Timothy-Paul H Kung1, Janna R Gordon2, Asha Abdullahi1, Apurva Barve3, Vipul Chaudhari4, Jayendrakumar K Kosambiya4, Ambuj Kumar5, Sukesha Gamit4, Kristen J Wells6,7,8. 1. San Diego State University, 6363 Alvarado Court, Suite 103, San Diego, CA, 92120, USA. 2. San Diego Joint Doctoral Program in Clinical Psychology, San Diego State University/University of California, 6363 Alvarado Court, Suite 103, San Diego, CA, 92120, USA. 3. Fielding School of Public Health, University of California, Los Angeles, 650 Charles E. Young Dr. South, 16-035 Center for Health Sciences, Los Angeles, CA, 90095-1772, USA. 4. Government Medical College, Surat, Majuragate, Surat, Gujarat, 395001, India. 5. University of South Florida Morsani College of Medicine, 3515 East Fletcher Avenue, MDC 27, Tampa, FL, 33612, USA. 6. San Diego State University, 6363 Alvarado Court, Suite 103, San Diego, CA, 92120, USA. kwells@mail.sdsu.edu. 7. San Diego Joint Doctoral Program in Clinical Psychology, San Diego State University/University of California, 6363 Alvarado Court, Suite 103, San Diego, CA, 92120, USA. kwells@mail.sdsu.edu. 8. Moores Cancer Center, University of California, San Diego, 3855 Health Sciences Drive, La Jolla, CA, 92037, USA. kwells@mail.sdsu.edu.
Abstract
PURPOSE: Women living with human immunodeficiency virus (WLWH) have a higher risk of cervical cancer than women without HIV. In addition, women in India experience a high burden of death from cervical cancer. This qualitative study evaluated individual and interpersonal factors influencing cervical cancer screening among WLWH in Surat, India. METHODS: In-depth interviews were conducted with 25 WLWH and 15 stakeholders in Surat, India. Data were analyzed using directed content analysis to identify individual and intrapersonal barriers and facilitators. RESULTS: WLWH lacked knowledge and reported being afraid of cervical cancer and cervical cancer screening but were interested in learning more about it. Interpersonal factors influencing cervical cancer screening included receipt or lack of instrumental and emotional family support, interactions with healthcare providers, and receipt or lack of information about cervical cancer and the Pap test from healthcare providers. CONCLUSION: Widespread public education is necessary to increase awareness of cervical cancer and cervical cancer screening and to encourage family members to support women who wish to obtain screening. Patient- and provider-focused interventions may facilitate the process of providing cervical cancer care to WLWH who are obtaining care in busy public healthcare systems in India.
PURPOSE:Women living with human immunodeficiency virus (WLWH) have a higher risk of cervical cancer than women without HIV. In addition, women in India experience a high burden of death from cervical cancer. This qualitative study evaluated individual and interpersonal factors influencing cervical cancer screening among WLWH in Surat, India. METHODS: In-depth interviews were conducted with 25 WLWH and 15 stakeholders in Surat, India. Data were analyzed using directed content analysis to identify individual and intrapersonal barriers and facilitators. RESULTS: WLWH lacked knowledge and reported being afraid of cervical cancer and cervical cancer screening but were interested in learning more about it. Interpersonal factors influencing cervical cancer screening included receipt or lack of instrumental and emotional family support, interactions with healthcare providers, and receipt or lack of information about cervical cancer and the Pap test from healthcare providers. CONCLUSION: Widespread public education is necessary to increase awareness of cervical cancer and cervical cancer screening and to encourage family members to support women who wish to obtain screening. Patient- and provider-focused interventions may facilitate the process of providing cervical cancer care to WLWH who are obtaining care in busy public healthcare systems in India.
Entities:
Keywords:
Early detection of cancer; HIV; Papanicolaou test; Papillomavirus infections; Qualitative research; Uterine cervical neoplasms
Authors: L Nappi; C Carriero; S Bettocchi; J Herrero; A Vimercati; G Putignano Journal: Eur J Obstet Gynecol Reprod Biol Date: 2005-01-18 Impact factor: 2.435
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