{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T03:28:06Z","timestamp":1791689286353,"version":"4.3.4"},"reference-count":30,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,4,16]],"date-time":"2018-04-16T00:00:00Z","timestamp":1523836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Leicester Hospitals Charity"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psycho-Oncology"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Primary human papillomavirus (HPV) cervical screening is due to be implemented in England within the next 2\u00a0years; however, the acceptability of HPV testing as the primary screening test is unclear. This study explores women's awareness and attitudes toward HPV testing\/screening.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Qualitative interviews (semistructured and focus group) were conducted with 46 women (aged 25\u201065\u00a0years) from community and secondary care settings. Data were analyzed by using the inductive\u2010framework method.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Women were unaware that cervical screening currently includes HPV testing and lacked HPV\u2010related knowledge. Emotions of shock, fear, and anxiety were reported upon receiving a positive HPV result. For women in long\u2010term relationships, the realization that HPV is a sexually transmitted infection was seen as a barrier to primary HPV testing. Knowledge that HPV testing is a screening test to prevent cervical cancer did not change their attitudes. Women debated the need for continued screening following a negative result. Women feared judgment by the community if they participated with primary HPV screening because they were being tested for a sexually transmitted infection, with the possible attendant perception that they had adopted a high\u2010risk lifestyle in comparison to nonattenders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The acceptability of HPV testing may be a limiting factor in encouraging participation with screening in the future.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pon.4694","type":"journal-article","created":{"date-parts":[[2018,3,9]],"date-time":"2018-03-09T11:02:41Z","timestamp":1520593361000},"page":"1559-1564","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["HPV primary cervical screening in England: Women's awareness and attitudes"],"prefix":"10.1002","volume":"27","author":[{"given":"Hersha","family":"Patel","sequence":"first","affiliation":[{"name":"Department of Health Sciences University of Leicester  Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2650-0172","authenticated-orcid":false,"given":"Esther L.","family":"Moss","sequence":"additional","affiliation":[{"name":"Leicester Cancer Research Centre University of Leicester  Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6708-3398","authenticated-orcid":false,"given":"Susan M.","family":"Sherman","sequence":"additional","affiliation":[{"name":"School of Psychology Keele University  Staffordshire UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,4,16]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1096-9896(199909)189:1<12::AID-PATH431>3.0.CO;2-F"},{"key":"e_1_2_10_3_1","unstructured":"Public Health England.HPV primary screening in the cervical screening programme.2016.https:\/\/phescreening.blog.gov.uk\/2016\/04\/13\/hpv\u2010primary\u2010screening\u2010in\u2010the\u2010cervical\u2010screening\u2010programme\/. Accessed June 14 2017."},{"key":"e_1_2_10_4_1","unstructured":"Public Health England.What GPs need to know about the introduction of primary HPV testing in cervical screening.2017.https:\/\/phescreening.blog.gov.uk\/2017\/06\/14\/what\u2010gps\u2010need\u2010to\u2010know\u2010about\u2010the\u2010introduction\u2010of\u2010primary\u2010hpv\u2010testing\u2010in\u2010cervical\u2010screening\/. 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