T Aldrich1, D Becker, S G García, D Lara. 1. Population Council, Panzacola 62, Interior 102, Population Council, Col Villa Coyoacán, Mexico DF 04000, Mexico.
Abstract
OBJECTIVE: To assess Mexican physicians' knowledge about the human papillomavirus (HPV) and cervical cancer and their opinions and practices related to screening, managing, and counselling women on these topics. METHODOLOGY: In August 2002 we surveyed 1206 general practitioners (GPs) and obstetricians-gynaecologists (Ob-Gyns) working in a nationally representative sample of public and private facilities in urban Mexico. Eligible physicians completed a self administered questionnaire. We conducted a weighted analysis and used chi(2) tests to compare GPs and Ob-Gyns on outcome variables. RESULTS: 76% of recruited physicians responded to the survey. 43% of Ob-Gyns had performed a hysterectomy in the last year to treat a case of CIN I or II. With respect to HPV, while 80% of respondents identified the virus as the principal cause of cervical cancer, many lacked detailed knowledge about this association. Ob-Gyns were more likely than GPs to have heard about specific oncogenic strains of HPV (p<0.001). Nearly all respondents thought that women should be informed that HPV causes cervical cancer; nevertheless, physicians believed that positioning cervical cancer as a sexually transmitted infection (STI) could cause problems in partner relationships (60%), confusion (40%), and unnecessary anxiety among women (32%). CONCLUSIONS: Mexican physicians support patient education on the HPV-cervical cancer link. However, findings suggest the need to present clear messages to women (emphasising, for example, that only certain types of HPV are oncogenic), to consider the conflicts such information might create for couples, and to further educate physicians about this topic and about overall cervical cancer screening and treatment protocols.
OBJECTIVE: To assess Mexican physicians' knowledge about the human papillomavirus (HPV) and cervical cancer and their opinions and practices related to screening, managing, and counselling women on these topics. METHODOLOGY: In August 2002 we surveyed 1206 general practitioners (GPs) and obstetricians-gynaecologists (Ob-Gyns) working in a nationally representative sample of public and private facilities in urban Mexico. Eligible physicians completed a self administered questionnaire. We conducted a weighted analysis and used chi(2) tests to compare GPs and Ob-Gyns on outcome variables. RESULTS: 76% of recruited physicians responded to the survey. 43% of Ob-Gyns had performed a hysterectomy in the last year to treat a case of CIN I or II. With respect to HPV, while 80% of respondents identified the virus as the principal cause of cervical cancer, many lacked detailed knowledge about this association. Ob-Gyns were more likely than GPs to have heard about specific oncogenic strains of HPV (p<0.001). Nearly all respondents thought that women should be informed that HPV causes cervical cancer; nevertheless, physicians believed that positioning cervical cancer as a sexually transmitted infection (STI) could cause problems in partner relationships (60%), confusion (40%), and unnecessary anxiety among women (32%). CONCLUSIONS: Mexican physicians support patient education on the HPV-cervical cancer link. However, findings suggest the need to present clear messages to women (emphasising, for example, that only certain types of HPV are oncogenic), to consider the conflicts such information might create for couples, and to further educate physicians about this topic and about overall cervical cancer screening and treatment protocols.
Authors: E Arillo-Santillán; E Lazcano-Ponce; M Peris; E Salazar-Martínez; J Salmerón-Castro; P Alonso-De Ruiz Journal: Salud Publica Mex Date: 2000 Jan-Feb
Authors: E C Lazcano-Ponce; S Moss; P Alonso de Ruíz; J Salmerón Castro; M Hernández Avila Journal: Arch Med Res Date: 1999 May-Jun Impact factor: 2.235
Authors: E Lazcano-Ponce; L Rivera; E Arillo-Santillán; J Salmerón; M Hernández-Avila; N Muñoz Journal: Arch Med Res Date: 2001 May-Jun Impact factor: 2.235
Authors: John W Sellors; Tina L Karwalajtys; Janusz Kaczorowski; James B Mahony; Alice Lytwyn; Sylvia Chong; Joanna Sparrow; Attila Lorincz Journal: CMAJ Date: 2003-02-18 Impact factor: 8.262
Authors: Emily Vogtmann; Siobán D Harlow; Aurelio Cruz Valdez; Juan Carlos Cruz Valdez; Eduardo Lazcano Ponce Journal: Health Soc Care Community Date: 2010-09-29
Authors: Lisa A McSherry; Eamonn O'Leary; Stephan U Dombrowski; Jill J Francis; Cara M Martin; John J O'Leary; Linda Sharp Journal: PLoS One Date: 2018-12-13 Impact factor: 3.240