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Understanding the Role of Oncogenic ...

University of Toronto (Canada)., Nursing Science.

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Understanding the Role of Oncogenic Human Papillomavirus (HPV) Status on Adherence Behaviors Among Women with Abnormal Cervical Cytology.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Understanding the Role of Oncogenic Human Papillomavirus (HPV) Status on Adherence Behaviors Among Women with Abnormal Cervical Cytology./
作者:	Buick, Catriona Jane.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2017,
面頁冊數:	228 p.
附註:	Source: Dissertation Abstracts International, Volume: 79-05(E), Section: B.
Contained By:	Dissertation Abstracts International79-05B(E).
標題:	Nursing. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10634766
ISBN:	9780355532630

Understanding the Role of Oncogenic Human Papillomavirus (HPV) Status on Adherence Behaviors Among Women with Abnormal Cervical Cytology.
Buick, Catriona Jane.

Understanding the Role of Oncogenic Human Papillomavirus (HPV) Status on Adherence Behaviors Among Women with Abnormal Cervical Cytology. - Ann Arbor : ProQuest Dissertations & Theses, 2017 - 228 p.

Source: Dissertation Abstracts International, Volume: 79-05(E), Section: B.

Thesis (Ph.D.)--University of Toronto (Canada), 2017.

The discovery of oncogenic Human Papillomavirus (HPV) as the precursor to cervical cancer is a significant advancement in public health. However, the use of HPV testing has increased the complexity of cervical screening, as it is associated with elevated psychosocial burden and perceived risk of cancer in some women. What remains to be seen is if knowledge of one's oncogenic HPV status impacts on adherence to follow-up recommendations for cervical screening abnormalities, a modifiable health behavior that is strongly associated with the primary prevention of cervical cancer. Insomuch as adherence rates remain low in women with cervical screening abnormalities, it is crucial that we understand which factors impact on adherence to follow-up recommendations across a range of clinical manifestations. Therefore, the purpose of this study was to: 1) to identify if clinical, demographic or psychosocial factors predict non-adherence with recommended follow-up after initial consultation; 2) to identify clinical, demographic and psychosocial variables associated with HPV related burden and; 3) to describe the clinical and demographic characteristics of participants according to pre-post smoking and HPV vaccine immunization patterns. This study examined 186 women referred to a large Toronto colposcopy clinic. The HPV Status Adherence Conceptual Framework was used to guide survey development and to contextualize results. The findings suggest that non-adherence to colposcopy follow-up exists and is problematic. Specifically, younger women (OR=0.73, p<0.01), with lower-grade lesions (OR=0.10, p<0.01) and who were current smokers (OR=22.46, p<0.01) were more likely to be non-adherent. The results highlighted the potential for the use of knowing ones HPV status to decrease HPV burden among those who test HPV negative and to identify those at true risk for cervical cancer. Given the current debate over the use of oncogenic HPV testing and the complex health needs of this population, this study provides insight into the significance of knowing one's HPV status, and provides a strong impetus for further behavioral and psychosocial study as HPV-DNA testing for women becomes standard of care.

ISBN: 9780355532630Subjects--Topical Terms:

528444
Nursing.

Understanding the Role of Oncogenic Human Papillomavirus (HPV) Status on Adherence Behaviors Among Women with Abnormal Cervical Cytology.
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