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Title: Impact of human papillomavirus-related lesions on quality of life: a multicenter hospital-based study of women in Mainland China
Authors: Wang SM; Shi JF; Kang DJ; Song P; Qiao YL
Categories: Cancer Type - Cervical Cancer
Cancer Control, Survivorship, and Outcomes Research - Patient Care and Survivorship Issues
Keywords: cancer; Research; screening; Women; cervical; China; Developing Countries; epidemiology; HPV; methods; psychosocial; Quality of Life
Year: 2011
Journal Title: International Journal of Gynecological Cancer
Volume: 21
Issue: 1
Page number start: 182
Page number end: 188
Abstract: INTRODUCTION: To date, few studies using a human papillomavirus (HPV)-specific questionnaire have focused on the impact of quality of life (QoL) among women with HPV-related lesions in developing countries. METHODS: A multicenter, hospital-based survey was conducted from 2007 to 2008. Women 18 to 65 years old who had HPV-related lesions or underwent HPV-related screening interventions during the past 3 months were recruited and divided into 6 groups based on different diagnoses: (1) normal Papanicolaou (Pap) test result, (2) abnormal Pap test result without HPV test, (3) external genital warts (GWs), (4) precancerous cervical lesions (confirmed by histological diagnoses), (5) HPV positive (HPV+) after abnormal Pap test result, and (6) HPV negative (HPV-) after abnormal Pap test result. Psychosocial burdens were assessed by the HPV impact profile (HIP). The HIP contains 7 domains and 29 questions, and its scores reversely relates to the subjects' QoL. RESULTS: A total of 2605 eligible women were enrolled. Women with GWs had the highest mean HIP scores (52.2), followed by the group with precancerous cervical lesions (48.6), HPV+ after abnormal Pap (45.8), abnormal Pap test result without HPV test (44.1), HPV- after abnormal Pap (43.1), and women with normal Pap endured the least (33.1). 'Sexual impact,' 'self-image,' and 'control/life impact' were the 3 QoL-related domains that affected women the most. The psychosocial burden of urban residents was heavier than that of rural women. CONCLUSIONS: Women with GWs and precancerous cervical lesions had the worst psychological burden, and sexual-related concern was the primary cause of burdens regarding HPV-related diseases for Chinese women. In addition to basic medical treatments, psychosocial support systems should be established, and consultation services should be generalized to help alleviate these burdens
Programme: Epi Mod Screen
Division: Cancer Research Division
Appears in Collections:Research Articles

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