Title
Psycho-social impact of positive human papillomavirus testing in Jujuy, Argentina results from the Psycho-Estampa study
Date Issued
01 June 2020
Access level
open access
Resource Type
journal article
Author(s)
Arrossi S.
Herrero R.
Gago J.
Sánchez Antelo V.
Szwarc L.
Thouyaret L.
Paolino M.
Wiesner C.
International Agency for Research on Cancer/World Health Organization
Publisher(s)
Elsevier Inc.
Abstract
Human papillomavirus (HPV) testing can have a negative impact on women's lives which might also result in abandoning the follow-up and treatment process. This study measured the psycho-social impact of HPV-positivity among HPV-tested women from Jujuy, Argentina, a middle-low income setting. In this cross-sectional study (2015–2016), the psycho-social impact of HPV-positivity was measured using the Psycho-Estampa Scale, specifically designed and validated to be used in screening contexts. We measured mean scores for each of the five scale domains, and the Overall Impact score (Values from 1: No impact to 4: Heavy impact). We compared scores according to cytology triage diagnosis using ordinal logistic regression. A total of 163 HPV-positive women were recruited at the Centro Carlos Alvarado hospital and included in the study sample; of these, 124 (76.1%) had normal triage cytologies. The overall Impact score was between low and moderate (mean:2.56, SD:0.65). The highest psycho-social impact was measured in the Worries about cancer and treatment domain (mean score:3.60, SD:0.60), followed by Sexuality domain (mean:2.50; SD:1.00). The Uncertainty about information provided by health providers domain had the lowest mean score (mean:2.14, SD:0.73). Compared to women with normal cytologies (n = 124), women with abnormal cytologies (n = 39) had a higher likelihood of greater overall Psycho-social Impact (OR: 2.91; p = 0.0036). No statistically significant differences were found in scores of specific domains according to cytology results. It is important to devise specific counseling interventions to reduce the psycho-social impact of HPV-Testing as primary screening and its potential effect on completion of the diagnosis/ treatment process.
Volume
18
Language
English
OCDE Knowledge area
Salud pública, Salud ambiental
Subjects
Scopus EID
2-s2.0-85082481901
Source
Preventive Medicine Reports
ISSN of the container
22113355
Sponsor(s)
This project received support from IARC , the Argentinian National Cancer Institute and CONICET . The funders had no role in study design, data collection, analysis, or writing of the report.
Paula Barletta and Julieta Zalacain Colombo from the National Cancer Institute (Argentina), Dr. Elsa Figueroa and authorities of the Hospital Centro Sanitario Carlos Alvarado, Jujuy province, Argentina; and Ángela Góngora from Instituto Nacional de Cancerología (Colombia). This project received support from IARC, the Argentinian National Cancer Institute and CONICET. The funders had no role in study design, data collection, analysis, or writing of the report.
Sources of information:
Directorio de Producción Científica
Scopus