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

:在英格兰,年龄在25-29岁之间的女性接受子宫颈筛查的比例低于年龄较大的女性。有证据表明,预先通知传单可以激励尚未考虑其对健康干预措施反应的妇女。我们旨在识别关键信息,以激发年轻女性的首次宫颈筛查邀请。进行了六个焦点小组讨论,其中五个在17-21岁的年轻女性中注册了英国曼彻斯特的General Practice,一个在执业护士中进行。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认识不足,大多数妇女因不良经历的报道而失去动力。有些打算放映,但不是在邀请后立即放映。筛查被认为是对影响老年妇女的癌症的测试。由于没有一个参与者相信自己患有宫颈癌,因此筛查似乎是不必要的。我们得出的结论是,对年轻时进行筛查并不重要的看法需要受到挑战。还需要使妇女更好地了解筛查程序。设计了包含关键信息的预告传单,并将在常规宫颈筛查计划内的复杂干预措施的随机试验中进行测试。

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