Are Canadian Women Prepared for the Transition to Primary HPV Testing in Cervical Screening? A National Survey of Knowledge, Attitudes, and Beliefs
As Canadian provinces and territories prepare to transition to HPV-based primary screening for cervical cancer, failure to identify and address potential barriers to screening could hinder program implementation. We examined screening-eligible Canadians’ attitudes towards and knowledge of cervical s...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2023-07-01
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| Series: | Current Oncology |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1718-7729/30/7/512 |
| _version_ | 1827733383781810176 |
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| author | Ben Haward Ovidiu Tatar Patricia Zhu Gabrielle Griffin-Mathieu Emily McBride Jo Waller Julia Brotherton Aisha Lofters Marie-Hélène Mayrand Samara Perez Zeev Rosberger |
| author_facet | Ben Haward Ovidiu Tatar Patricia Zhu Gabrielle Griffin-Mathieu Emily McBride Jo Waller Julia Brotherton Aisha Lofters Marie-Hélène Mayrand Samara Perez Zeev Rosberger |
| author_sort | Ben Haward |
| collection | DOAJ |
| description | As Canadian provinces and territories prepare to transition to HPV-based primary screening for cervical cancer, failure to identify and address potential barriers to screening could hinder program implementation. We examined screening-eligible Canadians’ attitudes towards and knowledge of cervical screening. A nationally representative sample of screening-eligible Canadians (<i>N</i> = 3724) completed a web-based survey in the summer of 2022. Oversampling ensured that half of the sample were underscreened for cervical cancer (>3 years since previous screening or never screened). The participants completed validated scales of cervical cancer, HPV, and HPV test knowledge and HPV test and self-sampling attitudes and beliefs. Between-group differences (underscreened vs. adequately screened) were calculated for scales and items using independent sample <i>t</i>-tests or chi-square tests. The underscreened participants (<i>n</i> = 1871) demonstrated significantly lower knowledge of cervical cancer, HPV, and the HPV test. The adequately screened participants (<i>n</i> = 1853) scored higher on the <i>Confidence</i> and <i>Worries</i> subscales of the HPV Test Attitudes and Beliefs Scale. The underscreened participants scored higher on the <i>Personal Barriers</i> and <i>Social Norms</i> subscales. The underscreened participants also endorsed greater <i>Autonomy</i> conferred by self-sampling. Our findings suggest important differential patterns of knowledge, attitudes, and beliefs between the underscreened and adequately screened Canadians. These findings highlight the need to develop targeted communication strategies and promote patient-centered, tailored approaches in cervical screening programs. |
| first_indexed | 2024-03-11T01:09:38Z |
| format | Article |
| id | doaj.art-58998f54416a444491887757ba4f759d |
| institution | Directory Open Access Journal |
| issn | 1198-0052 1718-7729 |
| language | English |
| last_indexed | 2024-03-11T01:09:38Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Current Oncology |
| spelling | doaj.art-58998f54416a444491887757ba4f759d2023-11-18T18:56:20ZengMDPI AGCurrent Oncology1198-00521718-77292023-07-013077055707210.3390/curroncol30070512Are Canadian Women Prepared for the Transition to Primary HPV Testing in Cervical Screening? A National Survey of Knowledge, Attitudes, and BeliefsBen Haward0Ovidiu Tatar1Patricia Zhu2Gabrielle Griffin-Mathieu3Emily McBride4Jo Waller5Julia Brotherton6Aisha Lofters7Marie-Hélène Mayrand8Samara Perez9Zeev Rosberger10Lady Davis Institute for Medical Research (LDI), Jewish General Hospital, Montreal, QC H3T 1E2, CanadaLady Davis Institute for Medical Research (LDI), Jewish General Hospital, Montreal, QC H3T 1E2, CanadaLady Davis Institute for Medical Research (LDI), Jewish General Hospital, Montreal, QC H3T 1E2, CanadaLady Davis Institute for Medical Research (LDI), Jewish General Hospital, Montreal, QC H3T 1E2, CanadaInstitute of Psychiatry, Psychology & Neuroscience, King’s College London, London SE5 8AF, UKCancer Prevention Group, School of Cancer & Pharmaceutical Sciences, King’s College London, London SE1 9NH, UKMelbourne School of Population and Global Health, University of Melbourne, Melbourne, VI 3010, AustraliaDepartment of Family and Community Medicine, University of Toronto, Toronto, ON M5G 1V7, CanadaResearch Center, Centre Hospitalier de l’Université de Montréal (CRCHUM), Montreal, QC H2X 0A9, CanadaResearch Institute of the McGill University Health Centre (RI-MUHC), Montreal, QC H4A 3J1, CanadaLady Davis Institute for Medical Research (LDI), Jewish General Hospital, Montreal, QC H3T 1E2, CanadaAs Canadian provinces and territories prepare to transition to HPV-based primary screening for cervical cancer, failure to identify and address potential barriers to screening could hinder program implementation. We examined screening-eligible Canadians’ attitudes towards and knowledge of cervical screening. A nationally representative sample of screening-eligible Canadians (<i>N</i> = 3724) completed a web-based survey in the summer of 2022. Oversampling ensured that half of the sample were underscreened for cervical cancer (>3 years since previous screening or never screened). The participants completed validated scales of cervical cancer, HPV, and HPV test knowledge and HPV test and self-sampling attitudes and beliefs. Between-group differences (underscreened vs. adequately screened) were calculated for scales and items using independent sample <i>t</i>-tests or chi-square tests. The underscreened participants (<i>n</i> = 1871) demonstrated significantly lower knowledge of cervical cancer, HPV, and the HPV test. The adequately screened participants (<i>n</i> = 1853) scored higher on the <i>Confidence</i> and <i>Worries</i> subscales of the HPV Test Attitudes and Beliefs Scale. The underscreened participants scored higher on the <i>Personal Barriers</i> and <i>Social Norms</i> subscales. The underscreened participants also endorsed greater <i>Autonomy</i> conferred by self-sampling. Our findings suggest important differential patterns of knowledge, attitudes, and beliefs between the underscreened and adequately screened Canadians. These findings highlight the need to develop targeted communication strategies and promote patient-centered, tailored approaches in cervical screening programs.https://www.mdpi.com/1718-7729/30/7/512knowledge attitudes and beliefscervical cancer screeningHPVHPV testingwomenweb-based survey |
| spellingShingle | Ben Haward Ovidiu Tatar Patricia Zhu Gabrielle Griffin-Mathieu Emily McBride Jo Waller Julia Brotherton Aisha Lofters Marie-Hélène Mayrand Samara Perez Zeev Rosberger Are Canadian Women Prepared for the Transition to Primary HPV Testing in Cervical Screening? A National Survey of Knowledge, Attitudes, and Beliefs Current Oncology knowledge attitudes and beliefs cervical cancer screening HPV HPV testing women web-based survey |
| title | Are Canadian Women Prepared for the Transition to Primary HPV Testing in Cervical Screening? A National Survey of Knowledge, Attitudes, and Beliefs |
| title_full | Are Canadian Women Prepared for the Transition to Primary HPV Testing in Cervical Screening? A National Survey of Knowledge, Attitudes, and Beliefs |
| title_fullStr | Are Canadian Women Prepared for the Transition to Primary HPV Testing in Cervical Screening? A National Survey of Knowledge, Attitudes, and Beliefs |
| title_full_unstemmed | Are Canadian Women Prepared for the Transition to Primary HPV Testing in Cervical Screening? A National Survey of Knowledge, Attitudes, and Beliefs |
| title_short | Are Canadian Women Prepared for the Transition to Primary HPV Testing in Cervical Screening? A National Survey of Knowledge, Attitudes, and Beliefs |
| title_sort | are canadian women prepared for the transition to primary hpv testing in cervical screening a national survey of knowledge attitudes and beliefs |
| topic | knowledge attitudes and beliefs cervical cancer screening HPV HPV testing women web-based survey |
| url | https://www.mdpi.com/1718-7729/30/7/512 |
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