Table 1: Summary of key questionnaire
domainsa.
Screening Concept |
Scale Items |
·
Attitudes towards HPV
testing and intention to screen with HPV testing instead of cytology (primary
endpoint) ·
Attitudes towards delaying
cervical screening until 25 years of age ·
Attitudes towards HPV
testing from 25 years of age at widened screening intervals |
·
“I would be willing to
perform an HPV test to screen for cervical cancer at/after the age of 25 and
every 5 years instead of a Pap smear every two years after onset of sexual
activity in my patients (to commence around 2017) as recommended by the
National Cervical Screening Program Renewal)” (from 1 strongly disagree to 7
strongly agree)b ·
“I am uncomfortable with
delaying the age of cervical screening until 25 years of age” b(from
1 strongly disagree to 7 strongly agree)b ·
“Having an HPV test to
screen for cervical cancer starting at/after the age of 25 and every five
years instead of a Pap smear every two years after onset of sexual activity
would: be accurate/be safe/ be protective/be acceptable/be resource
efficient.” b(from 1 strongly disagree to 7 strongly agree)b |
·
Facilitating factors for
delaying screening to 25 years |
·
“Which of the following factors
are more reassuring for you, or that you consider are acceptable reasons for
delaying screening to 25 years in young women: I feel more reassured when a
woman has had the HPV vaccine prior to sexual activity/I feel more reassured
when a woman has had the HPV vaccine even if it was after onset of sexual
activity/I feel more reassured when a woman has only been in same sex
relationships/In general terms cervical changes in young women are largely
low-grade and have a high rate of regression/Screening exposes young women to
unnecessary obstetric risks/Cervical cancer in women under 25 years is very
rare irrespective of HPV vaccination/Screening does not appear to reduce the
incidence rates of cervical cancer in young women < 25 years.” (from 1
strongly disagree to 7 strongly agree)b |
·
Factors that may be
barriers to delayed screening to 25 years |
·
“Could you please indicate
if the following are situations where you would continue screening from 18
years in the following situations (even though the new guidelines as of 2017
suggest cervical screening from 25 years): When a woman has already had a
personal history of high-grade cervical changes prior to 25 years /when a
woman has already had a personal history of high-grade cervical changes prior
to 25 years/When a sexually active woman has a strong family history of
cervical cancer/When a woman has early stage of fist sexual intercourse (16
years)/When a woman gives a past history of genital-contact childhood sexual
abuse (< 16 years)/When a woman gives a past history of genital-contact
unwanted adolescent sexual activity (16 to 17 years)/When a sexually active
woman has not had the HPV vaccine/When a sexually active woman has HIV or is
immunosuppressed.” (from 1 strongly disagree to 7 strongly agree)b |
aTable
is not the complete survey.
bResults
were dichotomized ≤ 4 and > 4 from a 7 point Likert
scale.