Long-term Worries after Colposcopy: Which Women Are at Increased Risk?

Linda Sharp; Seonaidh C Cotton; Margaret E Cruickshank; Nicola M Gray; Keith Neal; Kieran Rothnie; Alison J Thornton; Leslie G Walker; Julian Little; The TOMBOLA (Trial Of Management of Borderline and Other Low-grade Abnormal smears) Group

doi:10.1016/j.whi.2015.04.002

Long-term Worries after Colposcopy: Which Women Are at Increased Risk?

Linda Sharp, Seonaidh C Cotton, Margaret E Cruickshank, Nicola M Gray, Keith Neal, Kieran Rothnie, Alison J Thornton, Leslie G Walker, Julian Little, The TOMBOLA (Trial Of Management of Borderline and Other Low-grade Abnormal smears) Group

Research output: Contribution to journal › Article › peer-review

10 Citations (Scopus)

Abstract

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.

Original language	English
Pages (from-to)	517-527
Number of pages	11
Journal	Women's Health Issues
Volume	25
Issue number	5
Early online date	4 Jun 2015
DOIs	https://doi.org/10.1016/j.whi.2015.04.002
Publication status	Published - Sept 2015

Bibliographical note

Copyright © 2015 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved.

Acknowledgments
ISRCTN 34841617 (http://www.isrctn.org/). L.S. and S.C.C. had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. The authors are grateful for the cooperation and assistance that we received from NHS staff in the coordinating centers and clinical sites. The authors thank the women who participated in TOMBOLA.

Keywords

Coloscopy
Long term Worries
Increased risk
Women
Cervical Screening
Pyschological effects

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Cite this

Sharp, L., Cotton, S. C., Cruickshank, M. E., Gray, N. M., Neal, K., Rothnie, K., Thornton, A. J., Walker, L. G., Little, J., & The TOMBOLA (Trial Of Management of Borderline and Other Low-grade Abnormal smears) Group (2015). Long-term Worries after Colposcopy: Which Women Are at Increased Risk? Women's Health Issues, 25(5), 517-527. https://doi.org/10.1016/j.whi.2015.04.002

Sharp, L, Cotton, SC, Cruickshank, ME, Gray, NM, Neal, K, Rothnie, K, Thornton, AJ, Walker, LG, Little, J & The TOMBOLA (Trial Of Management of Borderline and Other Low-grade Abnormal smears) Group 2015, 'Long-term Worries after Colposcopy: Which Women Are at Increased Risk?', Women's Health Issues, vol. 25, no. 5, pp. 517-527. https://doi.org/10.1016/j.whi.2015.04.002

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title = "Long-term Worries after Colposcopy: Which Women Are at Increased Risk?",

abstract = "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.",

keywords = "Coloscopy, Long term Worries, Increased risk, Women, Cervical Screening, Pyschological effects",

author = "Linda Sharp and Cotton, {Seonaidh C} and Cruickshank, {Margaret E} and Gray, {Nicola M} and Keith Neal and Kieran Rothnie and Thornton, {Alison J} and Walker, {Leslie G} and Julian Little and {The TOMBOLA (Trial Of Management of Borderline and Other Low-grade Abnormal smears) Group}",

note = "Copyright {\textcopyright} 2015 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved. Acknowledgments ISRCTN 34841617 (http://www.isrctn.org/). L.S. and S.C.C. had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. The authors are grateful for the cooperation and assistance that we received from NHS staff in the coordinating centers and clinical sites. The authors thank the women who participated in TOMBOLA. ",

year = "2015",

month = sep,

doi = "10.1016/j.whi.2015.04.002",

language = "English",

volume = "25",

pages = "517--527",

journal = "Women's Health Issues",

issn = "1049-3867",

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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 - The TOMBOLA (Trial Of Management of Borderline and Other Low-grade Abnormal smears) Group

N1 - Copyright © 2015 Jacobs Institute of Women's Health. Published by Elsevier Inc. All rights reserved. Acknowledgments ISRCTN 34841617 (http://www.isrctn.org/). L.S. and S.C.C. had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. The authors are grateful for the cooperation and assistance that we received from NHS staff in the coordinating centers and clinical sites. The authors thank the women who participated in TOMBOLA.

PY - 2015/9

Y1 - 2015/9

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.

KW - Coloscopy

KW - Long term Worries

KW - Increased risk

KW - Women

KW - Cervical Screening

KW - Pyschological effects

U2 - 10.1016/j.whi.2015.04.002

DO - 10.1016/j.whi.2015.04.002

M3 - Article

C2 - 26051021

SN - 1049-3867

VL - 25

SP - 517

EP - 527

JO - Women's Health Issues

JF - Women's Health Issues

IS - 5

ER -

Long-term Worries after Colposcopy: Which Women Are at Increased Risk?

Abstract

Bibliographical note

Keywords

UN SDGs

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