ArticleObstetrics and gynecology2015
Patient concerns about human papillomavirus testing and 5-year intervals in routine cervical cancer screening.
Article in Obstetrics and gynecology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Women's attitudes towards a human papillomavirus-based cervical cancer screening strategy: a systematic review.BMJ sexual & reproductive health · 2022Pooled it
- Human papillomavirus-based screening at extended intervals missed fewer cervical precancers than cytology in the HPV For Cervical Cancer (HPV FOCAL) trial.International journal of cancer · 2022Trial
- Testing key messages about extending cervical screening intervals.Patient education and counseling · 2022Trial
- Exploring the role of the oncology nurse in cervical cancer screening programs during times of transition.Canadian oncology nursing journal = Revue canadienne de nursing oncologique · 2025Article
- Understanding the Challenges of HPV-Based Cervical Screening: Development and Validation of HPV Testing and Self-Sampling Attitudes and Beliefs Scales.Current oncology (Toronto, Ont.) · 2023Article
- "A lot can happen in five years": Women's attitudes to extending cervical screening intervals.European journal of cancer care · 2022Article
- Acceptability of extending HPV-based cervical screening intervals from 3 to 5 years: an interview study with women in England.BMJ open · 2022Article
- Changing Preferences for a Cervical Cancer Screening Strategy: Moving Away from Annual Testing.Women's health reports (New Rochelle, N.Y.) · 2022Article
- Trends in the use of cervical cancer screening tests in a large medical claims database, United States, 2013-2019.Gynecologic oncology · 2021Article
- Article
- Maximising the acceptability of extended time intervals between screens in the NHS Cervical Screening Programme: An online experimental study.Journal of medical screening · 2021Article
- Effects of Message Framing on Cervical Cancer Screening Knowledge and Intentions Related to Primary HPV Testing.Cancer prevention research (Philadelphia, Pa.) · 2021Article
- Overuse of Cervical Cancer Screening Tests Among Women With Average Risk in the United States From 2013 to 2014.JAMA network open · 2021Article
- Estimated Quality of Life and Economic Outcomes Associated With 12 Cervical Cancer Screening Strategies: A Cost-effectiveness Analysis.JAMA internal medicine · 2019Article
- A Thematic Analysis of Attitudes Toward Changes to Cervical Screening in Australia.JMIR cancer · 2019Article
- Improving Knowledge and Awareness of Human Papillomavirus-Associated Gynecologic Cancers: Results from the National Comprehensive Cancer Control Program/Inside Knowledge Collaboration.Journal of women's health (2002) · 2018Article
- Utilization of Cervical Cancer Screening Among Hispanic Immigrant Women in Coastal South Carolina.Journal of racial and ethnic health disparities · 2018Article
- Racial/Ethnic Disparities in Cervical Cancer Screening Services Among Contractors of the Connecticut Breast and Cervical Cancer Early Detection Program.Health equity · 2018Article
- Applying Sparse Machine Learning Methods to Twitter: Analysis of the 2012 Change in Pap Smear Guidelines. A Sequential Mixed-Methods Study.JMIR public health and surveillance · 2016Article
- Changes in Knowledge and Beliefs About Human Papillomavirus and Cervical Cancer Screening Intervals in Low-Income Women After an Educational Intervention.Journal of primary care & community health · 2016Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveTo explore attitudes toward new cervical cancer screening options and understand factors associated with those beliefs among women in routine gynecologic care.
methodsWe used an interviewer-administered survey of 551 women aged 36-62 years enrolled in the HPV in Perimenopause Study. Poisson regression with robust error variance was used to estimate prevalence ratios and 95% confidence intervals (CIs) to compare women's preferences for cervical cancer screening methods and frequency.
resultsA majority of women (55.6%, 95% CI 51.4-59.8%) were aware that screening recommendations had changed, yet 74.1% (95% CI 70.3-77.7%) still believed women should be screened annually. If recommended by their doctor, 68.4% (95% CI 64.4-72.2%) were willing to extend screening to every 3 years, but only 25.2% (95% CI 21.9-29.2%) would extend screening to 5 years. Most women (60.7%, 95% CI 56.5-65.7%) expressed a strong preference for Pap testing, and 41.4% (95% CI 37.4-45.6%) expressed at least moderate concern over having a human papillomavirus (HPV) test without a Pap test. A desire for more frequent care, higher degree of worry and perceived risk, and abnormal screening history were all associated with reduced willingness to accept HPV testing and longer screening intervals.
conclusionA majority of routinely screened women indicated a willingness to adopt a cervical cancer screening strategy of cytology alone or Pap-HPV cotesting every 3 years if recommended by their physician. However, they remain concerned about HPV testing and extension of screening intervals to once every 5 years. Our results suggest continued reticence to accepting newer HPV-based screening algorithms among routinely screened women older than age 35 years.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.