Attitude to cervical cancer screening and sexual behaviour among HPV vaccinated young women—A qualitative pilot study

Abstract

Objectives: To explore attitudes to cervical cancer screening and sexual behaviour among human papillomavirus (HPV)-vaccinated young women in southern Sweden. Methods: Sixteen women aged 17-26 years who had received the HPV vaccine were submitted to an individual semi-structured interview. Interviews were recorded and transcribed verbatim. The data were analysed qualitatively by means of latent content analysis. Results: The interviewees had a poor understanding of cervical cancer screening. After it was explained to them, they stated that they were willing to participate in the screening. The young women thought their future sexual behaviour would not be affected by the vaccination. They considered themselves to be more aware of it and less likely to engage in risky behaviour than their peers. They knew little about the relation among HPV, sexual transmission and cervical cancer, and they expressed a desire for more information. Conclusions: These young women who recently had been administered HPV vaccine had a limited understanding of the importance of participating in future cervical cancer screening. It is necessary that more and more appropriate information of cervical cancer screening be given on the occasion of the HPV vaccination.

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Oscarsson, M. , Qvarnström, A. and Tydén, T. (2013) Attitude to cervical cancer screening and sexual behaviour among HPV vaccinated young women—A qualitative pilot study. Health, 5, 13-18. doi: 10.4236/health.2013.57A4002.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Zur Hausen, H. (2006) Papillomavirus infections: A major cause of human cancer. Infections causing human cancer. Wiley-VCH Verlag, Weinheim. doi:10.1002/3527609318
[2] Ramqvist, T., Du, J., Lunden, M., Ahrlund-Richter, S., Ferreira, J., Marions, L., Sparen, P., Andersson, S. and Dalianis, T. (2011) Pre-vaccination prevalence of human papillomavirus types in the genital tract of 15-23-year-old women attending a youth health clinic in Stockholm, Sweden. Scandinavian Journal of Infectious Diseases, 43, 115-121. doi:10.3109/00365548.2010.526957
[3] Sveriges Officiella Statistik (2009) Causes of death 2007. Socialstyrelsen, Stockholm.
[4] Bergstrom, R., Sparen, P. and Adami, H.O. (1999) Trends in cancer of the cervix uteri in Sweden following cytological screening. British Journal of Cancer, 81, 159-166. doi:10.1038/sj.bjc.6690666
[5] Rodvall, Y., Kemetli, L., Tishelman, C. and Tornberg, S. (2005) Factors related to participation in a cervical cancer screening programme in urban Sweden. European Journal of Cancer Prevention, 14, 459-466. doi:10.1097/01.cej.0000178078.21910.da
[6] Schiller, J.T., Castellsague, X., Villa, L.L. and Hildesheim, A. (2008) An update of prophylactic human papillomavirus L1 virus-like particle vaccine clinical trial results. Vaccine, 26, K53-K61. doi:10.1016/j.vaccine.2008.06.002
[7] Marlow, L.A., Waller, J. and Wardle, J. (2007) Parental attitudes to pre-pubertal HPV vaccination. Vaccine, 25, 1945-1952. doi:10.1016/j.vaccine.2007.01.059
[8] Brewer, N.T. and Fazekas, K.I. (2007) Predictors of HPV vaccine acceptability: A theory-informed, systematic review. Preventive Medicine, 45, 107-114. doi:10.1016/j.ypmed.2007.05.013
[9] Bernat, D.H., Harpin, S.B., Eisenberg, M.E., Bearinger, L.H. and Resnick, M.D. (2009) Parental support for the human papillomavirus vaccine. Journal of Adolescent Health, 45, 525-527. doi:10.1016/j.jadohealth.2009.04.014
[10] Grandahl, M., Tyden, T., Gottvall, M., Westerling, R. and Oscarsson, M. (2012) Immigrant women’s experiences and views on the prevention of cervical cancer: A qualitative study. Health Expectations. (Epub ahead of print) doi:10.1111/hex.12034
