Women’s perspectives on the acceptability and feasibility of an HPV screen-and-treat approach to cervical cancer prevention in Iquitos, Peru: a qualitative study
Abstract Background The objective of this study was to explore women’s experiences of a screen-and-treat approach with ablative therapy (referred to by the Spanish acronym TVT-TA) as a method of treatment following a positive HPV test in Iquitos, Peru. Methods A total of 111 in-depth interviews were...
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| Format: | Article |
| Language: | English |
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BMC
2022-10-01
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| Series: | BMC Women's Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12905-022-01943-3 |
| _version_ | 1811238888938668032 |
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| author | Rachel M. Morse Joanna Brown Helen E. Noble E. Jennifer Ríos López Anna Kohler-Smith Sandra Soto Daniel Lenin del Cuadro Karina Gonzales Díaz Magaly Figueredo Escudero Giannina Vásquez del Aguila Lita E. Carrillo Jara Hermann F. Silva Delgado Victor A. Palacios Carlos Santos-Ortiz Patti E. Gravitt Valerie A. Paz-Soldan the Proyecto Precancer Study Group |
| author_facet | Rachel M. Morse Joanna Brown Helen E. Noble E. Jennifer Ríos López Anna Kohler-Smith Sandra Soto Daniel Lenin del Cuadro Karina Gonzales Díaz Magaly Figueredo Escudero Giannina Vásquez del Aguila Lita E. Carrillo Jara Hermann F. Silva Delgado Victor A. Palacios Carlos Santos-Ortiz Patti E. Gravitt Valerie A. Paz-Soldan the Proyecto Precancer Study Group |
| author_sort | Rachel M. Morse |
| collection | DOAJ |
| description | Abstract Background The objective of this study was to explore women’s experiences of a screen-and-treat approach with ablative therapy (referred to by the Spanish acronym TVT-TA) as a method of treatment following a positive HPV test in Iquitos, Peru. Methods A total of 111 in-depth interviews were conducted with 47 HPV positive women who attended the TVT-TA procedure at a primary-level healthcare facility. Interviews were conducted immediately before, immediately after, and six-weeks after TVT-TA. Results Most interviewed women reported experiencing moderate pain during ablative therapy and minimal pain immediately after and six weeks after ablative therapy. Women also stated that the pain was less intense than they had expected. The most common physical after-effects of treatment were bleeding and vaginal odor. Women experienced oscillating emotions with fear upon receiving a positive HPV result, calming after hearing about ablative therapy treatment, worry about pain from the treatment itself, relaxation with counseling about the procedure, and relief following treatment. Conclusions Nearly all participants emphasized that they were pleased with the TVT-TA process even if they had experienced pain during TVT-TA, recommended that TVT-TA be expanded and available to more women, and stated that TVT-TA was faster and easier than expected. This study found that TVT-TA is a feasible and acceptable means of treating HPV according to the women receiving the treatment. |
| first_indexed | 2024-04-12T12:50:09Z |
| format | Article |
| id | doaj.art-16f7afb1c7a74edc9903939f289f4718 |
| institution | Directory Open Access Journal |
| issn | 1472-6874 |
| language | English |
| last_indexed | 2024-04-12T12:50:09Z |
| publishDate | 2022-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Women's Health |
| spelling | doaj.art-16f7afb1c7a74edc9903939f289f47182022-12-22T03:32:29ZengBMCBMC Women's Health1472-68742022-10-0122111210.1186/s12905-022-01943-3Women’s perspectives on the acceptability and feasibility of an HPV screen-and-treat approach to cervical cancer prevention in Iquitos, Peru: a qualitative studyRachel M. Morse0Joanna Brown1Helen E. Noble2E. Jennifer Ríos López3Anna Kohler-Smith4Sandra Soto5Daniel Lenin del Cuadro6Karina Gonzales Díaz7Magaly Figueredo Escudero8Giannina Vásquez del Aguila9Lita E. Carrillo Jara10Hermann F. Silva Delgado11Victor A. Palacios12Carlos Santos-Ortiz13Patti E. Gravitt14Valerie A. Paz-Soldan15the Proyecto Precancer Study Group16Department of Tropical Medicine, Tulane University School of Public Health and Tropical MedicineAsociación Benéfica PRISMAGlobal Health Fogarty International Program, University of Washington Northern PacificAsociación Benéfica PRISMAAsociación