Abstract:
OBJECTIVE:To define embarrassment and develop an understanding of the role of embarrassment in relation to cervical cancer screening and self-collected human papillomavirus (HPV) DNA testing in Uganda. DESIGN:Cross-sectional, qualitative study using semistructured one-to-one interviews and focus groups. PARTICIPANTS:6 key-informant health workers and 16 local women, purposively sampled. Key informant inclusion criteria: Ugandan members of the project team. Focus group inclusion criteria: woman age 30-69 years, Luganda or Swahili speaking, living or working in the target Ugandan community. EXCLUSION CRITERIA:unwillingness to sign informed consent. SETTING:Primary and tertiary low-resource setting in Kampala, Uganda. RESULTS:In Luganda, embarrassment relating to cervical cancer is described in two forms. 'Community embarrassment' describes discomfort based on how a person may be perceived by others. 'Personal embarrassment' relates to shyness or discomfort with her own genitalia. Community embarrassment was described in themes relating to place of study recruitment, amount of privacy in dwellings, personal relationship with health workers, handling of the vaginal swab and misunderstanding of HPV self-collection as HIV testing. Themes of personal embarrassment related to lack of knowledge, age and novelty of the self-collection swab. Overall, embarrassment was a barrier to screening at the outset and diminished over time through education and knowledge. Fatalism regarding cervical cancer diagnosis, worry about results and stigma associated with a cervical cancer diagnosis were other psychosocial barriers described. Overcoming psychosocial barriers to screening can include peer-to-peer education, drama and media campaigns. CONCLUSIONS:Embarrassment and other psychosocial barriers may play a large role at the onset of a screening programme, but over time as education and knowledge increase, and the social norms around screening evolve, its role diminishes. The role of peer-to-peer education and community authorities on healthcare cannot be overlooked and can have a major impact in overcoming psychosocial and social barriers to screening.
journal_name
BMJ Openjournal_title
BMJ openauthors
Teng FF,Mitchell SM,Sekikubo M,Biryabarema C,Byamugisha JK,Steinberg M,Money DM,Ogilvie GSdoi
10.1136/bmjopen-2014-004783subject
Has Abstractpub_date
2014-04-11 00:00:00pages
e004783issue
4issn
2044-6055pii
bmjopen-2014-004783journal_volume
4pub_type
杂志文章相关文献
BMJ Open文献大全abstract:OBJECTIVE:To determine research priorities for the management of broken bones of the upper limb in people over 50, which represent the shared priorities of patients, their families, carers and healthcare professionals. DESIGN/SETTING:A national (UK) research priority setting partnership. PARTICIPANTS:People aged 50 a...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030028
更新日期:2019-12-15 00:00:00
abstract:OBJECTIVES:Forecasting can support rational decision-making around the introduction and use of emerging health technologies and prevent investment in technologies that have limited long-term potential. However, forecasting methods need to be credible. We performed a systematic search to identify the methods used in for...
journal_title:BMJ open
pub_type: 杂志文章,评审
doi:10.1136/bmjopen-2015-010479
更新日期:2016-03-10 00:00:00
abstract:OBJECTIVES:To estimate the absolute cardiovascular disease (CVD) risk burden in a remote rural Bangladeshi population using the 'With' and 'Without' Cholesterol versions of the WHO/International Society of Hypertension (WHO/ISH) CVD risk assessment chart (particularly suitable for low and middle-income countries due to...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-008140
更新日期:2015-10-13 00:00:00
abstract:OBJECTIVES:To determine whether a pre-existing smartphone app to teach mindfulness meditation is acceptable to women with chronic pelvic pain (CPP) and can be integrated into clinical practice within the National Health Service (NHS) CPP pathways, and to inform the design of a potential randomised clinical trial. DESI...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-030711
更新日期:2020-03-12 00:00:00
abstract:OBJECTIVE:To assess the impact of describing an antibody-positive test result using the terms Immunity and Passport or Certificate, alone or in combination, on perceived risk of becoming infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and protective behaviours. DESIGN:2×3 experimental design...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2020-040448