[11] Gottvall, M., Tyden, T., Hoglund, A.T. and Larsson, M. (2010) Knowledge of human papillomavirus among high school students can be increased by an educational intervention. International Journal of STD & AIDS, 21, 558-562. doi:10.1258/ijsa.2010.010063
[12] Oscarsson, M.G., Hannerfors, A.K. and Tyden, T. (2012) Young women’s decision-making process for HPV vaccination. Sexual & Reproductive Healthcare, 3, 141-146. doi:10.1016/j.srhc.2012.10.002
[13] Gottvall, M., Larsson, M., Hoglund, A.T. and Tyden, T. (2009) High HPV vaccine acceptance despite low awareness among Swedish upper secondary school students. The European Journal of Contraception and Reproductive Health Care, 14, 399-405. doi:10.3109/13625180903229605
[14] Oscarsson, M.G., Dahlberg, A. and Tyden, T. (2011) Midwives at youth clinics attitude to HPV vaccination and their role in cervical cancer prevention. Sexual & Reproductive Healthcare, 2, 137-142. doi:10.1016/j.srhc.2011.09.001
[15] Gottvall, M., Tyden, T., Larsson, M., Stenhammar, C. and Hoglund, A.T. (2011) Challenges and opportunities of a new HPV immunization program perceptions among Swedish school nurses. Vaccine, 29, 4576-4583. doi:10.1016/j.vaccine.2011.04.054
[16] Creswell, J.W. (2007) Qualitative inquiry & research design: Choosing among five approaches. 2nd Edition, SAGE, Thousand Oaks.
[17] Polit, D.F. and Beck, C.T. (2004) Nursing research: Principles and methods. 7th Edition, Lippincott Williams & Wilkins, Philadelphia.
[18] Graneheim, U.H. and Lundman, B. (2004) Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24, 105-112. doi:10.1016/j.nedt.2003.10.001
[19] Henderson, L., Clements, A., Damery, S., Wilkinson, C., Austoker, J. and Wilson, S. (2011) “A false sense of security”? Understanding the role of the HPV vaccine on future cervical screening behaviour: A qualitative study of UK parents and girls of vaccination age. Journal of Medical Screening, 18, 41-45. doi:10.1258/jms.2011.010148
[20] Liddon, N.C., Leichliter, J.S. and Markowitz, L.E. (2012) Human papillomavirus vaccine and sexual behavior among adolescent and young women. American Journal of Preventive Medicine, 42, 44-52. doi:10.1016/j.amepre.2011.09.024
[21] Mather, T., McCaffery, K. and Juraskova, I. (2012) Does HPV vaccination affect women’s attitudes to cervical cancer screening and safe sexual behaviour? Vaccine, 30, 3196-3201. doi:10.1016/j.vaccine.2012.02.081
[22] Kirby, D. (2002) The impact of schools and school programs upon adolescent sexual behavior. Journal of Sex Research, 39, 27-33. doi:10.1080/00224490209552116
[23] Ekstrand, M., Larsson, M., Darj, E. and Tyden, T. (2008) Advance provision of emergency contraceptive pills reduces treatment delay: A randomised controlled trial among Swedish teenage girls. Acta Obstetricia et Gynecologica Scandinavica, 87, 354-359. doi:10.1080/00016340801936024
[24] Marlow, L.A., Forster, A.S., Wardle, J. and Waller, J. (2009) Mothers’ and adolescents’ beliefs about risk compensation following HPV vaccination. Journal of Adolescent Health, 44, 446-451. doi:10.1016/j.jadohealth.2008.09.011
[25] Brotherton, J.M., Leask, J., Jackson, C., McCaffery, K. and Trevena, L.J. (2010) National survey of general practitioners’ experience of delivering the National Human Papillomavirus Vaccination Program. Sexual Health, 7, 291-298. doi:10.1071/SH09135
[26] Tafuri, S., Martinelli, D., Vece, M.M., Quarto, M., Germinario, C. and Prato, R. (2010) Communication skills in HPV prevention: An audit among Italian healthcare workers. Vaccine, 28, 5609-5613. doi:10.1016/j.vaccine.2010.06.028

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