Location of Repository

Age criteria for cervical screening in England: qualitative study of women’s views

By Natalie Armstrong, Mary Dixon-Woods and Elizabeth Murphy

Abstract

The age criteria applied in the NHS Cervical Screening Programme have been much debated at policy and professional levels, but little is known about women’s views on appropriate age criteria. Our objective is to provide insight into women’s views on age criteria for the NHS Cervical Screening Programme in England. We present data collected as part of a qualitative interview study conducted in the East Midlands of England. Thirty-five women, representing a range of ages and ethnic groups, were interviewed. Analysis was based on the constant comparative method. Women’s views about the age criteria that should appropriately be applied to cervical cancer screening diverged considerably from the technical principles and criteria upon which policy decisions are based. Women called for screening to be extended at both the upper and the lower ends of the age range. However, there was little explicit acknowledgement in women’s accounts of the risks posed by screening or of the relative effectiveness and cost-effectiveness of screening in women of different ages. Policy decisions about screening programmes often face problems of legitimacy and acceptability. There is an increasingly pressing need to ensure that the criteria used to make decisions about who will be offered screening are made explicit and communicated effectively, so that people’s views can be well-informed

Year: 2010
OAI identifier: oai:lra.le.ac.uk:2381/8782

Suggested articles

Preview

Citations

  1. (2009). At what age should cervical screening stop? doi
  2. (2003). Benefit of cervical screening at different ages: evidence from the UK audit of screening histories. doi
  3. (2009). Breast screening: the facts—or maybe not. doi
  4. (2001). Cancer screening coverage of south Asian women in Wakefield. doi
  5. (2006). Cervical screening in 20-24 year olds. doi
  6. (2006). Cervical screening in 20-24 years olds. doi
  7. (2002). Cervical screening: The facts. London: Department of Health.
  8. (2009). Effectiveness of cervical screening with age: population based case-control study of prospectively recorded data. doi
  9. (2000). Gender, ethnicity and self-reported health: the case of African-Caribbean populations in London. Social Science and Medicine, doi
  10. (2000). Heart health-associated health beliefs and behaviours of adolescents of African and African Caribbean descent in two cities in the United Kingdom. doi
  11. (2010). http://www.screening.nhs.uk/criteria (accessed 9th
  12. (2009). Incidence of cervical cancer after several negative smear results by age 50: prospective observational study. doi
  13. (2009). Minutes of extraordinary meeting to re-examine current policy on cervical screening for women aged 20-24 years taking account of any new evidence and to
  14. (2008). Perinatal mortality and other severe adverse pregnancy outcomes associated with treatment of cervical intraepithelial neoplasia: meta-analysis. doi
  15. (1968). Principles and practice of screening for disease. Public health paper No. 34. Geneva: World Health Organisation. Available at:
  16. (2010). The Discovery of Grounded Theory. doi
  17. (2003). The role of culture and religion in the management of diabetes: a study of Kashmiri men in Leeds. doi
  18. (1999). Veiled yet vulnerable: breast cancer screening and the Muslim way of life. doi
  19. (2008). Weaving meaning? An exploration of the interplay between lay and professional understandings of cervical cancer risk. doi
  20. (2003). Women need better information about routine mammography. doi

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.