Student Research Committee, School of Nursing and Midwifery, Shahroud University of Medical Sciences, Shahroud, Iran.
Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.
PLoS One. 2022 Sep 12;17(9):e0266819. doi: 10.1371/journal.pone.0266819. eCollection 2022.
Human papillomavirus is one of the most important causes of cervical cancer. Participating in an HPV test and receiving an HPV diagnosis can create questions about the needs and preferences. The present systematic review was conducted to determine the reproductive health needs of women with HPV.
We searched PubMed, Scopus, Web of Science, Google Scholar and Magiran, SID and Iranmedex. Without language restrictions and time constraints. We also searched the grey literature and carried out forward/backward citation searches.
In the first, 1056 articles were retrieved, and, after removing them, 13 articles published were entered. The studies were qualitative (N = 9), quantitative (N = 3), and one was unclear. Most qualitative studies collected data using individual interviews (N = 7), two qualitative studies, narratives of HPV patients from a website of patient experiences and questions. Women wanted further information on different HPV viral types, transmission, implications for sexual partners, prevalence, latency and regression of HPV, their management options and the implications of infection for cancer risk and fertility. Women's experience of searching the Internet for further information about HPV was reported as difficult, anxiety provoking and contributing to the stigma of the infection because information was often located in the context of other sexually transmitted infections, with multiple sexual partners highlighted as a risk factor for infection.
Surveys showed that the majority of women had unanswered questions about their HPV test results. The information that women thought was helpful in interpreting their test results included having a high-risk type of HPV, and cancer survival statistics for the virus. Women also needed information about sexual transmission, how HPV tested positive in a long-term relationship, and the potential consequences for their partners and the risk of re-infection. Younger women had questions about whether HPV could affect fertility.
人乳头瘤病毒是宫颈癌最重要的病因之一。参与 HPV 检测并得到 HPV 诊断可能会引发对需求和偏好的疑问。本系统评价旨在确定 HPV 女性的生殖健康需求。
我们检索了 PubMed、Scopus、Web of Science、Google Scholar 和 Magiran、SID 和 Iranmedex，没有语言和时间限制。我们还检索了灰色文献，并进行了前向/后向引文搜索。
首先检索到 1056 篇文章，剔除重复后纳入 13 篇文献。研究类型包括定性（N=9）、定量（N=3）和 1 篇不清楚。大多数定性研究采用个体访谈（N=7）收集数据，2 项定性研究收集了 HPV 患者网站上的 HPV 患者叙述和问题。女性希望了解不同 HPV 病毒类型、传播、对性伴侣的影响、流行率、HPV 潜伏期和消退、管理选择以及感染对癌症风险和生育能力的影响。女性报告称，她们在互联网上搜索有关 HPV 的进一步信息非常困难，容易引发焦虑，并增加感染的耻辱感，因为信息通常是在其他性传播感染的背景下找到的，并且强调多个性伴侣是感染的风险因素。
调查显示，大多数女性对 HPV 检测结果仍有疑问。女性认为有助于解读检测结果的信息包括 HPV 高危型和病毒相关癌症的存活率统计数据。女性还需要了解有关性传播途径的信息，了解 HPV 在长期伴侣关系中呈阳性的原因，以及对伴侣的潜在后果和再次感染的风险。年轻女性会询问 HPV 是否会影响生育能力。
