Abstract：
To provide insights into women\'s attitudes towards a human papillomavirus (HPV)-based cervical cancer screening strategy.
Medline, Web of Science Core Collection, Cochrane Library, PsycINFO, CINAHL and ClinicalTrials.gov were systematically searched for published and ongoing studies (last search conducted in August 2021).
The search identified 3162 references. Qualitative and quantitative studies dealing with women\'s attitudes towards, and acceptance of, an HPV-based cervical cancer screening strategy in Western healthcare systems were included. For data analysis, thematic analysis was used and synthesised findings were presented descriptively.
Twelve studies (including 9928 women) from USA, Canada, UK and Australia met the inclusion criteria. Women\'s attitudes towards HPV-based screening strategies were mainly affected by the understanding of (i) the personal risk of an HPV infection, (ii) the implication of a positive finding and (iii) the overall screening purpose. Women who considered their personal risk of HPV to be low and women who feared negative implications of a positive finding were more likely to express negative attitudes, whereas positive attitudes were particularly expressed by women understanding the screening purpose. Overall acceptance of an HPV-based screening strategy ranged between 13% and 84%.
This systematic review provides insights into the attitudes towards HPV-based cervical cancer screening and its acceptability based on studies conducted with women from USA, Canada, UK and Australia. This knowledge is essential for the development of education and information strategies to support the implementation of HPV-based cervical cancer screening.
PROSPERO (CRD42020178957).
Medline, Web of Science Core Collection, Cochrane Library, PsycINFO, CINAHL and ClinicalTrials.gov were systematically searched for published and ongoing studies (last search conducted in August 2021).
The search identified 3162 references. Qualitative and quantitative studies dealing with women\'s attitudes towards, and acceptance of, an HPV-based cervical cancer screening strategy in Western healthcare systems were included. For data analysis, thematic analysis was used and synthesised findings were presented descriptively.
Twelve studies (including 9928 women) from USA, Canada, UK and Australia met the inclusion criteria. Women\'s attitudes towards HPV-based screening strategies were mainly affected by the understanding of (i) the personal risk of an HPV infection, (ii) the implication of a positive finding and (iii) the overall screening purpose. Women who considered their personal risk of HPV to be low and women who feared negative implications of a positive finding were more likely to express negative attitudes, whereas positive attitudes were particularly expressed by women understanding the screening purpose. Overall acceptance of an HPV-based screening strategy ranged between 13% and 84%.
This systematic review provides insights into the attitudes towards HPV-based cervical cancer screening and its acceptability based on studies conducted with women from USA, Canada, UK and Australia. This knowledge is essential for the development of education and information strategies to support the implementation of HPV-based cervical cancer screening.
PROSPERO (CRD42020178957).
摘要：
为女性对基于人乳头瘤病毒（HPV）的宫颈癌筛查策略的态度提供见解。
Medline,WebofScience核心合集,科克伦图书馆,PsycINFO,对CINAHL和ClinicalTrials.gov进行了系统搜索，以进行已发表和正在进行的研究（最后一次搜索是在2021年8月进行的）。
搜索确定了3162个参考。定性和定量研究处理妇女的态度，和接受，纳入了西方医疗保健系统中基于HPV的宫颈癌筛查策略.对于数据分析，使用主题分析，并以描述性方式呈现综合结果。
来自美国的12项研究（包括9928名女性），加拿大,英国和澳大利亚符合纳入标准。妇女对基于HPV的筛查策略的态度主要受到以下理解的影响：（i）HPV感染的个人风险，（ii）积极发现的含义和（iii）总体筛查目的。认为自己的HPV风险较低的女性和担心积极发现的负面影响的女性更有可能表达消极态度。而了解筛查目的的女性尤其表达了积极的态度。基于HPV的筛查策略的总体接受度在13%至84%之间。
本系统综述基于对美国女性进行的研究，提供了对基于HPV的宫颈癌筛查的态度及其可接受性的见解。加拿大,英国和澳大利亚。这些知识对于制定教育和信息策略以支持基于HPV的宫颈癌筛查的实施至关重要。
PROSPERO(CRD42020178957)。
Medline,WebofScience核心合集,科克伦图书馆,PsycINFO,对CINAHL和ClinicalTrials.gov进行了系统搜索，以进行已发表和正在进行的研究（最后一次搜索是在2021年8月进行的）。
搜索确定了3162个参考。定性和定量研究处理妇女的态度，和接受，纳入了西方医疗保健系统中基于HPV的宫颈癌筛查策略.对于数据分析，使用主题分析，并以描述性方式呈现综合结果。
来自美国的12项研究（包括9928名女性），加拿大,英国和澳大利亚符合纳入标准。妇女对基于HPV的筛查策略的态度主要受到以下理解的影响：（i）HPV感染的个人风险，（ii）积极发现的含义和（iii）总体筛查目的。认为自己的HPV风险较低的女性和担心积极发现的负面影响的女性更有可能表达消极态度。而了解筛查目的的女性尤其表达了积极的态度。基于HPV的筛查策略的总体接受度在13%至84%之间。
本系统综述基于对美国女性进行的研究，提供了对基于HPV的宫颈癌筛查的态度及其可接受性的见解。加拿大,英国和澳大利亚。这些知识对于制定教育和信息策略以支持基于HPV的宫颈癌筛查的实施至关重要。
PROSPERO(CRD42020178957)。
