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Journal of Cancer Education

Erschienen in:

19.04.2020

Dominican Provider Attitudes Towards HPV Testing for Cervical Cancer Screening and, Current Challenges to Cervical Cancer Prevention in the Dominican Republic: a Mixed Methods Study

verfasst von: Erica Liebermann, Nancy Van Devanter, Natalia Frías Gúzman, Marilyn J. Hammer, Danielle Ompad

Erschienen in: Journal of Cancer Education | Ausgabe 6/2021

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Abstract

Creating effective programs for cervical cancer prevention is essential to avoid premature deaths from cervical cancer. The Dominican Republic has persistently high rates of cervical cancer, despite the availability of Pap smear screening. This study explored Dominican provider attitudes towards human papillomavirus (HPV) testing and current challenges to effective cervical cancer prevention. In this Consolidated Framework for Implementation Research (CFIR)–driven mixed methods study, we conducted in-depth interviews (N = 21) and surveys (N = 202) with Dominican providers in Santo Domingo and Monte Plata provinces regarding their perspectives on barriers to cervical cancer prevention and their knowledge and attitudes towards HPV testing as an alternative to Pap smear. Providers believed the main barrier to cervical cancer prevention was lack of cervical cancer awareness and resulting inadequate population screening coverage. Providers felt that Pap smear was widely available to women in the Dominican Republic and were unsure how a change to HPV testing for screening would address gaps in current cervical cancer screening programs. A subset of providers felt HPV testing offered important advantages for early detection of cervical cancer and were in favor of more widespread use. Cost of the HPV test and target age for screening with HPV testing were the main barriers to acceptability. Providers had limited knowledge of HPV testing as a screening test. The group was divided in terms of the potential impact of a change in screening test in addressing barriers to cervical cancer prevention in the Dominican Republic. Findings may inform interventions to disseminate global evidence-based recommendations for cervical cancer screening.

Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A (2018) Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 68(6):394–424. https://doi.org/10.3322/caac.21492CrossRef

Jeronimo J, Holme F, Slavkovsky R, Camel C (2016) Implementation of HPV testing in Latin America. J Clin Virol Off Publ Pan Am Soc Clin Virol 76(Suppl 1):S69–S73. https://doi.org/10.1016/j.jcv.2015.11.035CrossRef

Herrero R et al (2008) New approaches to cervical cancer screening in Latin America and the Caribbean. Vaccine 26(Supplement 11):L49–L58. https://doi.org/10.1016/j.vaccine.2008.05.025CrossRefPubMed

Ogilvie G, Nakisige C, Huh WK, Mehrotra R, Franco EL, Jeronimo J (2017) Optimizing secondary prevention of cervical cancer: recent advances and future challenges. Int J Gynecol Obstet 138:15–19. https://doi.org/10.1002/ijgo.12187CrossRef

Sankaranarayanan R, Thara S, Esmy PO, Basu P (2008) Cervical cancer: screening and therapeutic perspectives. Med Princ Pract Int J Kuwait Univ Health Sci Cent 17(5):351–364. https://doi.org/10.1159/000141498CrossRef

Murillo R (2008) Cervical cancer control in Colombia: achievements and challenges of cytology based programs. Bioméd Rev Inst Nac Salud 28(4):467–470

Villa LL (2012) Cervical cancer in Latin America and the Caribbean: the problem and the way to solutions. Cancer Epidemiol Biomark Prev 21(9):1409–1413. https://doi.org/10.1158/1055-9965.EPI-12-0147CrossRef

Agurto I, Bishop A, Sánchez G, Betancourt Z, Robles S Perceived barriers and benefits to cervical cancer screening in Latin America. Prev Med 39(1):91–98 8p, Jul. 2004, [Online]. Available: http://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=106673491&site=ehost-live

Paolino M, Sankaranarayanan R, Arrossi S (2013) Social determinants of dropout from diagnosis and treatment by women with abnormal Pap smears in Buenos Aires, Argentina. Rev Panam Salud Pública Pan Am J Public Health 34(6):437–445

10.

World Health Organization (2014) WHO | guidelines for screening and treatment of precancerous lesions for cervical cancer prevention. WHO http://apps.who.int/rhl/guidelines/screening_and_treatment_of_precancerous_lesions/en/ (

11.

