Transcript EUROGIN 2011 Voice of Women

VOICE OF WOMEN 1
Reporting women’s attitudes to preventive
gynaecological healthcare: survey of more
than 6000 women in three European
countries
Javier Cortes, MD PhD FIAC
Sanda Adjedj, IPSOS
Amelie Darras, SPMSD
EUROGIN 17-20 February 2010
Session ES1 Abstract no. ES1-1
Methodology
•
•
•
On-line survey in three European countries by IPSOS Santé
Women aged 18 to 50 years old
Quota method to ensure national representation for:
– age
– city size and region
– level of education
Total
Age categories
18-26
27-35
36-45
46-50
Belgium
2104
515
554
707
328
Germany
2022
458
501
752
312
Spain
2054
489
654
647
264
All countries
6180
1462
1709
2106
904
VOICE OF WOMEN 1
2
CONCLUSIONS
1. 14 % of women did not consult their doctor for a
gynaecological health control
We need to establish population based
cervical cancer screening programmes (call / recall)
to ensure that all women are protected
The most important risk factor to develop cervical cancer is
not to have been adequately screened
VOICE OF WOMEN 1
3
CONCLUSIONS
2. The average age for the first gynaecological visit
is 20 years old. Daughters consults 6 years before
their mothers: 17 y/o vs. 23 y/o
This reflects the similar decrease in the age of
the first sexual intercourse
Younger age of sexual debut is an important risk factor
to acquire HPV infection
VOICE OF WOMEN 1
4
CONCLUSIONS
3. 70% of sexually active women don’t feel at risk of
HPV contact
Need for educational programmes on HPV
epidemiology and the risk of its acquisition
Any sexually active woman is at risk of contact with
the HPV: 50% women > 20 y.o HPV (-) at the
beginning of their sexual activity becomes HPV (+)
at the end of the 5th year of follow-up.
VOICE OF WOMEN 1
5
CONCLUSIONS
4. 56% of women believe that HPV vaccination is
indicated in case of family history of cervical
cancer or with “genetic predisposition”
Need for HPV vaccination educational programmes
All the women up to 26 y.o, in spite of their sexual
activity or their clinical history, are targeted for the
HPV vaccination
VOICE OF WOMEN 1
6
CONCLUSIONS
5. 20% of women believe that one virus is the main
cause of cervical cancer
Need for educational programmes on cervical cancer causality
HPV is a necessary cause of cervical cancer: it is not expected
that an HPV (-) women will develop a cervical cancer
VOICE OF WOMEN 1
7
In Summary
• Need to improve the equity on the access to the
•
preventive programmes
Poor understanding
of: FOR YOUR
THANK YOU
– Cause of cervical cancer
ATTENTION
– Link between HPV and cervical cancer
– Vaccination indications
Javier Cortés MD PhD FIAC
[email protected]
[email protected]
More educational programmes on causes and
prevention of cervical cancer are needed
VOICE OF WOMEN 1
8