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The Psychosocial Burden of Hpv-Related Disease and Screening Interventions
  1. Marie Pirotta (mpirotta{at}unimelb.edu.au)
  1. University of Melbourne, Australia
    1. Linh Ung (linh.ung{at}thewomens.org.au)
    1. Royal Women's Hospital, Australia
      1. Alicia Stein (alicia.stein{at}csl.com.au)
      1. CSL Limited, Australia
        1. E Lynne Conway (lynne.conway{at}csl.com.au)
        1. CSL Limited, Australia
          1. Christopher Mast (christopher_mast{at}merck.com)
          1. Merck Research Laboratories, United States
            1. Christopher K Fairley (cfairley{at}unimelb.edu.au)
            1. University of Melbourne, Australia
              1. Suzanne Garland (sue.garland{at}thewomens.org.au)
              1. Royal Women's Hospital and University of Melbourne, Australia

                Abstract

                Objectives: (i) To assess the psychosocial burden of testing for human papilloma virus (HPV)-related genital disease, or of an HPV-related diagnosis; (ii) to compare an instrument specifically designed to measure HPV-related psychosocial burden with other generic quality of life (QoL) instruments.

                Design: Cross sectional.

                Setting: Outpatient clinics at a major tertiary women’s hospital and a sexual health centre.

                Participants: 331 women, 18-45 years, who had experienced either a normal cervical Papanicolaou (Pap) result, an abnormal Pap result, biopsy confirmed cervical intraepithelial neoplasia (CIN) or external genital warts (EGW).

                Methods: Researchers recruited women, who completed surveys within three months of receiving results.

                Main outcome measures: The HPV impact profile (HIP) designed to assess the psychosocial impact of HPV; two general health–related QoL surveys - the EuroQoL VAS and the Sheehan disability scale; an HPV knowledge survey.

                Results: Response rate was 78%. Significant psychosocial impacts were found for women screened for, or having a diagnosis of, HPV-related genital disease. The largest impact was in women with CIN 2/3 and EGW. This HPV-related psychosocial impact was most sensitively detected with the HIP. Relative to generic measures of QoL, the HIP provided insight into the full range of psychosocial impacts of HPV testing and diagnoses.

                Conclusions: Clinicians need to be aware of the potential psychosocial impact of testing for or diagnosing HPV-related genital disease, in particular CIN 2/3 and EGW. The HIP survey is a more sensitive measure of the psychosocial impact of HPV-related genital disease than generic QoL surveys.

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