TY - JOUR
T1 - Long-term worries after colposcopy
T2 - which women are at increased risk?
AU - Sharp, Linda
AU - Cotton, Seonaidh C.
AU - Cruickshank, Margaret E.
AU - Gray, Nicola M.
AU - Neal, Keith
AU - Rothnie, Kieran
AU - Thornton, Alison J.
AU - Walker, Leslie G.
AU - Little, Julian
AU - Cruickshank, Maggie
AU - Murray, Graeme
AU - Parkin, David
AU - Smart, Louise
AU - Walker, Eric
AU - Waugh, Norman
AU - Avis, Mark
AU - Chilvers, Claire
AU - Fielding, Katherine
AU - Hammond, Rob
AU - Jenkins, David
AU - Johnson, Jane
AU - Seth, Rashmi
AU - Whynes, Dave
AU - Duncan, Ian
AU - Robertson, Alistair
AU - Russell, Ian
AU - Walker, Leslie
AU - Anthony, Breda
AU - Bell, Sarah
AU - Bowie, Adrienne
AU - Brown, Katrina
AU - Brown, Joe
AU - Chew, Kheng
AU - Cochran, Claire
AU - Cotton, Seonaidh
AU - Dean, Jeannie
AU - Dunn, Kate
AU - Edwards, Jane
AU - Evans, David
AU - Fenty, Julie
AU - Finlayson, Al
AU - Gallagher, Marie
AU - Gray, Nicola
AU - Heddle, Maureen
AU - Innes, Alison
AU - Jobson, Debbie
AU - Keillor, Mandy
AU - MacGregor, Jayne
AU - Mackenzie, Sheona
AU - Mackie, Amanda
AU - The TOMBOLA group
PY - 2015
Y1 - 2015
N2 - Background: A colposcopy examination is the main management option for women with an abnormal cervical screening test result. Although some women experience adverse psychological effects after colposcopy, those at greatest risk are unknown. We investigated predictors of worries about cervical cancer, sex, future fertility and general health during 12 to 30 months after colposcopy. Methods: We invited 1,515 women, aged 20 to 59 years with low-grade cervical cytology who attended colposcopy to complete questionnaires at recruitment (~8 weeks after cytology result) and after 12, 18, 24, and 30 months of follow up. Outcomes were worries about having cervical cancer, having sex, future fertility, and general health at any time during follow-up. Factors significantly associated with each outcome were identified using multiple logistic regression. Results: At one or more time points during follow-up, 40% of women reported worries about having cervical cancer, 26% about having sex, 24% about future fertility, and 60% about general health. For all outcomes except sex, worries reported at recruitment were associated with significantly increased risk of worries during follow-up. Significant anxiety at recruitment was associated with all worries during follow-up. Women diagnosed with CIN2+ had significantly higher risks of worries about cervical cancer and future fertility. Management received was associated significantly with worries about cervical cancer and having sex. Younger women significantly more often reported worries about future fertility, whereas women who had children had reduced risk of future fertility worries but increased risk of cervical cancer worries. Conclusion: Clinical, sociodemographic, lifestyle, and psychological factors predicted risk of reporting worries after colposcopy.
AB - Background: A colposcopy examination is the main management option for women with an abnormal cervical screening test result. Although some women experience adverse psychological effects after colposcopy, those at greatest risk are unknown. We investigated predictors of worries about cervical cancer, sex, future fertility and general health during 12 to 30 months after colposcopy. Methods: We invited 1,515 women, aged 20 to 59 years with low-grade cervical cytology who attended colposcopy to complete questionnaires at recruitment (~8 weeks after cytology result) and after 12, 18, 24, and 30 months of follow up. Outcomes were worries about having cervical cancer, having sex, future fertility, and general health at any time during follow-up. Factors significantly associated with each outcome were identified using multiple logistic regression. Results: At one or more time points during follow-up, 40% of women reported worries about having cervical cancer, 26% about having sex, 24% about future fertility, and 60% about general health. For all outcomes except sex, worries reported at recruitment were associated with significantly increased risk of worries during follow-up. Significant anxiety at recruitment was associated with all worries during follow-up. Women diagnosed with CIN2+ had significantly higher risks of worries about cervical cancer and future fertility. Management received was associated significantly with worries about cervical cancer and having sex. Younger women significantly more often reported worries about future fertility, whereas women who had children had reduced risk of future fertility worries but increased risk of cervical cancer worries. Conclusion: Clinical, sociodemographic, lifestyle, and psychological factors predicted risk of reporting worries after colposcopy.
UR - http://www.scopus.com/inward/record.url?scp=84940472315&partnerID=8YFLogxK
U2 - 10.1016/j.whi.2015.04.002
DO - 10.1016/j.whi.2015.04.002
M3 - Article
C2 - 26051021
AN - SCOPUS:84940472315
SN - 1049-3867
VL - 25
SP - 517
EP - 527
JO - Women's Health Issues
JF - Women's Health Issues
IS - 5
ER -