Conciencia acerca del virus del papiloma humano y cáncer cervicouterino como predictor de actitudes hacia el control del virus en mujeres portadoras / Awareness of the Human Papilloma Virus and cervical cancer as predictor of attitudes towards virus control in female carriers

Objetivo: identificar la conciencia acerca del virus del papiloma humano (VPH) y cáncer cervicouterino (CaCu) como predictor de la actitud hacia el diagnóstico y control del VPH en mujeres portadoras.Método: se llevó a cabo un estudio descriptivo transversal. La población fueron mujeres portadoras del VPH del noreste de México, a través de un muestreo por conveniencia. Se recogieron variables sociodemográficas y se utilizaron distintos instrumentos para obtener información sobre la conciencia acerca del VPH y CaCU, conocimiento acerca del VPH, actitud hacia el diagnóstico y control del VPH, machismo sexual y estigma para el VPH. Se aplicó estadística descriptiva. Se buscaron correlaciones entre las variables estudiadas. Se llevó a cabo una regresión lineal. Se usó el paquete estadístico SPSS.Resultados: se contó con una muestra de 201 participantes, con edad media de 30 años (DE= 13,12). El 40,3% (n= 81) tenía estudios universitarios. El 75,1% (n=151) afirmó contar con relación sexual estable. Se encontró una relación positiva y estadísticamente significativa (p < 0,01) entre la variable actitud hacia el VPH y conciencia acerca del VPH y CaCu. De los cuatro modelos encontrados, el modelo de la conciencia acerca del VPH y CaCU influyó de manera directa en la actitud hacia el diagnóstico y control del VPH (B=0,23, F[4,196]=21,32, p= 0,01).Conclusión: tener un diagnóstico positivo puede ocasionar pensamientos fatalistas, pero si la mujer logra hacer conciencia su actitud y pensamientos estarán enfocados en buscar apoyo clínico y psicológico para enfrentar la realidad que conlleva ser portadora de VPH.(AU)

Objective: to understand the awareness of the Human Papilloma Virus (HPV) and Cervical Cancer (CC) as predictor of the attitude towards HPV diagnosis and control in female carriers.Method: a descriptive cross-sectional study was conducted. The study population consisted in female HPV carriers from North-East Mexico, through convenience sampling. Sociodemographic variables were collected, and different tools were used to obtain information about the awareness of HPV and CC, knowledge of HPV, attitude towards HPV diagnosis and control, sexism, and stigma attached to HPV. Descriptive statistics was applied. There was a search for correlations among the variables studied. Linear regression was conducted. The SPSS statistical package was used.Results: there was a sample of 201 participants, with 30 years as mean age (SD= 13.12); 40.3% (n= 81) of them had university education, and 75.1% (n=151) claimed to be in a stable sexual relationship. A positive and statistically significant relationship (p < 0.01) was found between the variables Attitude towards HPV and Awareness of HPV and CC. From the four models found, the model Awareness of HPV and CC had direct impact on Attitude towards HPV diagnosis and control (B=0.23, F [4,196] =21.32, p= 0.01).Conclusion: having a positive diagnosis can generate fatalistic thoughts, but if the woman achieves awareness, her attitude and thoughts will be focused on searching for clinical and psychological support in order to face the reality entailed by being a HPV carrier.(AU)

Cervical Cancer Protective Behavioral Patterns Among Mexican Women Living With HPV.

PURPOSE: Human papillomavirus (HPV) causes morbidity and mortality worldwide. Evidence-based models addressing health for women who have HPV may prevent development of cervical cancer (CC). We applied Meleis' transition model to identify barriers and facilitators influencing CC protective behavior for women with HPV. METHOD: Descriptive, correlational design including nonprobabilistic sampling of women with HPV ( N = 201) in Mexico. RESULTS: Variables linked to CC protective behavior (cervical cytology, stable partner, condom use, communication) included awareness of HPV/CC as well as attitude toward diagnosis and cytological control of HPV (λ = 890, F[196.00] = 6.057, p = .001). Acceptance of HPV diagnosis related to HPV carrier attitude, stigma, age, education, and length of HPV diagnosis ( R2 = .155 , F[5, 195] = 8.34, p < .05). Knowledge of HPV, attitude toward HPV diagnosis/cytological control, and age had direct effects on self-efficacy for CC protective behavior ( R2 = .239, F[7, 193] = 9.95, p < .05). Coping with HPV diagnosis, self-efficacy for CC protective behavior, and age were also associated with CC protective behavior ( R2 = 14.6, F[3.7] = 12.39, p = .001). CONCLUSIONS: Identification of factors inhibiting or facilitating transition among women who have HPV decrease progression to CC by increasing CC protective behaviors.

Self-efficacy and Coping as Correlates of Migrant Safe Sexual Behavior to Prevent HIV.

Along the Mexico/United States border, migrants are at increased risk of HIV. The objective of our study was to investigate the relationship between two process indicators (self-efficacy to prevent HIV and coping with sexual risk) and safe sexual behaviors in migrants. A correlational design was used. Migrants were recruited from two cities on the northern border of Mexico. Transition theory informed the measurement of self-efficacy and coping process indicators. Three generalized linear models were built for each safe sexual behavior outcome: (a) partner communication, (b) use of condoms, and (c) safe sex. Of 311 migrants, indicators of self-efficacy and coping with sexual risk were associated with all three outcome measures of safe sexual behavior (p < .05). Process indicators explained 22.5% to 30.6% of the variance in the data. Therefore, self-efficacy to prevent HIV and coping ability are important correlates of migrant sexual risk behavior.