Changes in knowledge of cervical cancer prevention and human papillomavirus among women with human immunodeficiency virus

L. Stewart Massad, Charlesnika T. Evans, Kathleen M. Weber, Johanna L. Goderre, Nancy A. Hessol, Donna Henry, Christine Colie, Howard Strickler, D. Heather Watts, Tracey E. Wilson

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Objective: To estimate changes in high-risk women's knowledge of cervical cancer prevention, human papillomavirus (HPV), and HPV vaccination since introduction and marketing of HPV vaccines. Methods: At study visits in 2007 and 2008-2009, women with the human immunodeficiency virus (HIV) and at-risk comparison women in a multicenter U.S. cohort study completed 44-item self-report questionnaires exploring their knowledge of cervical cancer prevention, HPV, and HPV vaccination. Results from 2007 were compared with those obtained in 2008-2009. Knowledge scores were correlated with demographic variables, measures of education and attention, and medical factors. Significant associations were assessed in multivariable models. Results: HIV-seropositive women had higher knowledge scores than seronegative women at baseline (13.2±5.7 compared with 11.8±6.0, P<.001) and follow-up (14.1±5.3 compared with 13.2±5.5, P=.01), but the change in scores was similar (0.9±5.3 compared with 1.5±5.5, P=.13). Knowledge that cervical cancer is caused by a virus rose significantly (P=.005), but only to 24%. Belief that cervical cancer is preventable only rose from 52% to 55% (P=.04), but more than 90% of women in both periods believed regular Pap testing was important. In analysis of covariance models, higher baseline score, younger age, higher education level, higher income, and former-as opposed to never-drug users, but not HIV status, were associated with improved knowledge. Conclusion: High-risk women's understanding of cervical cancer and HPV has improved, but gaps remain. Improvement has been weakest for less educated and lower-income women.

Original languageEnglish (US)
Pages (from-to)941-947
Number of pages7
JournalObstetrics and Gynecology
Volume116
Issue number4
DOIs
StatePublished - 2010
Externally publishedYes

Fingerprint

Uterine Cervical Neoplasms
HIV
Vaccination
Papillomavirus Vaccines
Medical Education
Drug Users
Marketing
Self Report
Cohort Studies
Demography
Viruses
Education

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Medicine(all)

Cite this

Massad, L. S., Evans, C. T., Weber, K. M., Goderre, J. L., Hessol, N. A., Henry, D., ... Wilson, T. E. (2010). Changes in knowledge of cervical cancer prevention and human papillomavirus among women with human immunodeficiency virus. Obstetrics and Gynecology, 116(4), 941-947. https://doi.org/10.1097/AOG.0b013e3181f2dbae

Changes in knowledge of cervical cancer prevention and human papillomavirus among women with human immunodeficiency virus. / Massad, L. Stewart; Evans, Charlesnika T.; Weber, Kathleen M.; Goderre, Johanna L.; Hessol, Nancy A.; Henry, Donna; Colie, Christine; Strickler, Howard; Watts, D. Heather; Wilson, Tracey E.

In: Obstetrics and Gynecology, Vol. 116, No. 4, 2010, p. 941-947.

Research output: Contribution to journalArticle

Massad, LS, Evans, CT, Weber, KM, Goderre, JL, Hessol, NA, Henry, D, Colie, C, Strickler, H, Watts, DH & Wilson, TE 2010, 'Changes in knowledge of cervical cancer prevention and human papillomavirus among women with human immunodeficiency virus', Obstetrics and Gynecology, vol. 116, no. 4, pp. 941-947. https://doi.org/10.1097/AOG.0b013e3181f2dbae
Massad, L. Stewart ; Evans, Charlesnika T. ; Weber, Kathleen M. ; Goderre, Johanna L. ; Hessol, Nancy A. ; Henry, Donna ; Colie, Christine ; Strickler, Howard ; Watts, D. Heather ; Wilson, Tracey E. / Changes in knowledge of cervical cancer prevention and human papillomavirus among women with human immunodeficiency virus. In: Obstetrics and Gynecology. 2010 ; Vol. 116, No. 4. pp. 941-947.
@article{ccd9a46f8e894bdf9f12899ec01c6310,
title = "Changes in knowledge of cervical cancer prevention and human papillomavirus among women with human immunodeficiency virus",
abstract = "Objective: To estimate changes in high-risk women's knowledge of cervical cancer prevention, human papillomavirus (HPV), and HPV vaccination since introduction and marketing of HPV vaccines. Methods: At study visits in 2007 and 2008-2009, women with the human immunodeficiency virus (HIV) and at-risk comparison women in a multicenter U.S. cohort study completed 44-item self-report questionnaires exploring their knowledge of cervical cancer prevention, HPV, and HPV vaccination. Results from 2007 were compared with those obtained in 2008-2009. Knowledge scores were correlated with demographic variables, measures of education and attention, and medical factors. Significant associations were assessed in multivariable models. Results: HIV-seropositive women had higher knowledge scores than seronegative women at baseline (13.2±5.7 compared with 11.8±6.0, P<.001) and follow-up (14.1±5.3 compared with 13.2±5.5, P=.01), but the change in scores was similar (0.9±5.3 compared with 1.5±5.5, P=.13). Knowledge that cervical cancer is caused by a virus rose significantly (P=.005), but only to 24{\%}. Belief that cervical cancer is preventable only rose from 52{\%} to 55{\%} (P=.04), but more than 90{\%} of women in both periods believed regular Pap testing was important. In analysis of covariance models, higher baseline score, younger age, higher education level, higher income, and former-as opposed to never-drug users, but not HIV status, were associated with improved knowledge. Conclusion: High-risk women's understanding of cervical cancer and HPV has improved, but gaps remain. Improvement has been weakest for less educated and lower-income women.",
author = "Massad, {L. Stewart} and Evans, {Charlesnika T.} and Weber, {Kathleen M.} and Goderre, {Johanna L.} and Hessol, {Nancy A.} and Donna Henry and Christine Colie and Howard Strickler and Watts, {D. Heather} and Wilson, {Tracey E.}",
year = "2010",
doi = "10.1097/AOG.0b013e3181f2dbae",
language = "English (US)",
volume = "116",
pages = "941--947",
journal = "Obstetrics and Gynecology",
issn = "0029-7844",
publisher = "Lippincott Williams and Wilkins",
number = "4",

