{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,2]],"date-time":"2025-10-02T13:08:10Z","timestamp":1759410490870,"version":"3.37.3"},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2013,3,14]],"date-time":"2013-03-14T00:00:00Z","timestamp":1363219200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2015,9,1]],"date-time":"2015-09-01T00:00:00Z","timestamp":1441065600000},"content-version":"tdm","delay-in-days":901,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100004802","name":"Georgian National Science Foundation","doi-asserted-by":"publisher","award":["455"],"award-info":[{"award-number":["455"]}],"id":[{"id":"10.13039\/501100004802","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000061","name":"Fogarty International Center","doi-asserted-by":"publisher","award":["D43 TW000233","D43 TW007384"],"award-info":[{"award-number":["D43 TW000233","D43 TW007384"]}],"id":[{"id":"10.13039\/100000061","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004802","name":"Georgian National Science Foundation","doi-asserted-by":"publisher","award":["455"],"award-info":[{"award-number":["455"]}],"id":[{"id":"10.13039\/501100004802","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000061","name":"Fogarty International Center","doi-asserted-by":"publisher","award":["D43 TW000233","D43 TW007384"],"award-info":[{"award-number":["D43 TW000233","D43 TW007384"]}],"id":[{"id":"10.13039\/100000061","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["ijgo.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2013,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To document Georgian physician's knowledge, attitudes, and practices concerning HPV, Pap smear testing, and HPV vaccination, and to assess whether physician practice might change with additional education and training.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional study was conducted using a self\u2010administered written survey of 288 physicians practicing in 7 healthcare institutions in Tbilisi, Rustavi, and Batumi, Georgia. Data were collected on demographics, conduct of and perceived barriers to Pap smear testing, knowledge about HPV and HPV vaccination, and willingness to receive education and training about HPV and cervical cancer. Univariate counts and proportions were calculated. Pap smear testing and barriers were compared across demographics using bivariate and Poisson regression with robust error variance methods.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 54% of physicians never performed Pap smears; most reported testing was not their responsibility. Most (88%) obstetricians\/gynecologists performed Pap smears. Younger physicians were more likely to perform Pap smears. Approximately 48% of physicians actively offered the HPV vaccine. Most physicians were receptive to increased education and training about HPV and cervical cancer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Age\u2010related differences in the conduct of and attitudes toward Pap smear testing exist among Georgian physicians. There is an opportunity to increase Pap smear testing and provide evidence\u2010based HPV vaccine counseling in Georgia.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2013.01.016","type":"journal-article","created":{"date-parts":[[2013,3,14]],"date-time":"2013-03-14T16:13:26Z","timestamp":1363277606000},"page":"224-228","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":8,"title":["Attitudes and knowledge of Georgian physicians regarding cervical cancer prevention, 2010"],"prefix":"10.1002","volume":"121","author":[{"given":"Robert A.","family":"Bednarczyk","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maia","family":"Butsashvili","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Kamkamidze","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maia","family":"Kajaia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louise\u2010Anne","family":"McNutt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,3,14]]},"reference":[{"key":"e_1_2_6_2_2","unstructured":"World Health Organization ICO.Human Papillomavirus and Related Cancers in Georgia. Summary Report 2010.http:\/\/www.who.int\/hpvcentre\/statistics\/dynamic\/ico\/country_pdf\/GEO.pdf Published September 15 2010. Accessed May 14 2012"},{"key":"e_1_2_6_3_2","unstructured":"World Health Organization ICO.Human Papillomavirus and Related Cancers in United States of America. Summary Report 2010.http:\/\/apps.who.int\/hpvcentre\/statistics\/dynamic\/ico\/country_pdf\/USA.pdf Published September 15 2010. Accessed May 14 2012"},{"key":"e_1_2_6_4_2","unstructured":"World Health Organization ICO.Human Papillomavirus and Related Cancers in United Kingdom. Summary Report 2010.http:\/\/www.who.int\/hpvcentre\/statistics\/dynamic\/ico\/country_pdf\/GBR.pdf