Background Human papillomavirus (HPV)-based cervical screening is now replacing cytology-based screening in several countries and many women in screening programmes will consequently receive HPV-positive results. Because of the sexually transmitted nature of HPV, receiving an HPV-positive result may raise questions about disclosing the infection to a sexual partner. Objective To review the quantitative and qualitative literature exploring women’s concerns about disclosing a high-risk cervical HPV infection to a sexual partner. Methods We searched MEDLINE, PsycINFO, CINAHL Plus, Web of Science and EMBASE for studies reporting at least one disclosure-related outcome among women with high-risk HPV. We also searched the grey literature and carried out forward/backward citation searches. A narrative synthesis for quantitative studies and a thematic synthesis for qualitative studies were conducted. Results Thirteen articles met the inclusion criteria (12 qualitative, 1 quantitative). In the quantitative study, 60% of HPV-positive women felt disclosing an HPV result was ‘risky’. Concerns about disclosing HPV to a sexual partner were influenced by the stigma that is associated with having an STI and uncertainty about how their partner would respond. Women questioned how, when and to whom they should disclose their HPV-positive status. Conclusions The studies included in this review provide rich information about the range of concerns women have, the reasons for these concerns, and the questions women have about disclosing HPV to sexual partners. As studies were predominantly qualitative, the prevalence of concerns is unclear.

中文翻译：

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有关向性伴侣透露高危宫颈人乳头瘤病毒（HPV）感染的担忧：系统综述和主题综述。

背景技术在几个国家，基于人乳头瘤病毒（HPV）的子宫颈筛查正在取代基于细胞学的筛查，因此许多筛查项目中的妇女将因此获得HPV阳性结果。由于HPV的性传播特性，因此接受HPV阳性结果可能会引发有关将感染透露给性伴侣的疑问。目的回顾定量和定性文献，探讨妇女对将高危宫颈HPV感染透露给性伴侣的担忧。方法我们搜索MEDLINE，PsycINFO，CINAHL Plus，Web of Science和EMBASE，以研究报告高危HPV女性中至少一种与披露有关的结局。我们还搜索了灰色文献，并进行了向前/向后的引文搜索。进行了定量研究的叙述性综合和定性研究的主题综合。结果13篇符合入选标准的文章（定性12篇，定量1篇）。在定量研究中，60％的HPV阳性女性感到披露HPV结果是“危险”。对将HPV透露给性伴侣的担忧受到了与性传播感染相关的污名和对性伴侣如何反应的不确定性的影响。妇女们质疑应该如何，何时以及向谁透露其HPV阳性状态。结论本评价中包括的研究提供了有关女性关注范围，这些关注原因以及女性关于将HPV透露给性伴侣的问题的丰富信息。由于研究主要是定性的，因此关注的发生率尚不清楚。