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Cervical cancer: Awareness and misconceptions of risk factors among lay persons and physicians

Date

08 Oct 2016

Session

Poster Display

Presenters

Xavier Pivot

Citation

Annals of Oncology (2016) 27 (6): 296-312. 10.1093/annonc/mdw374

Authors

X. Pivot1, J. Morère2, S. Couraud3, C. Touboul4, J. Blay5, A.B. Cortot6, C. Lhomel7, F. Eisinger8, L. Greillier9, J. Viguier10

Author affiliations

  • 1 Service Oncologie Medicale, CHU Besançon, Hôpital Jean Minjoz, 25030 - Besançon/FR
  • 2 Medical Oncology, Hopital Paul Brousse, 94800 - Villejuif/FR
  • 3 Respiratory Diseases And Thoracic Oncology, Centre Hospitalier Lyon Sud, 69495 - Pierre Bénite/FR
  • 4 Statistics, KantarHealth, Paris/FR
  • 5 Medical Oncology, Centre Léon Bérard, Lyon/FR
  • 6 Pneumology And Thoracic Oncology, DRC / CHRU of Lille, Lille/FR
  • 7 Oncology/hematology Institutionnal, Roche, Boulogne-Billancourt/FR
  • 8 Cancer Control, Institute Paoli Calmettes, Marseille/FR
  • 9 Multidisciplinary Oncology And Therapeutic Innovations, Hopital Nord, Marseille/FR
  • 10 Medical Oncology, CHRU Bretonneau, 37044 - Tours/FR
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Resources

Background

Cervical cancer (CC) is the fourth most common cancer in women worldwide. Human papillomavirus (HPV) subtypes 16 and 18 account for 70% of cases of CC. 80% of sexually active French women are infected by HPV at least once in their lifetime. Vaccination and screening are the main weapons against CC. This branch of the EDIFICE survey focuses on awareness of CC risk factors among the lay population and physicians.

Methods

The 4th nationwide observational survey was conducted by phone interviews using the quota method. A representative sample of 737 women (age, 40-75 yrs) was interviewed between June 12 and July 10, 2014. A mirror survey on a representative sample of 105 female physicians was conducted between July 9 and August 8, 2014. Interviewees were asked to cite the five main risk factors for CC.

Results

For 30.3% of lay population participants, heredity/family history was the main CC risk factor while 39.0% of physicians (non-significant difference, NS) ranked it second after other factors related to sexually-transmitted infections (STI) and risky sexual behavior. STI were cited by 85.7% of the physicians; notably, 76.2% also mentioned HPV whereas these risk factors were cited by only 21.7% and 8.0% of the lay population (P 

Conclusions

Although not a recognized risk factor for CC, heredity/family history was ranked first by lay persons and second by physicians. Physicians were largely aware of HPV as a major risk factor for CC. They also widely cited notorious risky sexual behavior associated with the risk of contracting HPV, and tobacco, a known cofactor. Lay persons however, were inadequately aware of these risk factors. Other recognized cofactors such as the pill or multiple pregnancies were cited far less frequently both by physicians and lay persons.

Clinical trial identification

Legal entity responsible for the study

Edifice surveys were funded by Roche S.A.

Funding

Edifice surveys were funded by Roche S.A.

Disclosure

X. Pivot, J-F. Morère, S. Couraud, J-Y. Blay, A.B. Cortot, F. Eisinger, L. Greillier: Honorarium fees from Roche. C. Lhomel: Employee of Roche. All other authors have declared no conflicts of interest.

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