Abstract
BackgroundIn Japan, the cervical cancer screening rate is extremely low. Towards improving the cervical cancer screening rate, encouraging eligible people to make an informed choice, which is a decision-making process that relies on beliefs informed by adequate information about the possible benefits and risks of screening, has attracted increased attention in the public health domain. However, there is concern that providing information on possible risks of screening might prevent deter from participating.MethodsIn total, 1,912 women aged 20–39 years who had not participated in screening in the fiscal year were selected from a Japanese urban community setting. Participants were randomly divided into 3 groups. Group A received a printed reminder with information about the possible benefits of screening, group B received a printed reminder with information about possible benefits and risks, and group C received a printed reminder with simple information only (control group).ResultsOut of 1,912 participants, 169 (8.8%) participated in cervical cancer screening. In the intervention groups, 137 (10.9%) participated in cervical cancer screening, compared to only 32 (4.9%) of the control group (p < 0.001). In addition, logistic regression analysis revealed that there was no significant difference in screening rate between group A and group B (p = 0.372).ConclusionsProviding information on the possible risks of screening may not prevent people from taking part in cervical cancer screening among a Japanese non-adherent population.
Highlights
In Japan, the cervical cancer screening rate is extremely low
An organized cervical cancer screening program has been provided by the local municipality
Developing an effective method towards enhancing both informed choice and screening rate for cervical cancer is highly important in the public health domain
Summary
In Japan, the cervical cancer screening rate is extremely low. Towards improving the cervical cancer screening rate, encouraging eligible people to make an informed choice, which is a decision-making process that relies on beliefs informed by adequate information about the possible benefits and risks of screening, has attracted increased attention in the public health domain. Cervical cancer is the one of the most common cancers among women [1]. It is estimated that 275,100 women died of cervical cancer in 2008 [1]. The incidence of cervical cancer in Japan was 9,794 in 2008 [2]. Given that the cervical cancer screening rate in Japan is extremely low (32.7%, attendance rate in 2013) [5], increasing the screening rate is one of the most important public health issues
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