{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T11:00:49Z","timestamp":1790506849423,"version":"4.1.0"},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,8,7]],"date-time":"2019-08-07T00:00:00Z","timestamp":1565136000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Prom J of Aust"],"published-print":{"date-parts":[[2020,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Australia has recently introduced a new screening program for cervical cancer. There has also been a decline in participation rates for cervical screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To complete a systematic literature review of the factors that prevent Australian women from participating in cervical screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Authors searched CINAHL, Medline, SCOPUS and the Cochrane Library to obtain articles discussing Australian women's self\u2010identified barriers to cervical screening. Quantitative studies published in peer\u2010reviewed journals after 1991 were considered. PROSPERO Registration Number: CRD42018105028.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The final search produced 1749 studies, with 13 quantitative papers included in the narrative synthesis after screening by two independent reviewers. No articles were excluded due to bias.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Self\u2010identified barriers to screening were categorised into personal, practitioner, test\u2010related and logistical factors. The most commonly stated barriers included lack of time, embarrassment, fear of results, irrelevance and male health professionals. The use of HPV triage in cervical screening was not a barrier to screening, however, some women regarded self\u2010collected HPV testing as a barrier. Barriers to self\u2010collection included desire for the general practitioner to complete the test, fear of doing the test incorrectly, wishing to include it in a general check\u2010up and concerns about the test itself.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>A variety of personal, practitioner, test\u2010related and logistical barriers negatively impact the screening participation of Australian women. Further research into barriers in the Australian population, and women's attitudes towards HPV testing and self\u2010collection is required to create effective health interventions to improve participation in cervical screening.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hpja.280","type":"journal-article","created":{"date-parts":[[2019,7,29]],"date-time":"2019-07-29T02:24:19Z","timestamp":1564367059000},"page":"343-353","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":47,"title":["Australian women\u2019s self\u2010perceived barriers to participation in cervical cancer screening: A systematic review"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9210-2252","authenticated-orcid":false,"given":"Archana","family":"Nagendiram","sequence":"first","affiliation":[{"name":"James Cook University College of Medicine and Dentistry, Mackay Clinical School Mackay QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Bougher","sequence":"additional","affiliation":[{"name":"James Cook University College of Medicine and Dentistry, Mackay Clinical School Mackay QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1520-7488","authenticated-orcid":false,"given":"Jennifer","family":"Banks","sequence":"additional","affiliation":[{"name":"James Cook University College of Medicine and Dentistry, Mackay Clinical School Mackay QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9641-9217","authenticated-orcid":false,"given":"Leanne","family":"Hall","sequence":"additional","affiliation":[{"name":"James Cook University College of Medicine and Dentistry, Mackay Clinical School Mackay QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5041-2666","authenticated-orcid":false,"given":"Clare","family":"Heal","sequence":"additional","affiliation":[{"name":"James Cook University College of Medicine and Dentistry, Mackay Clinical School Mackay QLD Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,8,7]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"AIHW.Cervical screening in Australia 2018. 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Cancer Guidelines Wiki website. Available fromhttps:\/\/wiki.cancer.org.au\/australia\/Guidelines:Cervical_cancer\/Screening. Updated May 14 2018. 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