title: Information and cervical screening: a qualitative study of women's awareness, understanding and information needs about HPV.
abstract: OBJECTIVE
  To explore women's attitudes towards the information about human papilloma virus (HPV) provided during cervical screening and to describe women's HPV information needs.
  
  
  METHODS
  Women with a range of screening results (normal, inadequate, borderline and abnormal) were identified by three screening centres in England. Two consecutive samples of women attending for colposcopy for the first time following screening were also approached.
  
  
  METHODS
  Seven focus groups were conducted between May 2005 and April 2006 with 38 women who had recently been for cervical screening or had attended a colposcopy appointment.
  
  
  RESULTS
  Most women had no prior awareness of HPV. Many women queried the importance of being informed about HPV as no preventive advice or treatment is available. The HPV information included in the UK national screening programme abnormal result leaflet left women with more questions than answers (a list of unanswered questions is included with the results). Further information was requested about HPV detection, infection and transmission as well as the natural history and progression of cervical cancer. No consensus was reached regarding the best time to provide HPV information.
  
  
  CONCLUSIONS
  Clear communication of the complicated issues surrounding HPV infection and the natural history of cervical cancer is a considerable educational challenge for screening providers. As awareness of HPV becomes more widespread and HPV testing is explored as a triage during cervical screening, women are likely to require more information about the virus and the implications of infection. Consideration should be given to the production of a separate national screening programme HPV leaflet.
authors.affiliation: Cancer Research UK Primary Care Education Research Group, Department of Primary Care, University of Oxford, Old Road Campus, Oxford OX3 7LF, UK. megan.goldsmith@dphpc.ox.ac.uk
authors.forename: Megan R
authors.initials: MR
authors.lastname: Goldsmith
authors.forename: Clare R
authors.initials: CR
authors.lastname: Bankhead
authors.forename: Sean T
authors.initials: ST
authors.lastname: Kehoe
authors.forename: Gill
authors.initials: G
authors.lastname: Marsh
authors.forename: Joan
authors.initials: J
authors.lastname: Austoker
mesh_terms: D000328:Adult; D001364:Awareness; D032882:Comprehension; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006801:Humans; D033181:Information Dissemination; D008403:Mass Screening; D008875:Middle Aged; D027383:Papillomaviridae; D030361:Papillomavirus Infections / Q000175:diagnosis / Q000517:prevention & control* / Q000523:psychology; D010353:Patient Education as Topic; D012747:Sexual Partners; D015229:Sexually Transmitted Diseases, Viral / Q000523:psychology; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000523:psychology; D002578:Uterine Cervical Dysplasia / Q000175:diagnosis* / Q000523:psychology