ReviewJournal of multidisciplinary healthcare2026
Adherence to HPV-Based Cervical Cancer Screening: A Concept Analysis for Nursing and Midwifery Practice.
Review in Journal of multidisciplinary healthcare, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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
1 citing paper in PubMed.
- Cost-Related Barriers, Mental Distress, and Cervical Cancer Screening Adherence: A BRFSS 2024 Analysis.Journal of primary care & community healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Human papillomavirus (HPV) infection is one of the most common sexually transmitted infections worldwide and a necessary cause of cervical cancer. Although HPV vaccination and HPV-based cervical cancer screening have strengthened prevention strategies, participation across screening and follow-up pathways remains suboptimal in many settings, limiting programme effectiveness and equity. For nurses and midwives - who play a central role in counselling, education, and community-based prevention - a clear conceptualization of adherence is essential to guide practice, research, and policy. This study aimed to analyze the concept of adherence to HPV-based cervical cancer screening and to propose an operationally useful framework for nursing and midwifery practice. A literature review of peer-reviewed studies addressing adherence to HPV-based or cervical cancer screening published between 1997 and 2025 (n = 38) was conducted using PubMed, CINAHL, and PsycINFO, and Walker and Avant's concept analysis method was applied. Adherence was defined as the extent to which eligible individuals initiate, complete, and sustain participation in recommended cervical cancer screening pathways over time in accordance with established guidelines, including appropriate timing, test modality, follow-up, and repeat screening. Defining attributes were knowledge, awareness, and empowerment; key antecedents included education and social support; and consequences encompassed improved health outcomes, fewer complications, and reduced healthcare costs. Age, gender-related factors, and healthcare professionals' counselling practices emerged as moderators influencing adherence behaviors, while anxiety, fear, and perceived lack of need acted as mediators shaping individual screening decisions. This concept analysis clarifies adherence as a complex phenomenon extending beyond a single screening event and supports the development of tailored, nurse- and midwife-led strategies to improve equitable cervical cancer prevention.
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Registered trials
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