Cervical screening attendance among women aged 25-29 years in England is lower than at older ages. There is some evidence that pre-notification leaflets motivate women who have not yet considered their response to a health intervention. We aimed to identify key information to motivate young women at their first cervical screening invitation. Six focus groups were conducted, five with young women aged 17-25 registered with a General Practice in Manchester, UK, and one with Practice nurses. Some women took part in two further groups to discuss leaflet design. There was low awareness of the purpose or procedures of cervical screening, and most women were de-motivated by reports of bad experiences. Some intended to be screened, but not immediately after invitation. Screening was viewed as a test for a cancer that affected older women. Since none of the participants believed that they had cervical cancer, screening seemed unnecessary. We conclude that the perception that screening is unimportant when you are young needs to be challenged. Women also need to be better informed of screening procedures. A pre-notification leaflet incorporating key information was designed and will be tested in a randomized trial of complex interventions within the routine cervical screening programme.

译文

英格兰25-29岁女性的子宫颈筛查出勤率低于老年人。有证据表明,预先通知的传单会激励尚未考虑对健康干预措施做出反应的妇女。我们的目标是确定关键信息,以激励年轻女性首次接受子宫颈筛查邀请。进行了六个重点小组,其中五个是在英国曼彻斯特注册的17-25岁的年轻女性,其中一个是执业护士。一些妇女参加了另外两个小组,讨论传单设计。人们对宫颈筛查的目的或程序的认识不足,大多数妇女因不良经历的报道而缺乏动力。有些人打算放映,但不是在邀请后立即放映。筛查被视为对影响老年妇女的癌症的测试。由于没有参与者相信自己患有宫颈癌,因此筛查似乎没有必要。我们得出的结论是,年轻时筛查不重要的看法需要受到挑战。妇女还需要更好地了解筛查程序。设计了包含关键信息的预通知传单,并将在常规子宫颈筛查计划中进行复杂干预的随机试验中进行测试。

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