2025
Barriers and facilitators to a combined strategy of HPV vaccination and cervical cancer screening among Mexican women
León-Maldonado L, Cabral A, Pages G, Brown B, Allen-Leigh B, Lazcano-Ponce E, Bosch F, Spiegelman D, Torres-Ibarra L, Hernández-Ramírez R, Egger E, Rivera-Paredez B, Salmerón J. Barriers and facilitators to a combined strategy of HPV vaccination and cervical cancer screening among Mexican women. Human Vaccines & Immunotherapeutics 2025, 21: 2483018. PMID: 40172917, PMCID: PMC11970787, DOI: 10.1080/21645515.2025.2483018.Peer-Reviewed Original ResearchConceptsInterpersonal-level barriersHigh-quality careFacilitators to participationExperiences of stigmaCervical cancer screeningLack of timeCommunity-level facilitatorsConstant comparative methodPublic health interventionsHealth center personnelInstitutional-level barriersSeverity of cervical cancerHPV-based screeningSemi-structured interviewsCancer screeningHealth interventionsPerceived severity of cervical cancerHealth centersPhone remindersSocioecological modelIntrapersonal levelInconvenient hoursFamily encouragementPerceived severityHPV vaccination
2020
Adjunctive testing by cytology, p16/Ki‐67 dual‐stained cytology or HPV16/18 E6 oncoprotein for the management of HPV16/18 screen‐positive women
Torres‐Ibarra L, Lorincz AT, Wheeler CM, Cuzick J, Hernández‐López R, Spiegelman D, León‐Maldonado L, Rivera‐Paredez B, Méndez‐Hernández P, Lazcano‐Ponce E, Salmerón J. Adjunctive testing by cytology, p16/Ki‐67 dual‐stained cytology or HPV16/18 E6 oncoprotein for the management of HPV16/18 screen‐positive women. International Journal Of Cancer 2020, 148: 2264-2273. PMID: 33252834, DOI: 10.1002/ijc.33414.Peer-Reviewed Original ResearchMeSH KeywordsAdultEarly Detection of CancerFemaleHuman papillomavirus 16Human papillomavirus 18HumansKi-67 AntigenOncogene ProteinsPapillomavirus InfectionsConceptsHPV16/18-positive womenP16/KiLiquid-based cytologyHPV16/18-E6 oncoproteinColposcopy referralAdjunctive testingCervical intraepithelial neoplasia grade 2Dual-stained cytologyUnnecessary colposcopy referralsHigh-risk HPVCervical cancer screeningScreen-positive womenE6 oncoproteinCancer risk stratificationNormal cytologyPositive womenNonprogressive infectionRisk stratificationCervical cancerInvasive cancerCancer screeningDirect referralPositivity rateGrade 3Grade 2
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