9207803 - Human papillomavirus infection in postmenopausal women with and without hormone therapy.
18090693 - Regressive and intensive methods of electroconvulsive therapy: a brief historical note.
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2010-01-27
Journal Detail:
Title:  Gynecologic oncology     Volume:  117     ISSN:  1095-6859     ISO Abbreviation:  Gynecol. Oncol.     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-19     Completed Date:  2010-03-30     Revised Date:  2014-03-19    
Medline Journal Info:
Nlm Unique ID:  0365304     Medline TA:  Gynecol Oncol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  70-6     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier Inc. All rights reserved.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Cohort Studies
Female
HIV Infections / complications*,  psychology,  virology
Health Knowledge, Attitudes, Practice*
Humans
Middle Aged
Papillomavirus Infections / complications*,  psychology,  virology
Papillomavirus Vaccines / administration & dosage
Patient Education as Topic
Uterine Cervical Neoplasms / prevention & control*,  psychology,  virology*
Grant Support
ID/Acronym/Agency:
R01 CA085178/CA/NCI NIH HHS; R01 CA085178-12/CA/NCI NIH HHS; R01 CA85178-01/CA/NCI NIH HHS; U01-AI-31834/AI/NIAID NIH HHS; U01-AI-34989/AI/NIAID NIH HHS; U01-AI-34993/AI/NIAID NIH HHS; U01-AI-34994/AI/NIAID NIH HHS; U01-AI-35004/AI/NIAID NIH HHS; U01-AI-42590/AI/NIAID NIH HHS; U01-HD-32632/HD/NICHD NIH HHS; UL1 RR024131/RR/NCRR NIH HHS
Chemical
Reg. No./Substance:
0/Papillomavirus Vaccines
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Quality of care in advanced ovarian cancer: The importance of provider specialty.
Next Document:  Determination of heart rate and heart rate variability in the equine fetus by fetomaternal electroca...