}

TY - JOUR

T1 - Changes in knowledge of cervical cancer prevention and human papillomavirus among women with human immunodeficiency virus

AU - Massad, L. Stewart

AU - Evans, Charlesnika T.

AU - Weber, Kathleen M.

AU - Goderre, Johanna L.

AU - Hessol, Nancy A.

AU - Henry, Donna

AU - Colie, Christine

AU - Strickler, Howard

AU - Watts, D. Heather

AU - Wilson, Tracey E.

PY - 2010

Y1 - 2010

N2 - Objective: To estimate changes in high-risk women's knowledge of cervical cancer prevention, human papillomavirus (HPV), and HPV vaccination since introduction and marketing of HPV vaccines. Methods: At study visits in 2007 and 2008-2009, women with the human immunodeficiency virus (HIV) and at-risk comparison women in a multicenter U.S. cohort study completed 44-item self-report questionnaires exploring their knowledge of cervical cancer prevention, HPV, and HPV vaccination. Results from 2007 were compared with those obtained in 2008-2009. Knowledge scores were correlated with demographic variables, measures of education and attention, and medical factors. Significant associations were assessed in multivariable models. Results: HIV-seropositive women had higher knowledge scores than seronegative women at baseline (13.2±5.7 compared with 11.8±6.0, P<.001) and follow-up (14.1±5.3 compared with 13.2±5.5, P=.01), but the change in scores was similar (0.9±5.3 compared with 1.5±5.5, P=.13). Knowledge that cervical cancer is caused by a virus rose significantly (P=.005), but only to 24%. Belief that cervical cancer is preventable only rose from 52% to 55% (P=.04), but more than 90% of women in both periods believed regular Pap testing was important. In analysis of covariance models, higher baseline score, younger age, higher education level, higher income, and former-as opposed to never-drug users, but not HIV status, were associated with improved knowledge. Conclusion: High-risk women's understanding of cervical cancer and HPV has improved, but gaps remain. Improvement has been weakest for less educated and lower-income women.

AB - Objective: To estimate changes in high-risk women's knowledge of cervical cancer prevention, human papillomavirus (HPV), and HPV vaccination since introduction and marketing of HPV vaccines. Methods: At study visits in 2007 and 2008-2009, women with the human immunodeficiency virus (HIV) and at-risk comparison women in a multicenter U.S. cohort study completed 44-item self-report questionnaires exploring their knowledge of cervical cancer prevention, HPV, and HPV vaccination. Results from 2007 were compared with those obtained in 2008-2009. Knowledge scores were correlated with demographic variables, measures of education and attention, and medical factors. Significant associations were assessed in multivariable models. Results: HIV-seropositive women had higher knowledge scores than seronegative women at baseline (13.2±5.7 compared with 11.8±6.0, P<.001) and follow-up (14.1±5.3 compared with 13.2±5.5, P=.01), but the change in scores was similar (0.9±5.3 compared with 1.5±5.5, P=.13). Knowledge that cervical cancer is caused by a virus rose significantly (P=.005), but only to 24%. Belief that cervical cancer is preventable only rose from 52% to 55% (P=.04), but more than 90% of women in both periods believed regular Pap testing was important. In analysis of covariance models, higher baseline score, younger age, higher education level, higher income, and former-as opposed to never-drug users, but not HIV status, were associated with improved knowledge. Conclusion: High-risk women's understanding of cervical cancer and HPV has improved, but gaps remain. Improvement has been weakest for less educated and lower-income women.

UR - http://www.scopus.com/inward/record.url?scp=77957225144&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77957225144&partnerID=8YFLogxK

U2 - 10.1097/AOG.0b013e3181f2dbae

DO - 10.1097/AOG.0b013e3181f2dbae

M3 - Article

C2 - 20859159

AN - SCOPUS:77957225144

VL - 116

SP - 941

EP - 947

JO - Obstetrics and Gynecology

JF - Obstetrics and Gynecology

SN - 0029-7844

IS - 4

ER -