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The psychosexual impact of testing positive for high-risk cervical human papillomavirus (HPV): a systematic review

Bennett, KF; Waller, J; Ryan, M; Bailey, JV; Marlow, LAV; (2019) The psychosexual impact of testing positive for high-risk cervical human papillomavirus (HPV): a systematic review. Psychooncology , 28 (10) pp. 1959-1970. 10.1002/pon.5198. Green open access

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Abstract

OBJECTIVES: Many countries are implementing human papillomavirus (HPV)-based cervical screening due to the higher sensitivity of the test compared with cytology. As HPV is sexually transmitted, there may be psychosexual consequences of testing positive for the virus. We aimed to review the literature exploring the psychosexual impact of testing positive for high-risk cervical HPV. METHODS: MEDLINE, PsycINFO, CINAHL Plus, Web of Science and EMBASE were searched with no date limits. We also searched the grey literature, reference lists of included articles and carried out forward citation searching. Eligible studies reported at least one psychosexual outcome among HPV-positive women. Qualitative and quantitative papers were included. We extracted data using a standardised form and carried out a quality assessment for each article. We conducted a narrative synthesis for quantitative studies and a thematic synthesis for qualitative studies. RESULTS: Twenty-five articles were included. Quantitative study designs were diverse making it difficult to determine the impact that an HPV positive result would have in the context of routine screening. The qualitative literature suggested that psychosexual concerns cover a broad range of aspects relating to women's current and past relationships, both interpersonal and sexual. CONCLUSIONS: The psychosexual impact of testing positive for high-risk cervical HPV is unclear. This review highlights the need for further research in the context of HPV-based cervical screening. As primary HPV testing is introduced more widely, it is important to understand women's responses to testing HPV positive in the cancer screening context to minimise any adverse psychosexual impact.

Type: Article
Title: The psychosexual impact of testing positive for high-risk cervical human papillomavirus (HPV): a systematic review
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1002/pon.5198
Publisher version: https://doi.org/10.1002/pon.5198
Language: English
Additional information: © 2019 The Authors. Psycho-Oncology published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/).
Keywords: Cancer, Early Detection of Cancer, Oncology, Papillomavirus Infections, Sexual Dysfunctions, Psychological, Systematic Review
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Primary Care and Population Health
URI: https://discovery.ucl.ac.uk/id/eprint/10079958
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