J. Jeronimo et al., “Secondary prevention of cervical cancer: ASCO resource-stratified clinical practice guideline,” J Glob Oncol, p. JGO006577, 2016, Accessed: Oct. 25, 2016. [Online]. Available: http://jgo.ascopubs.org/content/early/2016/10/08/JGO.2016.006577.abstract

12.

Denny L et al (2017) Series: interventions to close the divide for women with breast and cervical cancer between low-income and middle-income countries and high-income countries. Lancet 389:861–870. https://doi.org/10.1016/S0140-6736(16)31795-0CrossRefPubMed

13.

Alemany L, de Sanjosé S, Tous S, Quint W, Vallejos C, Shin HR, Bravo LE, Alonso P, Lima MA, Guimerà N, Klaustermeier J, Llombart-Bosch A, Kasamatsu E, Tatti SA, Felix A, Molina C, Velasco J, Lloveras B, Clavero O, Lerma E, Laco J, Bravo IG, Guarch R, Pelayo A, Ordi J, Andújar M, Sanchez GI, Castellsagué X, Muñoz N, Bosch FX, RIS HPV TT Study Group (2014) Time trends of human papillomavirus types in invasive cervical cancer, from 1940 to 2007. Int J Cancer 135(1):88–95. https://doi.org/10.1002/ijc.28636CrossRefPubMed

14.

Brotherton JML et al (2016) Eurogin roadmap 2015: how has HPV knowledge changed our practice: vaccines. Int J Cancer J Int Cancer. https://doi.org/10.1002/ijc.30063

15.

Dillner J et al (2008) Long term predictive values of cytology and human papillomavirus testing in cervical cancer screening: joint European cohort study. BMJ 337(1):a1754–a1754. https://doi.org/10.1136/bmj.a1754CrossRefPubMedPubMedCentral

16.

Cuzick J et al (2008) Overview of human papillomavirus-based and other novel options for cervical cancer screening in developed and developing countries. Vaccine 26:K29–K41. https://doi.org/10.1016/j.vaccine.2008.06.019CrossRefPubMed

17.

Arrossi S, Thouyaret L, Herrero R, Campanera A, Magdaleno A, Cuberli M, Barletta P, Laudi R, Orellana L, EMA Study team (2015) Effect of self-collection of HPV DNA offered by community health workers at home visits on uptake of screening for cervical cancer (the EMA study): a population-based cluster-randomised trial. Lancet Glob Health 3(2):e85–e94. https://doi.org/10.1016/S2214-109X(14)70354-7CrossRefPubMed

18.

Arrossi S, Paolino M, Thouyaret L, Laudi R, Campanera A (2017) Evaluation of scaling-up of HPV self-collection offered by community health workers at home visits to increase screening among socially vulnerable under-screened women in Jujuy Province, Argentina. Implement Sci 12(1). https://doi.org/10.1186/s13012-017-0548-1

19.

Damschroder LJ, Aron DC, Keith RE, Kirsh SR, Alexander JA, Lowery JC (2009) Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implement Sci 4:50–50 1p. https://doi.org/10.1186/1748-5908-4-50CrossRefPubMedPubMedCentral

20.

ENDESA, “República Dominicana Encuesta Demográfica y de Salud 2013 [FR292] - FR292.pdf,” 2013. http://dhsprogram.com/pubs/pdf/FR292/FR292.pdf (accessed Mar. 31, 2016)

21.

Liebermann EJ et al., “Barriers to cervical cancer screening and treatment in the Dominican Republic: perspectives of focus group participants in the Santo Domingo area,” J. Transcult. Nurs., p. 104365961984624, May 2019, https://doi.org/10.1177/1043659619846247

22.

Stormo AR et al (2013) Findings and lessons learned from a multi-partner collaboration to increase cervical cancer prevention efforts in Bolivia. Rural Remote Health 13(4):2595PubMed

23.

Stormo AR, de Moura L, Saraiya M (2014) Cervical cancer-related knowledge, attitudes, and practices of health professionals working in Brazil’s network of primary care units. Oncologist 19(4):375–382. https://doi.org/10.1634/theoncologist.2013-0318CrossRefPubMedPubMedCentral

24.

