Barriers to cervical screening and diagnosis in Northern Ireland

Considerable variation in the identified barriers to cervical cancer screening between and within countries, socioeconomic groups, urban and rural populations, and age-groups were identified. The results of an online survey of women in NI aged IS to 24 years old, aiming to explore knowledge and attitudes around HPV and cervical cancer and to assess the intent to attend cervical screening, show that knowledge about and awareness of HPV, the HPV vaccine, cervical cancer and cervical cancer screening are limited.

In terms of first-time cervical screening intentions, results of the survey indicate that over 80% of respondents would most likely go for a cervical screening. A third study assessing the epidemiology ofCIN3 precancerous lesions identified 862 women in NI in 2019 who had a CIN3 diagnosis. The majority of women diagnosed with CIN3 were less than 54 years old, Recommendations based on these research findings can be translated on to three areas, i.e. NI, the UK and Saudi Arabia.

Policymakers and national health commissioners need to raise awareness and improve access to screening facilities amongst eligible women. This could be done by providing educational materials along with interventions such as social media campaigns, text reminders, or self- screening. Service providers and clinicians, both male and female, should ensure that they are at ease communicating with patients about smears, as well as having the abilities and skills to handle ‘difficult” smear- related encounters, which can also help boost screening uptake.

All those in the profession should be educated and trained so that women who have a male general practitioner are not disadvantaged. Young women in their early 20s and their parents can be particularly targeted to attend cervical screening by encouraging participation through social media and other media campaigns, as well as dedicated online resources with information provided.<br>