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Título : Psycho-social impact of positive human papillomavirus testing in Jujuy, Argentina results from the Psycho-Estampa study
Autor : Arrossi, Silvina 
Almonte, Maribel 
Herrero, Rolando 
Gago, Juan 
Sánchez Antelo, Victoria 
Szwarc, Lucila 
Thouyaret, Laura 
Paolino, Melisa 
Weisner, Carolina 
Palabras clave : HPV;Pruebas de ADN del Papillomavirus Humano;JUJUY;Argentina;AMERICA LATINA;Impacto Psicosocial
Fecha de publicación : 5-Mar-2020
Citación : Preventive Medicine Reports;Volume 18, June 2020, 101070
Resumen : Human papillomavirus (HPV) testing can have a negative impact on women’s lives which might also result in abandoning the follow-up and treatment process. This study measured the psycho-social impact of HPV-positivity among HPV-tested women from Jujuy, Argentina, a middle-low income setting. In this cross-sectional study (2015–2016), the psycho-social impact of HPV-positivity was measured using the Psycho-Estampa Scale, specifically designed and validated to be used in screening contexts. We measured mean scores for each of the five scale domains, and the Overall Impact score (Values from 1: No impact to 4: Heavy impact). We compared scores according to cytology triage diagnosis using ordinal logistic regression. A total of 163 HPV-positive women were recruited at the Centro Carlos Alvarado hospital and included in the study sample; of these, 124 (76.1%) had normal triage cytologies. The overall Impact score was between low and moderate (mean:2.56, SD:0.65). The highest psycho-social impact was measured in the Worries about cancer and treatment domain (mean score:3.60, SD:0.60), followed by Sexuality domain (mean:2.50; SD:1.00). The Uncertainty about information provided by health providers domain had the lowest mean score (mean:2.14, SD:0.73). Compared to women with normal cytologies (n = 124), women with abnormal cytologies (n = 39) had a higher likelihood of greater overall Psycho-social Impact (OR: 2.91; p = 0.0036). No statistically significant differences were found in scores of specific domains according to cytology results. It is important to devise specific counseling interventions to reduce the psycho-social impact of HPV-Testing as primary screening and its potential effect on completion of the diagnosis/ treatment process.
Descripción : Fil: Arrossi, Silvina. Centro de Estudios de Estado y Sociedad; Consejo Nacional de Investigaciones Científicas y Técnicas, Buenos Aires, Argentina
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