更新日期:2020-08-30 00:00:00
abstract:INTRODUCTION:Multimorbidity (MM) refers to the coexistence of two or more chronic conditions within one person, where no one condition is considered primary. As populations age and healthcare provision improves, MM is becoming increasingly common and poses a challenge to the single morbidity approach to illness managem...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-012131
更新日期:2017-01-18 00:00:00
abstract:OBJECTIVES:A significant proportion of cardiovascular disease (CVD) cannot be explained by well-known risk factors such as high cholesterol, hypertension and diabetes. One potential novel risk factor for CVD is asthma. We aimed to investigate the association between asthma and mortality due to CVD. DESIGN:Prospective ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-019992
更新日期:2018-05-31 00:00:00
abstract:INTRODUCTION:While patient and citizen engagement has been recognised as a crucial element in healthcare reform, limited attention has been paid to how best to engage seniors-the fastest growing segment of the population and the largest users of the healthcare system. To improve the healthcare services for this populat...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-008190
更新日期:2015-11-03 00:00:00
abstract:INTRODUCTION:Clinical guidelines recommend that patients with type 1 diabetes (T1D) learn carbohydrate counting or similar methods to improve glycaemic control. Although systematic educating in carbohydrate counting is still not offered as standard-of-care for all patients on multiple daily injections (MDI) insulin the...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2019-029859
更新日期:2019-09-03 00:00:00
abstract:INTRODUCTION:Seasonal influenza vaccination is recommended for all individuals aged 65 years and over and in individuals younger than 65 years with comorbidities. There is good evidence of vaccine effectiveness (VE) in young healthy individuals but less robust evidence for effectiveness in the populations targeted for ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-001019
更新日期:2012-03-15 00:00:00
abstract:OBJECTIVES:To more clearly define the landscape of digital medical devices subject to US Food and Drug Administration (FDA) oversight, this analysis leverages publicly available regulatory documents to characterise the prevalence and trends of software and cybersecurity features in regulated medical devices. DESIGN:We...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-025374
更新日期:2019-06-28 00:00:00
abstract:INTRODUCTION:Children with acute respiratory tract infections (ARTIs) are prescribed up to 11.4 million unnecessary antibiotic prescriptions annually. Inadequate parent-provider communication is a chief contributor, yet efforts to reduce overprescribing have only indirectly targeted communication or been impractical. T...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2017-020981
更新日期:2018-05-09 00:00:00
abstract:OBJECTIVES:To determine if point-of-care (POC) glycated haemoglobin (HbA₁c) is sufficiently accurate in real-world remote settings to predict or exclude the diagnosis of diabetes based on laboratory HbA1c measurements. DESIGN:Cross-sectional study comparing POC capillary HbA₁c results with corresponding venous HbA₁c l...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2014-006277
更新日期:2015-03-12 00:00:00
abstract:OBJECTIVES:To explore potential associations between vitamin D status and risk of chronic low back pain (LBP) in a Norwegian cohort, and to investigate whether relationships depend on the season of blood sample collection. DESIGN:A nested case-control study in a prospective data set. SETTING:The Norwegian community-b...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-018521
更新日期:2017-11-25 00:00:00
abstract:OBJECTIVES:To investigate the relationship between poststroke fatigue and depression and subsequent mortality in young ischaemic stroke patients in a population-based study. DESIGN:A prospective cohort study. SETTING:All surviving young ischaemic stroke patients living in Hordaland County. PARTICIPANTS:Young ischaem...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2012-002404
更新日期:2013-03-01 00:00:00
abstract:OBJECTIVE:To investigate feasibility of multiple sclerosis (MS) exercise guidelines for inactive people with MS (PwMS) and to examine preliminary efficacy for walking. To investigate effect of augmenting that intervention with education based on social cognitive theory (SCT). DESIGN:Pilot multicentre, double-blind, ra...
