Shpendi Sonia, Norman Paul, Gibson-Miller Jilly, Webster Rebecca K
University of Sheffield, UK.
J Health Psychol. 2024 Sep 28:13591053241281405. doi: 10.1177/13591053241281405.
As most women now reaching the age for cervical cancer screening (24.5 years old) in the UK will be HPV vaccinated, their current perspectives on screening can inform effective interventions to increase screening uptake (and thus, early detection). Twenty-four interviews were conducted with women aged 24-30 years old to explore their views on cervical cancer screening ( = 12 attendees and = 12 non-attendees). Reflexive thematic analysis generated six themes that were then mapped onto the COM-B model. Reflective motivations (e.g. reassurance) were key facilitators to screening attendance for both groups. Social opportunities (e.g. open communication) contrasted between the groups, with attendees more likely to have discussed screening with friends. Automatic motivations (e.g. embarrassment) were key barriers to attending screening in both groups. Notably, HPV vaccination did not factor into the decision to attend screening. Interventions to increase screening uptake may target motivational and social factors.
由于目前英国大多数达到宫颈癌筛查年龄（24.5岁）的女性都接种了人乳头瘤病毒（HPV）疫苗，她们目前对筛查的看法可为提高筛查参与率（进而实现早期检测）的有效干预措施提供参考。研究人员对24至30岁的女性进行了24次访谈，以探讨她们对宫颈癌筛查的看法（12名参与者和12名非参与者）。反思性主题分析产生了六个主题，然后将这些主题映射到COM-B模型上。反思性动机（如安心）是两组参加筛查的关键促进因素。两组在社交机会（如开放沟通）方面存在差异，参与者更有可能与朋友讨论过筛查。自动性动机（如尴尬）是两组参加筛查的关键障碍。值得注意的是，HPV疫苗接种并未影响参加筛查的决定。提高筛查参与率的干预措施可能针对动机和社会因素。
