Who Should Decide? Decision-Making Preferences for Primary HPV Testing for Cervical Cancer Screening Among U.S. Women

dc.contributor.authorThompson, Erika L.
dc.contributor.authorGarg, Ashvita
dc.contributor.authorHead, Katharine J.
dc.contributor.authorGriner, Stacey B.
dc.contributor.authorGalvin, Annalynn M.
dc.contributor.authorBarnett, Tracey E.
dc.contributor.departmentCommunication Studies, School of Liberal Arts
dc.date.accessioned2024-10-25T12:43:36Z
dc.date.available2024-10-25T12:43:36Z
dc.date.issued2021
dc.description.abstractRevised U.S. guidelines for cervical cancer screening provide the option of primary human papillomavirus (HPV) testing, Pap testing, or co-testing. Primary HPV testing has not yet been an option for American women, and women may be reluctant to change screening methods. The purpose of this study was to assess correlates of women’s preferences for primary HPV testing decision-making (self, provider, or shared) for cervical cancer screening. Women, aged 30-65, completed an online survey in June of 2018 (n = 812). The outcome variable was preference for decision-making for an HPV test instead of a Pap test on a scale of, healthcare provider, me, or shared. Predictor variables included testing attitudes, social norms, information seeking, previous screening, and socio-demographics. Women who disagreed that people important to them think that they should get the HPV test instead of a Pap test, who were not willing to receive an HPV test instead of a Pap test, and who did not receive HPV vaccinations were less likely to include a provider in their decision-making. In contrast, women who were not up-to-date with their cervical cancer screenings, who had some college or technical level education, or who were over 50 years of age were more likely to prefer to have a healthcare provider included in their decision-making process. While some variation was discovered, women mostly preferred a shared decision or personal decision for HPV testing. Resources to facilitate the decision-making process about this new option for cervical cancer screening are needed.
dc.eprint.versionFinal published version
dc.identifier.citationThompson E, Garg A, Head K, Griner S, Galvin A, Barnett T. Who Should Decide? Decision-Making Preferences for Primary HPV Testing for Cervical Cancer Screening Among U.S. Women. Health Behavior Research. 2021;4(1). doi:10.4148/2572-1836.1106
dc.identifier.urihttps://hdl.handle.net/1805/44234
dc.language.isoen_US
dc.publisherAmerican Academy of Health Behavior
dc.relation.isversionof10.4148/2572-1836.1106
dc.relation.journalHealth Behavior Research
dc.rightsAttribution-NonCommercial 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by-nc/4.0/
dc.sourcePublisher
dc.subjectCervical cancer screening
dc.subjectHuman papillomavirus (HPV) testing
dc.subjectPap testing
dc.titleWho Should Decide? Decision-Making Preferences for Primary HPV Testing for Cervical Cancer Screening Among U.S. Women
dc.typeArticle
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