Rippinger, N. and Heinzler, J. and Bruckner, T. and Brucker, J. and Dinkic, C. and Hoffmann, J. and Dornhoefer, N. and Seitz, S. and Rom, J. and Sohn, C. and Schott, T. C. and Schott, Sarah (2019) The impact of a cervical dysplasia diagnosis on individual cancer prevention habits over time: a bicentric case-control study. ARCHIVES OF GYNECOLOGY AND OBSTETRICS, 299 (3). pp. 847-855. ISSN 0932-0067, 1432-0711
Full text not available from this repository. (Request a copy)Abstract
PurposeAnnual cervical cancer screening is recommended in Germany as a part of the statutory preventive care. Abnormal results can provoke psychological distress and anxiety, compromising women's adherence. Little is known about how a cervical dysplasia impacts adherence follow-up visits and prevention habits over time. To optimize care strategies, this study aims to identify women at risk for nonadherence to follow-up visits after a screening event.MethodsBetween November 2015 and May 2017, participants with an abnormal Pap smear at the Heidelberg and Leipzig University Hospitals received a four-part questionnaire (sociodemographic data, PHQ-D, self-designed fear and prevention habit questions) at the first consultation (T1) and subsequently after 3 (T2) and 6 (T3) months; healthy controls completed the questionnaire at T1.Results132 women with an abnormal Pap smear [with conization: S1 (n=68, 51.5%), without intervention: S2 (n=64, 48.5%)] and healthy controls (K, n=101) generally adhered to gynecological checkups, except S1 6 months after the first diagnosis (S1/T3 -0.47, signed rank p<0.0005). Knowledge of primary prevention information, i.e., HPV vaccination, was significantly higher among K (K 58%, S1 29%, S2 44%, Chi-squared p=0.01) as was vaccine uptake (K 39% versus S1/S2 7% and 17%, respectively, Chi-squared p=0.0004). Fear of upcoming Pap smears rose significantly over time (S1/T1-S1/T2-S1/T3, Wilcoxon signed-rank test p<0.001) and was higher among those with conization at T2 (Chi-square test, p=0.01) and partially accompanied by panic disorders at T1 (Chi-square test p=0.035). Realization of general preventive habits rose significantly among women without an operative procedure (S2) over the study.ConclusionThis study advances the understanding of non-participation in follow-up visits after a dysplasia diagnosis, identifying post-conization women as a special risk group for decreased adherence.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | HUMAN-PAPILLOMAVIRUS VACCINATION; PSYCHOLOGICAL IMPACT; SCREENING-PROGRAM; FOLLOW-UP; WOMEN; BREAST; KNOWLEDGE; RISK; PARTICIPATION; QUESTIONNAIRE; Cervical dysplasia; Conization; Cancer prevention habits; Adherence; PHQ-D |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Frauenheilkunde und Geburtshilfe (Schwerpunkt Geburtshilfe) |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 16 Apr 2020 11:01 |
| Last Modified: | 16 Apr 2020 11:01 |
| URI: | https://pred.uni-regensburg.de/id/eprint/27477 |
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