'My husband says this: If you are alive, you can be someone…': Facilitators and barriers to cervical cancer screening among women living with HIV in India
| Autor: | Vipul P Chaudhari, J K Kosambiya, Sukesha Gamit, Ambuj Kumar, Apurva Barve, Timothy-Paul H Kung, Asha Abdullahi, Janna R. Gordon, Kristen J. Wells |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Cancer Research medicine.medical_specialty Family support Psychological intervention India Uterine Cervical Neoplasms HIV Infections Interpersonal communication Article 03 medical and health sciences 0302 clinical medicine Epidemiology medicine Humans Mass Screening 030212 general & internal medicine Pap test Spouses Early Detection of Cancer Vaginal Smears Cervical cancer medicine.diagnostic_test business.industry Public health Middle Aged medicine.disease Oncology 030220 oncology & carcinogenesis Family medicine Female business Papanicolaou Test Qualitative research |
| Zdroj: | Cancer Causes & Control. 30:365-374 |
| ISSN: | 1573-7225 0957-5243 |
| Popis: | PURPOSE: Women living with human immunodeficiency virus (WLWH) have a higher risk of cervical cancer than women without HIV. In addition, women in India experience a high burden of death from cervical cancer. This qualitative study evaluated individual and interpersonal factors influencing cervical cancer screening among WLWH in Surat, India. METHODS: In-depth interviews were conducted with 25 WLWH and 15 stakeholders in Surat, India. Data were analyzed using directed content analysis to identify individual and intrapersonal barriers and facilitators. RESULTS: WLWH lacked knowledge and reported being afraid of cervical cancer and cervical cancer screening but were interested in learning more about it. Interpersonal factors influencing cervical cancer screening included receipt or lack of instrumental and emotional family support, interactions with healthcare providers, and receipt or lack of information about cervical cancer and the Pap test from healthcare providers. CONCLUSION: Widespread public education is necessary to increase awareness of cervical cancer and cervical cancer screening and to encourage family members to support women who wish to obtain screening. Patient- and provider-focused interventions may facilitate the process of providing cervical cancer care to WLWH who are obtaining care in busy public healthcare systems in India. |
| Databáze: | OpenAIRE |
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