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Jul 2018, Vol 6, Issue 3
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Original Article
Perceptions of Pap Screening in a Context of HPV Vaccination
Spring Cooper1, Louise Bezzina2, Hayden Fletcher3
1City University of New York, Graduate School of Public Health and Health Policy, 55 W 125th Street, NYC 10027, USA
2University of Sydney, Level 2 (M02F), 94 Mallett St, Camperdown NSW 2050, Australia
3University of Sydney, Sydney Medical School, Edward Ford Building A27, The University of Sydney, NSW 2006, Australia

IJWHR 2018; 6: 240-247
DOI: 10.15296/ijwhr.2018.41
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Keywords : Papillomavirus vaccines, Primary prevention, Papanicolaou test, Health education, Reproductive health
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Abstract
Objectives: A development in the prevention of cervical cancer in women in Australia was the introduction of the human papillomavirus (HPV) vaccine, which was made available to young women as part of a national school-based vaccination program in 2007. Despite this advancement, Pap screening is still required to provide optimal protection from cervical cancer. The current study aimed to explore what young women know about HPV, HPV vaccination, and Pap screening guidelines. It further aimed to identify barriers and facilitators young women perceive to participating in screening, as well as factors influencing these perceptions.

Materials and Methods: Semi-structured interviews were conducted with 12 women who had been in school during the Australian HPV vaccination program and offered HPV vaccine, aged 18-25, until saturation around key themes was reached. Transcripts were analysed, letting themes emerge from the data.

Results: Key barriers and facilitators to pap screening were identified, as well as factors affecting the salience of these barriers and facilitators.

Conclusions: Findings have implications for the development of interventions to increase screening adherence and reduce the incidence of cervical cancer in this population.

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