Evidence map›Paper›PMID 32783300›Full record

ArticleBJOG : an international journal of obstetrics and gynaecology2021

Psychosexual distress following routine primary human papillomavirus testing: a longitudinal evaluation within the English Cervical Screening Programme.

K F Bennett, J Waller, E McBride, A S Forster, G Di Gessa, H Kitchener, Lav Marlow

Abstract read
In one paragraph

Article in BJOG : an international journal of obstetrics and gynaecology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

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  9. Distinct Illness Representation Profiles Are Associated With Anxiety in Women Testing Positive for Human Papillomavirus.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2022
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

K F BennettCancer Communication and Screening Group, Department of Behavioural Science and Health, University College London, London, UK.ORCID https://orcid.org/0000-0003-1448-3034
J WallerCancer Communication and Screening Group, Department of Behavioural Science and Health, University College London, London, UK.ORCID https://orcid.org/0000-0003-4025-9132
E McBrideCancer Communication and Screening Group, Department of Behavioural Science and Health, University College London, London, UK.
A S ForsterCancer Communication and Screening Group, Department of Behavioural Science and Health, University College London, London, UK.
G Di GessaDepartment of Epidemiology and Public Health, University College London, London, UK.ORCID https://orcid.org/0000-0001-6154-1845
H KitchenerWomen's Cancer Centre, Institute of Cancer Sciences, University of Manchester, Manchester, UK.
Lav MarlowCancer Communication and Screening Group, Department of Behavioural Science and Health, University College London, London, UK.ORCID https://orcid.org/0000-0003-1709-2397

Funding

Cancer Research UK 17429Cancer Research UK C49896/A17429Cancer Research UK C7492/A17219Department of Health DRF-2017-10-105Medical Research Council MR/N013867/1
6 · The paper itself

Abstract

objectiveTo assess psychosexual distress over a 12-month period among women receiving different human papillomavirus (HPV) and cytology results in the context of the English HPV primary screening pilot.

designLongitudinal, between-group study.

settingFive sites in England where primary HPV testing was piloted. POPULATION: Women aged 24-65 years (n = 1133) who had taken part in the NHS Cervical Screening Programme.

methodsWomen were sent a postal questionnaire soon after receiving their screening results (baseline) and 6 and 12 months later. Data were analysed using linear regression models to compare psychosexual outcomes between groups receiving six possible combinations of HPV and cytology screening results, including a control group with normal cytology and no HPV test.

main outcome measuresPsychosexual distress, assessed using six items from the Psychosocial Effects of Abnormal Pap Smears Questionnaire (PEAPS-Q).

resultsAt all time points, there was an association between screening result group and psychosexual distress (all P < 0.001). At baseline, mean psychosexual distress score (possible range: 1-5) was significantly higher among women with HPV and normal cytology (B = 1.15, 95% CI 0.96-1.34), HPV and abnormal cytology (B = 1.02, 95% CI: 0.78-1.27) and persistent HPV (B = 0.90, 95% CI 0.70-1.10) compared with the control group (all P < 0.001). At the 6 and 12 month follow ups the pattern of results were similar, but coefficients were smaller.

conclusionsOur findings suggest receiving an HPV-positive result can cause psychosexual distress, particularly in the short-term. Developing interventions to minimise the psychosexual burden of testing HPV-positive will be essential to avoid unnecessary harm to the millions of women taking part in cervical screening. TWEETABLE ABSTRACT: Receiving an HPV-positive result following primary HPV testing can cause psychosexual distress, particularly in the short-term.

Indexed as

Sexual HealthAdultAgedCase-Control StudiesEarly Detection of CancerFemaleFollow-Up StudiesHealth Care SurveysHumansLinear ModelsMiddle AgedPapillomavirus InfectionsStress, PsychologicalUterine Cervical NeoplasmsVaginal SmearsCervical screeninghuman papillomaviruspsychosexual distress

Identifiers

PMID32783300
PMCPMC8432156

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Registered trials

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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.