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首页> 外文期刊>Scandinavian journal of primary health care. >Effects of numerical information on intention to participate in cervical screening among women offered HPV vaccination: a randomised study
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Effects of numerical information on intention to participate in cervical screening among women offered HPV vaccination: a randomised study

机译:数值信息对HPV疫苗接种妇女参与宫颈癌筛查意图的影响:一项随机研究

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Abstract Objectives: To investigate the effects of different types of information about benefits and harms of cervical screening on intention to participate in screening among women in the first cohorts offered human papilloma virus (HPV) vaccination. Design: Randomised survey study. Setting: Denmark. Subjects: A random sample of women from the birth cohorts 1993, 1994 and 1995 drawn from the general population. Interventions: A web-based questionnaire and information intervention. We randomised potential respondents to one of the following four different information modules about benefits and harms of cervical screening: no information; non-numerical information; and two numerical information modules. Moreover, we provided HPV-vaccinated women in one of the arms with numerical information about benefits and harms in two steps: firstly, information without consideration of HPV vaccination and subsequently information conditional on HPV vaccination. Main outcome measure: Self-reported intention to participate in cervical screening. Results: A significantly lower proportion intended to participate in screening in the two groups of women receiving numerical information compared to controls with absolute differences of 10.5 (95% CI: 3.3–17.6) and 7.7 (95% CI: 0.4–14.9) percentage points, respectively. Among HPV-vaccinated women, we found a significantly lower intention to participate in screening after numerical information specific to vaccinated women (OR of 0.38). Conclusions: Women are sensitive to numerical information about the benefits and harms of cervical screening. Specifically, our results suggest that HPV-vaccinated women are sensitive to information about the expected changes in benefits and harms of cervical screening after implementation of HPV vaccination. KEY POINTS Women were less likely to participate in cervical screening when they received numerical information about benefits and harms compared to non-numerical or no information. Specifically, numerical information about the potential impact of the reduced risk of cervical cancer among HPV-vaccinated women reduced the intention to participate among vaccinated women.
机译:摘要目的:研究在首批提供人乳头瘤病毒(HPV)疫苗接种的人群中,宫颈筛查的利弊信息类型对妇女参与筛查的意图的影响。设计:随机调查研究。地点:丹麦。受试者:从总人口中随机抽取的1993、1994和1995年出生队列的妇女。干预:基于网络的问卷调查和信息干预。我们将潜在的受访者随机分为以下四个有关子宫颈筛查的利弊的信息模块之一:无信息;非数值信息;和两个数字信息模块。此外,我们分两个步骤向一支怀有HPV疫苗的妇女提供了有关益处和危害的数字信息:首先,不考虑HPV疫苗接种的信息,然后以HPV疫苗为条件的信息。主要结局指标:自我报告的意图参与宫颈筛查。结果:与对照组相比,打算接受筛查的两组接受数字信息的女性比例要低得多,绝对差异分别为10.5(95%CI:3.3-17.6)和7.7(95%CI:0.4-14.9)个百分点, 分别。在接受HPV疫苗接种的女性中,我们发现在接受针对接种疫苗的女性的数字信息后参与筛查的意愿明显降低(OR为0.38)。结论:妇女对有关子宫颈筛查的利弊的数字信息敏感。具体而言,我们的结果表明,接种HPV疫苗的妇女对实施HPV疫苗后宫颈筛查的预期利弊变化敏感。要点与非数字或无信息相比,当妇女获得有关利弊的数字信息时,她们参加宫颈筛查的可能性较小。具体而言,有关HPV疫苗接种妇女宫颈癌风险降低的潜在影响的数字信息减少了疫苗接种妇女参与的意愿。

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