journal_title:BMJ open
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1136/bmjopen-2017-016336
更新日期:2017-10-12 00:00:00
abstract:INTRODUCTION:Frailty is a common condition affecting older adults and is associated with increased mortality and adverse outcomes. Identification of older adults at risk of adverse outcomes is central to subsequent resource planning and targeted interventions. This systematic review and meta-analysis will examine the: ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-040765
更新日期:2021-01-20 00:00:00
abstract:OBJECTIVES:Evidence comparing the effectiveness of surgical and conservative treatment of symptomatic lumbar disc herniation is controversial. We sought to compare short-term and long-term effectiveness of surgical and conservative treatment in sciatica symptom severity and quality of life in patients with lumbar disc ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-012938
更新日期:2016-12-21 00:00:00
abstract:OBJECTIVE:This study sought to assess knowledge of schizophrenia and help-seeking behaviour among undergraduate students of a Nigerian university. Sociodemographic predictors of correct recognition were also explored. DESIGN:The study was a cross-sectional descriptive survey. SETTING:The study was carried out at the ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-028913
更新日期:2019-09-12 00:00:00
abstract:OBJECTIVES:People interact with their work environment through being, to a greater or lesser extent, compatible with aspects of their setting. This interaction between person and environment is particularly relevant in healthcare settings where compatibility affects not only the healthcare professionals, but also poten...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-026266
更新日期:2019-05-09 00:00:00
abstract:INTRODUCTION:Drug-resistant tuberculosis (TB) is a global concern. The proper diagnosis and management of drug-resistant TB are critical for improving treatment outcome. Molecular-based genotypic drug-susceptibility testing (DST) was developed to identify drug-resistant TB; however, discordant results from phenotypic a...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2017-021235
更新日期:2018-10-10 00:00:00
abstract:OBJECTIVES:To investigate the association of alkaline phosphatase (ALP) levels with the risk of the composite end point of cardiovascular disease (CVD), and all-cause mortality as well as each of them separately. DESIGN:Prospective cohort study. SETTING:Within the framework of the Tehran Lipid and Glucose Study (TLGS...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-023735
更新日期:2018-11-25 00:00:00
abstract:OBJECTIVE:To evaluate the impact of a model of rural community health service (CHS) on the use and acceptability of primary healthcare services. DESIGN:Quasi-experimental. SETTING:Two adjacent rural counties in China. PARTICIPANTS:5842 residents in 2009 and 3807 in 2010 from 980 households in 7 intervention township...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2013-004148
更新日期:2014-02-28 00:00:00
abstract:OBJECTIVE:This study aimed to define the end-of-life (EOL) healthcare utilisation and its cost and determinants for cancer patients and to proactively inform related strategies in mainland China. DESIGN:A population-based retrospective study. SETTING AND PARTICIPANTS:Data from 894 cancer patients were collected in ur...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2018-026309
更新日期:2019-03-20 00:00:00
abstract:OBJECTIVES:Our aim was to explore how members of community pharmacy staff perceive and experience the role of procedures within the workplace in community pharmacies. SETTING:Community pharmacies in England and Wales. PARTICIPANTS:24 community pharmacy staff including pharmacists and pharmacy support staff were inter...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2015-010851
更新日期:2016-06-06 00:00:00
abstract:INTRODUCTION:Two-wheel bike riding can be a goal for children with cerebral palsy (CP) and a means of participating in physical activity. It is possible for some children with CP to ride a two-wheel bike; however, currently far fewer can ride compared with their typically developing peers. Evidence supports training ta...
journal_title:BMJ open
pub_type: 杂志文章,随机对照试验
doi:10.1136/bmjopen-2017-019898
更新日期:2018-02-03 00:00:00
abstract:OBJECTIVES:To explore gender disparities in infant routine preventive care across maternal countries of birth (MCOB) and by mother tongue among infants of Indian-born mothers. SETTING:Retrospective population-based administrative cohort in Ontario, Canada (births between 2002 and 2014). PARTICIPANTS:350 366 (inclusiv...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2019-036127
更新日期:2020-07-31 00:00:00
abstract:OBJECTIVES:This systematic review and meta-analysis provides a quantitative summary of the literature exploring the relationship between maternal diet quality during pregnancy and child cognitive and affective outcomes. We investigate whether there are indications for robust associations and aim to identify methodologi...
journal_title:BMJ open
pub_type: 杂志文章,meta分析,评审
doi:10.1136/bmjopen-2017-016777
更新日期:2017-09-24 00:00:00
abstract:OBJECTIVES:South Africa has achieved significant success with its tobacco control policy. Between 1994 and 2012, the real price of cigarettes increased by 229%, while regular smoking prevalence decreased from about 31% to 18.2%. METHODS:Cigarette prices and socioeconomic variables are used to examine the determinants ...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2016-011076
更新日期:2016-07-18 00:00:00
abstract:OBJECTIVES:Complementary and alternative medicine (CAM) is frequently used in Western countries within general medicine and internal medicine. Information on the use in orthopaedic and trauma surgery is widely lacking. The aim of this study was to investigate usage and needs regarding CAM for these patients. DESIGN:Pr...
journal_title:BMJ open
pub_type: 杂志文章
doi:10.1136/bmjopen-2020-037192
更新日期:2020-09-06 00:00:00