Artículo
Psycho-social impact of positive human papillomavirus testing in Jujuy, Argentina results from the Psycho-Estampa study
Arrossi, Silvina
; Almonte, Maribel; Herrero, Rolando; Gago, Juan Ezequiel; Sánchez Antelo, Victoria Inés María
; Szwarc, Lucila
; Thouyaret, Laura; Paolino, Melisa Delia
; Wiesner, Carolina
Fecha de publicación:
06/2020
Editorial:
Elsevier
Revista:
Preventive Medicine Reports
ISSN:
2211-3355
Idioma:
Inglés
Tipo de recurso:
Artículo publicado
Clasificación temática:
Resumen
Human papillomavirus (HPV) testing can have a negative impact on women's lives which might also result in abandoning the follow-up and treatment process. This study measured the psycho-social impact of HPV-positivity among HPV-tested women from Jujuy, Argentina, a middle-low income setting. In this cross-sectional study (2015–2016), the psycho-social impact of HPV-positivity was measured using the Psycho-Estampa Scale, specifically designed and validated to be used in screening contexts. We measured mean scores for each of the five scale domains, and the Overall Impact score (Values from 1: No impact to 4: Heavy impact). We compared scores according to cytology triage diagnosis using ordinal logistic regression. A total of 163 HPV-positive women were recruited at the Centro Carlos Alvarado hospital and included in the study sample; of these, 124 (76.1%) had normal triage cytologies. The overall Impact score was between low and moderate (mean:2.56, SD:0.65). The highest psycho-social impact was measured in the Worries about cancer and treatment domain (mean score:3.60, SD:0.60), followed by Sexuality domain (mean:2.50; SD:1.00). The Uncertainty about information provided by health providers domain had the lowest mean score (mean:2.14, SD:0.73). Compared to women with normal cytologies (n = 124), women with abnormal cytologies (n = 39) had a higher likelihood of greater overall Psycho-social Impact (OR: 2.91; p = 0.0036). No statistically significant differences were found in scores of specific domains according to cytology results. It is important to devise specific counseling interventions to reduce the psycho-social impact of HPV-Testing as primary screening and its potential effect on completion of the diagnosis/ treatment process.
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Citación
Arrossi, Silvina; Almonte, Maribel; Herrero, Rolando; Gago, Juan Ezequiel; Sánchez Antelo, Victoria Inés María; et al.; Psycho-social impact of positive human papillomavirus testing in Jujuy, Argentina results from the Psycho-Estampa study; Elsevier; Preventive Medicine Reports; 18; 6-2020; 1-7
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