Published September 15 2010. Accessed May 14 2012"},{"key":"e_1_2_6_5_2","unstructured":"World Health Organization ICO.Human Papillomavirus and Related Cancers in Canada. Summary Report 2010.http:\/\/www.who.int\/hpvcentre\/statistics\/dynamic\/ico\/country_pdf\/CAN.pdf Published September 15 2010. Accessed May 14 2012"},{"key":"e_1_2_6_6_2","unstructured":"U.S. Preventive Services Task Force.Screening for Cervical Cancer Recommendations and Rationale.http:\/\/www.ahrq.gov\/clinic\/3rduspstf\/cervcan\/cervcanrr.htm Updated March 2012. Accessed February 26 2009"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0215(19970410)71:2<159::AID-IJC6>3.0.CO;2-#"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1023\/A:1018435522475"},{"key":"e_1_2_6_9_2","unstructured":"Georgia National Screening Center.National Screening Program.http:\/\/www.gnsc.ge\/?act=page&id=44&lang=en[Updated 2013. Accessed December 10 2012]"},{"key":"e_1_2_6_10_2","unstructured":"Georgia National Screening Center.Cervical Cancer Screening.http:\/\/www.gnsc.ge\/?act=page&c=NTJjNWQ4&id=39&lang=en Updated 2013. Accessed December 10 2012"},{"volume-title":"Reproductive Health Survey, Georgia 2005: Preliminary Report","year":"2005","author":"Serbanescu F.","key":"e_1_2_6_11_2"},{"key":"e_1_2_6_12_2","unstructured":"National Center for Disease Control and Public Health Ministry of Labor Health and Social Affairs National Statistics Office of Georgia.Reproductive Health Survey Georgia 2010 Final Report.http:\/\/www.ncdc.ge\/uploads\/publications\/angarishebi\/GERHS_2010_%20Final%20Report%20%20ENGL.pdf Published 2012"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.287.16.2114"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djj067"},{"issue":"2","key":"e_1_2_6_15_2","first-page":"1","article-title":"Quadrivalent Human Papillomavirus Vaccine: Recommendations of the Advisory Committee on Immunization Practices (ACIP)","volume":"56","author":"Markowitz L.E.","year":"2007","journal-title":"MMWR Recomm Rep"},{"key":"e_1_2_6_16_2","unstructured":"WHO UNICEF.Georgia: WHO and UNICEF estimates of immunization coverage: 2011 revision.http:\/\/www.who.int\/immunization_monitoring\/data\/geo.pdf Accessed February 18 2013"},{"key":"e_1_2_6_17_2","unstructured":"SnowJohn.Cervical Cancer Prevention: Introducing HPV vaccination in Georgia.http:\/\/www.cervicalcanceraction.org\/multimedia\/webinar21oct\/presentations\/Berdzuli_21oct2010.pdf Published 2010. Accessed April 3 2012"},{"key":"e_1_2_6_18_2","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwh090"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1086\/649795"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0168-8510(01)00213-5"},{"key":"e_1_2_6_21_2","first-page":"136","article-title":"Public health concerns in the countries of Central and Eastern Europe and the New Independent States","volume":"1","author":"McNabb S.","year":"1995","journal-title":"Curr Issues Pub Health"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1086\/315571"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1023\/A:1022643329631"},{"key":"e_1_2_6_24_2","unstructured":"Oanda.Currency Converter.http:\/\/www.oanda.com\/currency\/converter\/ Accessed May 25 2011"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S0020729213000982?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/api.elsevier.com\/content\/article\/PII:S0020729213000982?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.ijgo.2013.01.016","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1016%2Fj.ijgo.2013.01.016","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1016\/j.ijgo.2013.01.016","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,3]],"date-time":"2023-10-03T23:23:53Z","timestamp":1696375433000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1016\/j.ijgo.2013.01.016"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,3,14]]},"references-count":23,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2013,6]]}},"alternative-id":["10.1016\/j.ijgo.2013.01.016"],"URL":"https:\/\/doi.org\/10.1016\/j.ijgo.2013.01.016","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"type":"print","value":"0020-7292"},{"type":"electronic","value":"1879-3479"}],"subject":[],"published":{"date-parts":[[2013,3,14]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Attitudes and knowledge of Georgian physicians regarding cervical cancer prevention, 2010","name":"articletitle","label":"Article Title"},{"value":"International Journal of Gynecology & Obstetrics","name":"journaltitle","label":"Journal Title"},{"value":"http:\/\/dx.doi.org\/10.1016\/j.ijgo.2013.01.016","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2013 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.","name":"copyright","label":"Copyright"}]}}