Benéfica PRISMAAsociación Benéfica PRISMADepartment of Cancer Control and Prevention, Gerencia Regional de Salud de LoretoDepartment of Cancer Control and Prevention, Gerencia Regional de Salud de LoretoDepartment of Cancer Control and Prevention, Gerencia Regional de Salud de LoretoDepartment of Cancer Control and Prevention, Gerencia Regional de Salud de LoretoDepartment of Cancer Control and Prevention, Gerencia Regional de Salud de LoretoFacultad de Medicina Humana, Universidad Nacional de la Amazonía PeruanaDirección de Prevención y Control de Cáncer, Ministerio de SaludDirección de Prevención y Control de Cáncer, Ministerio de SaludDepartment of Epidemiology and Public Health, University of Maryland School of MedicineDepartment of Tropical Medicine, Tulane University School of Public Health and Tropical MedicineFacultad de Medicina Humana, Universidad Nacional de la Amazonía PeruanaAbstract Background The objective of this study was to explore women’s experiences of a screen-and-treat approach with ablative therapy (referred to by the Spanish acronym TVT-TA) as a method of treatment following a positive HPV test in Iquitos, Peru. Methods A total of 111 in-depth interviews were conducted with 47 HPV positive women who attended the TVT-TA procedure at a primary-level healthcare facility. Interviews were conducted immediately before, immediately after, and six-weeks after TVT-TA. Results Most interviewed women reported experiencing moderate pain during ablative therapy and minimal pain immediately after and six weeks after ablative therapy. Women also stated that the pain was less intense than they had expected. The most common physical after-effects of treatment were bleeding and vaginal odor. Women experienced oscillating emotions with fear upon receiving a positive HPV result, calming after hearing about ablative therapy treatment, worry about pain from the treatment itself, relaxation with counseling about the procedure, and relief following treatment. Conclusions Nearly all participants emphasized that they were pleased with the TVT-TA process even if they had experienced pain during TVT-TA, recommended that TVT-TA be expanded and available to more women, and stated that TVT-TA was faster and easier than expected. This study found that TVT-TA is a feasible and acceptable means of treating HPV according to the women receiving the treatment.https://doi.org/10.1186/s12905-022-01943-3AcceptabilityAblative therapyCervical cancerScreen-and-treatThermal ablation |
| spellingShingle | Rachel M. Morse Joanna Brown Helen E. Noble E. Jennifer Ríos López Anna Kohler-Smith Sandra Soto Daniel Lenin del Cuadro Karina Gonzales Díaz Magaly Figueredo Escudero Giannina Vásquez del Aguila Lita E. Carrillo Jara Hermann F. Silva Delgado Victor A. Palacios Carlos Santos-Ortiz Patti E. Gravitt Valerie A. Paz-Soldan the Proyecto Precancer Study Group Women’s perspectives on the acceptability and feasibility of an HPV screen-and-treat approach to cervical cancer prevention in Iquitos, Peru: a qualitative study BMC Women's Health Acceptability Ablative therapy Cervical cancer Screen-and-treat Thermal ablation |
| title | Women’s perspectives on the acceptability and feasibility of an HPV screen-and-treat approach to cervical cancer prevention in Iquitos, Peru: a qualitative study |
| title_full | Women’s perspectives on the acceptability and feasibility of an HPV screen-and-treat approach to cervical cancer prevention in Iquitos, Peru: a qualitative study |
| title_fullStr | Women’s perspectives on the acceptability and feasibility of an HPV screen-and-treat approach to cervical cancer prevention in Iquitos, Peru: a qualitative study |
| title_full_unstemmed | Women’s perspectives on the acceptability and feasibility of an HPV screen-and-treat approach to cervical cancer prevention in Iquitos, Peru: a qualitative study |
| title_short | Women’s perspectives on the acceptability and feasibility of an HPV screen-and-treat approach to cervical cancer prevention in Iquitos, Peru: a qualitative study |
| title_sort | women s perspectives on the acceptability and feasibility of an hpv screen and treat approach to cervical cancer prevention in iquitos peru a qualitative study |
| topic | Acceptability Ablative therapy Cervical cancer Screen-and-treat Thermal ablation |
| url | https://doi.org/10.1186/s12905-022-01943-3 |
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