{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:09:09Z","timestamp":1777928949100,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2019,11,26]],"date-time":"2019-11-26T00:00:00Z","timestamp":1574726400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Med Screen"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>In 2017, the Australian National Cervical Screening Program changed from two-yearly Pap smears between ages 18 and 69, to five-yearly human papillomavirus screening between ages 25 and 74 (the \u201cRenewal\u201d). This study investigated attitudes towards the changes, among individuals previously affected by cervical abnormalities\/cervical cancer, personally or through a friend\/relative.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a thematic analysis of comments expressing personal history or a family\/friend history of cervical abnormalities\/cervical cancer as a reason for opposing changes to the cervical screening program. The comments were taken from a 20% random sample of 19,633 comments posted on the \u201cChange.org\u201d petition \u201cStop May 1st Changes to Pap Smears \u2013 Save Women's Lives\u201d in February\u2013March 2017.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>There were 831 (20.8%) commenters who reported that they were concerned about a change in screening due to: feelings of increased personal vulnerability to cervical cancer due to their own personal history of cervical abnormalities; comparison of extended screening intervals and later age of first screening to their own experiences; and a perception of increased personal risk due to family history.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Women previously affected by cervical abnormalities or cervical cancer, personally or through a friend\/relative, expressed concern about changes to cervical screening due to perceived increased risk and feeling vulnerable due to personal history.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0969141319889648","type":"journal-article","created":{"date-parts":[[2019,11,27]],"date-time":"2019-11-27T01:17:03Z","timestamp":1574817423000},"page":"223-226","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["\u201cA Pap smear saved my life\u201d: Personal experiences of cervical abnormalities shape attitudes to cervical screening renewal"],"prefix":"10.1177","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0217-6574","authenticated-orcid":false,"given":"Helena M","family":"Obermair","sequence":"first","affiliation":[{"name":"Sydney School of Public Health, Wiser Healthcare, University of Sydney, Sydney, NSW, Australia"},{"name":"Department of Obstetrics & Gynaecology, Liverpool Hospital, Liverpool, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirsten J","family":"McCaffery","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, Wiser Healthcare, University of Sydney, Sydney, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8080-6359","authenticated-orcid":false,"given":"Rachael H","family":"Dodd","sequence":"additional","affiliation":[{"name":"Sydney School of Public Health, Wiser Healthcare, University of Sydney, Sydney, NSW, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,11,26]]},"reference":[{"key":"bibr1-0969141319889648","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-019171"},{"key":"bibr2-0969141319889648","doi-asserted-by":"publisher","DOI":"10.1111\/2047-3095.12028"},{"key":"bibr3-0969141319889648","doi-asserted-by":"publisher","DOI":"10.1071\/SH05044"},{"key":"bibr4-0969141319889648","doi-asserted-by":"publisher","DOI":"10.2196\/12307"},{"key":"bibr5-0969141319889648","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"bibr6-0969141319889648","doi-asserted-by":"publisher","DOI":"10.1177\/096914139700400111"},{"key":"bibr7-0969141319889648","doi-asserted-by":"publisher","DOI":"10.1111\/j.1369-7625.2011.00707.x"},{"key":"bibr8-0969141319889648","first-page":"72","author":"Hounsgaard L","year":"2013","journal-title":"Int J Circumpolar Health"},{"key":"bibr9-0969141319889648","unstructured":"Anderson L, Pather S, Wright G, et\u00a0al. National Cervical Screening Program: guidelines for the management of screen-detected abnormalities, screening in specific populations and investigation of abnormal vaginal bleeding. In:\n                      Cancer Council Australia cervical cancer screening guidelines\n                      . Sydney: Cancer Council Australia, 2019."},{"key":"bibr10-0969141319889648","volume-title":"Affective determinants of health-related behaviour","author":"Consedine N","year":"2018","edition":"1"},{"key":"bibr11-0969141319889648","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2016.11.018"},{"key":"bibr12-0969141319889648","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2016.11.028"},{"key":"bibr13-0969141319889648","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000638"},{"key":"bibr14-0969141319889648","unstructured":"Change.org. Most popular petitions of all time. Change.org (2017, accessed 11 November 2019)."},{"key":"bibr15-0969141319889648","doi-asserted-by":"publisher","DOI":"10.1258\/096914106777589687"},{"key":"bibr16-0969141319889648","doi-asserted-by":"publisher","DOI":"10.1097\/EDE.0000000000000947"}],"container-title":["Journal of Medical Screening"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0969141319889648","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0969141319889648","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0969141319889648","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:24:41Z","timestamp":1777677881000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0969141319889648"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,11,26]]},"references-count":16,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["10.1177\/0969141319889648"],"URL":"https:\/\/doi.org\/10.1177\/0969141319889648","relation":{},"ISSN":["0969-1413","1475-5793"],"issn-type":[{"value":"0969-1413","type":"print"},{"value":"1475-5793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,11,26]]}}}