Townsend J, Stormo A, Roland K, Buenconsejo-Lum L, White S, Saraiya M (2014) Current cervical cancer screening knowledge, awareness, and practices among US affiliated Pacific Island providers: opportunities and challenges. Oncologist 19(4):383–393 Accessed: Nov. 21, 2016. [Online]. Available: http://ezproxy.library.nyu.edu:2048/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edswsc&AN=000334401300016&site=eds-liveCrossRef

25.

Aldrich T (2005) Mexican physicians’ knowledge and attitudes about the human papillomavirus and cervical cancer: a national survey. Sex Transm Infect 81(2):135–141. https://doi.org/10.1136/sti.2003.008557CrossRefPubMedPubMedCentral

26.

Creswell JW, Plano Clark VL (2011) Designing and conducting mixed methods research, 2nd ed. SAGE Publications, Los Angeles

27.

Hsieh H-F, Shannon SE (2005) Three approaches to qualitative content analysis. Qual Health Res 15(9):1277–1288. https://doi.org/10.1177/1049732305276687CrossRefPubMed

28.

Miles MB, Huberman AM, Saldaña J (2014) Qualitative data analysis: a methods sourcebook, Third edn. SAGE Publications, Inc, Thousand Oaks, Califorinia

29.

Patton MQ (2015) Qualitative research & evaluation methods: integrating theory and practice, Fourth edn. SAGE Publications, Inc, Thousand Oaks, California

30.

Stormo AR, Altamirano VC, Pérez-Castells M, Espey D, Padilla H, Panameño K, Soria M, Santos C, Saraiya M, Luciani S (2012) Bolivian health providers’ attitudes toward alternative technologies for cervical cancer prevention: a focus on visual inspection with acetic acid and cryotherapy. J Womens Health 2002 21(8):801–808. https://doi.org/10.1089/jwh.2012.3796CrossRef

31.

Hilton A, Skrutkowski M (2002) Translating instruments into other languages: development and testing processes. Cancer Nurs 25(1):1–7CrossRef

32.

Maneesriwongul W, Dixon JK (2004) Instrument translation process: a methods review. J Adv Nurs 48(2):175–186. https://doi.org/10.1111/j.1365-2648.2004.03185.xCrossRefPubMed

33.

Fetters MD, Curry LA, Creswell JW (2013) Achieving integration in mixed methods designs-principles and practices. Health Serv Res 48(6pt2):2134–2156. https://doi.org/10.1111/1475-6773.12117CrossRefPubMedPubMedCentral

34.

Liebermann EJ, VanDevanter N, Hammer MJ, Fu MR (2018) Social and cultural barriers to women’s participation in Pap smear screening programs in low-and middle-income Latin American and Caribbean countries: an integrative review. J Transcult Nurs:1043659618755424

35.

Soneji S, Fukui N Socioeconomic determinants of cervical cancer screening in Latin America. Determinantes Socioeconómicos Las Pruebas Detección Sist Cáncer Cervicouterino En América Lat 33(3):174–182 Mar. 2013, [Online]. Available: http://ezproxy.library.nyu.edu:2048/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=her&AN=91095653&site=eds-live

Titel: Dominican Provider Attitudes Towards HPV Testing for Cervical Cancer Screening and, Current Challenges to Cervical Cancer Prevention in the Dominican Republic: a Mixed Methods Study
verfasst von: Erica Liebermann
Nancy Van Devanter
Natalia Frías Gúzman
Marilyn J. Hammer
Danielle Ompad
Publikationsdatum: 19.04.2020
Verlag: Springer US
Erschienen in: Journal of Cancer Education / Ausgabe 6/2021
Print ISSN: 0885-8195
Elektronische ISSN: 1543-0154
DOI: https://doi.org/10.1007/s13187-020-01746-w

Springer Medizin

Dominican Provider Attitudes Towards HPV Testing for Cervical Cancer Screening and, Current Challenges to Cervical Cancer Prevention in the Dominican Republic: a Mixed Methods Study

Abstract

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Springer Medizin

Abstract

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