{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T06:53:24Z","timestamp":1793084004852,"version":"4.5.0"},"reference-count":33,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2018,4,13]],"date-time":"2018-04-13T00:00:00Z","timestamp":1523577600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000289","name":"Cancer Research UK","doi-asserted-by":"publisher","award":["C7492\/A17219"],"award-info":[{"award-number":["C7492\/A17219"]}],"id":[{"id":"10.13039\/501100000289","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Med Screen"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Understanding why some women actively decline cervical screening could contribute to tailored intervention development. We explored reasons for non-participation in cervical screening among women who had made an active decision not to attend in the future. We also explored interest in human papillomavirus self-sampling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In a population-based survey of women in Great Britain, home-based computer-assisted interviews were carried out with screening eligible women. Women reported their intention to attend for screening when next invited. They endorsed predefined barriers to screening and indicated their interest in human papillomavirus self-sampling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Women who had actively declined screening and those who intended to go but were currently overdue (n=543) were included in this analysis. Women who had made an active decision not to be screened in the future were more likely to endorse the barriers \u2018I have other more important things to worry about\u2019 and to perceive screening to be of low relevance based on their sexual behaviour. Most participants (70%) indicated that they would be interested in human papillomavirus self-sampling. Interest in self-sampling was greater among those who reported having had a bad experience of screening in the past, were too busy or embarrassed to attend, or would not want a man to carry out the test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Women who had made an active decision not to attend screening felt it was of low relevance to them and that they had more important things to worry about. Shifting the perceived cost\u2013benefit ratio for these women by offering human papillomavirus self-sampling might increase screening participation in this group.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0969141318767471","type":"journal-article","created":{"date-parts":[[2018,4,13]],"date-time":"2018-04-13T04:51:13Z","timestamp":1523595073000},"page":"211-217","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":69,"title":["Barriers to cervical screening and interest in self-sampling among women who actively decline screening"],"prefix":"10.1177","volume":"25","author":[{"given":"Kirsty F","family":"Bennett","sequence":"first","affiliation":[{"name":"Cancer Communication and Screening Group, Department of Behavioural Science and Health, UCL, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo","family":"Waller","sequence":"additional","affiliation":[{"name":"Cancer Communication and Screening Group, Department of Behavioural Science and Health, UCL, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amanda J","family":"Chorley","sequence":"additional","affiliation":[{"name":"Cancer Communication and Screening Group, Department of Behavioural Science and Health, UCL, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca A","family":"Ferrer","sequence":"additional","affiliation":[{"name":"Basic Biobehavioral and Psychological Sciences Branch, Behavioral Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Rockville, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica B","family":"Haddrell","sequence":"additional","affiliation":[{"name":"Cancer Communication and Screening Group, Department of Behavioural Science and Health, UCL, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura AV","family":"Marlow","sequence":"additional","affiliation":[{"name":"Cancer Communication and Screening Group, Department of Behavioural Science and Health, UCL, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,4,13]]},"reference":[{"key":"bibr1-0969141318767471","volume-title":"Cervical screening: Programme overview","author":"Public Health England","year":"2015"},{"key":"bibr2-0969141318767471","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(04)16674-9"},{"key":"bibr3-0969141318767471","volume-title":"Cervical Screening Programme, England, 2016\u201317","author":"Screening &amp; Immunisations Team","year":"2017"},{"key":"bibr4-0969141318767471","doi-asserted-by":"publisher","DOI":"10.1258\/jms.2009.009073"},{"key":"bibr5-0969141318767471","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2014-101082"},{"key":"bibr6-0969141318767471","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-14-1096"},{"key":"bibr7-0969141318767471","doi-asserted-by":"publisher","DOI":"10.1080\/01674820701504619"},{"key":"bibr8-0969141318767471","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.7.4.355"},{"key":"bibr9-0969141318767471","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2017.04.017"},{"key":"bibr10-0969141318767471","doi-asserted-by":"publisher","DOI":"10.1016\/j.puhe.2009.09.011"},{"key":"bibr11-0969141318767471","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2005.09.004"},{"key":"bibr12-0969141318767471","first-page":"973","volume":"21","author":"Cockburn J","year":"1992","journal-title":"Aust Fam Physician"},{"key":"bibr13-0969141318767471","doi-asserted-by":"publisher","DOI":"10.1002\/pon.1270"},{"key":"bibr14-0969141318767471","doi-asserted-by":"publisher","DOI":"10.1111\/j.1369-7625.2007.00478.x"},{"key":"bibr15-0969141318767471","doi-asserted-by":"publisher","DOI":"10.1001\/jama.297.8.813"},{"key":"bibr16-0969141318767471","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1096-9896(199909)189:1<12::AID-PATH431>3.0.CO;2-F"},{"key":"bibr17-0969141318767471","doi-asserted-by":"publisher","DOI":"10.1177\/096914130601300409"},{"key":"bibr18-0969141318767471","doi-asserted-by":"publisher","DOI":"10.1097\/LGT.0b013e3181dc115b"},{"key":"bibr19-0969141318767471","doi-asserted-by":"publisher","DOI":"10.1089\/152460902753668466"},{"key":"bibr20-0969141318767471","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2010.2189"},{"key":"bibr21-0969141318767471","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejca.2015.07.006"},{"key":"bibr22-0969141318767471","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2014.09.019"},{"key":"bibr23-0969141318767471","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2010.05450.x"},{"key":"bibr24-0969141318767471","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-240X(199908)22:4<341::AID-NUR8>3.0.CO;2-P"},{"key":"bibr25-0969141318767471","unstructured":"Ipsos.\n                      Social grade: a classification tool\n                      , 2009. Available at: https:\/\/www.ipsos.com\/sites\/default\/files\/publication\/6800-03\/MediaCT_thoughtpiece_Social_Grade_July09_V3_WEB.pdf."},{"key":"bibr26-0969141318767471","volume-title":"Census Household Questionnaire England","author":"Statistics OfN","year":"2011"},{"key":"bibr27-0969141318767471","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.16.1.1-17.2003"},{"key":"bibr28-0969141318767471","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckt205"},{"key":"bibr29-0969141318767471","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2015.248"},{"key":"bibr30-0969141318767471","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2011.48"},{"key":"bibr31-0969141318767471","doi-asserted-by":"publisher","DOI":"10.1177\/0969141316639346"},{"key":"bibr32-0969141318767471","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-07-2629"},{"key":"bibr33-0969141318767471","unstructured":"Ofcom.\n                      The Communications Market 2016 \u2013 Post\n                      , 2016. Available at: https:\/\/www.ofcom.org.uk\/__data\/assets\/pdf_file\/0024\/26826\/cmr_uk_2016.pdf"}],"container-title":["Journal of Medical Screening"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0969141318767471","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0969141318767471","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0969141318767471","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:24:17Z","timestamp":1777677857000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0969141318767471"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,13]]},"references-count":33,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2018,12]]}},"alternative-id":["10.1177\/0969141318767471"],"URL":"https:\/\/doi.org\/10.1177\/0969141318767471","relation":{},"ISSN":["0969-1413","1475-5793"],"issn-type":[{"value":"0969-1413","type":"print"},{"value":"1475-5793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,4,13]]}}}