HPV knowledge, screening barriers and facilitators, and sources of health information among women living with HIV: perspectives from the DC community during the COVID-19 pandemic
Abstract Background High-risk human papillomavirus (HPV) causes 99% of cervical cancer cases. Despite available prevention methods through the HPV vaccine and two screening modalities, women continue to die from cervical cancer worldwide. Cervical cancer is preventable, yet affects a great number of...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-04-01
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| Series: | BMC Women's Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12905-022-01689-y |
| _version_ | 1819061143854907392 |
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| author | Annie Coriolan Ciceron Min Jeong Jeon Anne Kress Monroe Michelle Elise Clausen Manya Magnus Daisy Le |
| author_facet | Annie Coriolan Ciceron Min Jeong Jeon Anne Kress Monroe Michelle Elise Clausen Manya Magnus Daisy Le |
| author_sort | Annie Coriolan Ciceron |
| collection | DOAJ |
| description | Abstract Background High-risk human papillomavirus (HPV) causes 99% of cervical cancer cases. Despite available prevention methods through the HPV vaccine and two screening modalities, women continue to die from cervical cancer worldwide. Cervical cancer is preventable, yet affects a great number of women living with HIV (WLH). Low screening rates among WLH further exacerbate their already high risk of developing cervical cancer due to immunosuppression. This study explores WLH’s current cervical cancer knowledge, screening barriers and facilitators, and sources of health information. Methods Focus group discussions were conducted with 39 WLH aged 21 years old or older, who resided in the Washington-Baltimore Metropolitan Area. Emergent themes were classified and organized into overarching domains and assembled with representative quotations. Results The women had limited knowledge of HPV and the cervical cancer screening guidelines for WLH. Coronavirus 2019 (COVID-19) pandemic has amplified screening barriers due to decreased accessibility to usual medical appointment and cervical cancer screenings. Screening facilitators included knowing someone diagnosed with cervical cancer and provider recommendations. WLH indicated that they obtained health information through in-person education (providers, peer groups) and written literature. Due to the pandemic, they also had to increasingly rely on remote and technology-based communication channels such as the internet, social media, television, radio, email, and short message service (SMS) text messaging. Conclusions Future health interventions need to explore the possibility of sharing messages and increasing cervical cancer and HPV knowledge of WLH through the use of SMS and other technology-based channels. |
| first_indexed | 2024-12-21T14:38:12Z |
| format | Article |
| id | doaj.art-24fd365e68884620ab1beec41ae3c549 |
| institution | Directory Open Access Journal |
| issn | 1472-6874 |
| language | English |
| last_indexed | 2024-12-21T14:38:12Z |
| publishDate | 2022-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Women's Health |
| spelling | doaj.art-24fd365e68884620ab1beec41ae3c5492022-12-21T19:00:16ZengBMCBMC Women's Health1472-68742022-04-0122111010.1186/s12905-022-01689-yHPV knowledge, screening barriers and facilitators, and sources of health information among women living with HIV: perspectives from the DC community during the COVID-19 pandemicAnnie Coriolan Ciceron0Min Jeong Jeon1Anne Kress Monroe2Michelle Elise Clausen3Manya Magnus4Daisy Le5Department of Policy, Populations, and Systems, School of Nursing, The George Washington UniversityDepartment of Policy, Populations, and Systems, School of Nursing, The George Washington UniversityDepartment of Epidemiology, Milken Institute School of Public Health, The George Washington UniversityDepartment of Policy, Populations, and Systems, School of Nursing, The George Washington UniversityDepartment of Epidemiology, Milken Institute School of Public Health, The George Washington UniversityDepartment of Policy, Populations, and Systems, School of Nursing, The George Washington UniversityAbstract Background High-risk human papillomavirus (HPV) causes 99% of cervical cancer cases. Despite available prevention methods through the HPV vaccine and two screening modalities, women continue to die from cervical cancer worldwide. Cervical cancer is preventable, yet affects a great number of women living with HIV (WLH). Low screening rates among WLH further exacerbate their already high risk of developing cervical cancer due to immunosuppression. This study explores WLH’s current cervical cancer knowledge, screening barriers and facilitators, and sources of health information. Methods Focus group discussions were conducted with 39 WLH aged 21 years old or older, who resided in the Washington-Baltimore Metropolitan Area. Emergent themes were classified and organized into overarching domains and assembled with representative quotations. Results The women had limited knowledge of HPV and the cervical cancer screening guidelines for WLH. Coronavirus 2019 (COVID-19) pandemic has amplified screening barriers due to decreased accessibility to usual medical appointment and cervical cancer screenings. Screening facilitators included knowing someone diagnosed with cervical cancer and provider recommendations. WLH indicated that they obtained health information through in-person education (providers, peer groups) and written literature. Due to the pandemic, they also had to increasingly rely on remote and technology-based communication channels such as the internet, social media, television, radio, email, and short message service (SMS) text messaging. Conclusions Future health interventions need to explore the possibility of sharing messages and increasing cervical cancer and HPV knowledge of WLH through the use of SMS and other technology-based channels.https://doi.org/10.1186/s12905-022-01689-yHPV knowledgeScreeningSources of health information |
| spellingShingle | Annie Coriolan Ciceron Min Jeong Jeon Anne Kress Monroe Michelle Elise Clausen Manya Magnus Daisy Le HPV knowledge, screening barriers and facilitators, and sources of health information among women living with HIV: perspectives from the DC community during the COVID-19 pandemic BMC Women's Health HPV knowledge Screening Sources of health information |
| title | HPV knowledge, screening barriers and facilitators, and sources of health information among women living with HIV: perspectives from the DC community during the COVID-19 pandemic |
| title_full | HPV knowledge, screening barriers and facilitators, and sources of health information among women living with HIV: perspectives from the DC community during the COVID-19 pandemic |
| title_fullStr | HPV knowledge, screening barriers and facilitators, and sources of health information among women living with HIV: perspectives from the DC community during the COVID-19 pandemic |
| title_full_unstemmed | HPV knowledge, screening barriers and facilitators, and sources of health information among women living with HIV: perspectives from the DC community during the COVID-19 pandemic |
| title_short | HPV knowledge, screening barriers and facilitators, and sources of health information among women living with HIV: perspectives from the DC community during the COVID-19 pandemic |
| title_sort | hpv knowledge screening barriers and facilitators and sources of health information among women living with hiv perspectives from the dc community during the covid 19 pandemic |
| topic | HPV knowledge Screening Sources of health information |
| url | https://doi.org/10.1186/s12905-022-01689-y |
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