Reisa Kakubari1,2, Tomomi Egawa-Takata1,2,3, Yutaka Ueda1,2, Yusuke Tanaka1,2, Asami Yagi1,2, Akiko Morimoto1,2, Yoshito Terai1,4, Masahide Ohmichi1,4, Tomoyuki Ichimura1,5, Toshiyuki Sumi1,5, Hiromi Murata1,6, Hidetaka Okada1,6, Hidekatsu Nakai1,7, Noriomi Matsumura1,7, Kiyoshi Yoshino1,2,8, Tadashi Kimura1,2, Junko Saito1, Risa Kudo9, Masayuki Sekine9, Takayuki Enomoto1,9, Yorihiko Horikoshi1, Tetsu Takagi1, Kentaro Shimura1. 1. Obstetrical Gynecological Society of Osaka, Osaka, Japan. 2. Department of Obstetrics and Gynecology, Osaka University Graduate School of Medicine , Osaka, Japan. 3. Department of Obstetrics and Gynecology, Osaka Police Hospital , Osaka, Japan. 4. Department of Obstetrics and Gynecology, Osaka Medical College Graduate School of Medical Sciences , Osaka, Japan. 5. Department of Obstetrics and Gynecology, Osaka City University Graduate School of Medicine , Osaka, Japan. 6. Department of Obstetrics and Gynecology, Kansai Medical University Graduate School of Medicine , Osaka, Japan. 7. Department of Obstetrics and Gynecology, Kinki University Graduate School of Medical Sciences , Osaka, Japan. 8. Department of Obstetrics and Gynecology, University of Occupational and Environmental Health Japan , Fukuoka, Japan. 9. Department of Obstetrics and Gynecology, Niigata University Graduate School of Medical and Dental Sciences , Niigata, Japan.
Abstract
INTRODUCTION: In Japan, two groups of women, HPV vaccinated and unvaccinated, are approaching age 20, when they should begin cervical cancer screening. To improve Japan's current poor cervical cancer screening rate, we need to know how these women are thinking about screening. METHODS: We conducted an internet survey of 20-y-old women, exploring their understanding of HPV and cervical cancer screening. We then gave them leaflets with basic information about HPV and cervical cancer, stressing the importance of early detection by screening. We analyzed the leaflet's effects on their attitudes based on their vaccination status. RESULTS: Our study of 618 women found a significantly higher intention for engagement for cervical cancer screening in women HPV-vaccinated as teenagers (29% versus 17%). They were also more aware that: (1) HPV is transmitted by sexual intercourse (49.1% versus 39.2%); (2) the HPV vaccine prevents cervical cancer (49.0% to 34.0%); and (3) the appropriate cervical cancer screening interval is every 2 y (63.3% versus 56.2%). Women in both groups responded well to the leaflet, with significant improvements in intention to receive screening. However, 65%-67% were not swayed. DISCUSSION: HPV-vaccinated women were more knowledgeable about cervical cancer and had a greater intention to receive screening. Our educational leaflet was moderately effective in both groups for increasing intentions to screen, but the majority in both groups were still resistant to screening. CONCLUSION: Japan needs to develop more effective educational programs and tools to vigorously impart the importance of cervical cancer screening.
INTRODUCTION: In Japan, two groups of women, HPV vaccinated and unvaccinated, are approaching age 20, when they should begin cervical cancer screening. To improve Japan's current poor cervical cancer screening rate, we need to know how these women are thinking about screening. METHODS: We conducted an internet survey of 20-y-old women, exploring their understanding of HPV and cervical cancer screening. We then gave them leaflets with basic information about HPV and cervical cancer, stressing the importance of early detection by screening. We analyzed the leaflet's effects on their attitudes based on their vaccination status. RESULTS: Our study of 618 women found a significantly higher intention for engagement for cervical cancer screening in women HPV-vaccinated as teenagers (29% versus 17%). They were also more aware that: (1) HPV is transmitted by sexual intercourse (49.1% versus 39.2%); (2) the HPV vaccine prevents cervical cancer (49.0% to 34.0%); and (3) the appropriate cervical cancer screening interval is every 2 y (63.3% versus 56.2%). Women in both groups responded well to the leaflet, with significant improvements in intention to receive screening. However, 65%-67% were not swayed. DISCUSSION: HPV-vaccinated women were more knowledgeable about cervical cancer and had a greater intention to receive screening. Our educational leaflet was moderately effective in both groups for increasing intentions to screen, but the majority in both groups were still resistant to screening. CONCLUSION: Japan needs to develop more effective educational programs and tools to vigorously impart the importance of cervical cancer screening.
Entities:
Keywords:
HPV vaccine; attitude; cervical cancer screening; survey
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