Acceptability of self-collected human papillomavirus specimens as a primary screen for cervical cancer

Quincy, Brenda; Turbow, David; Dabinett, L. N.

doi:10.3109/01443615.2011.625456

Cited by 33 publications

(37 citation statements)

References 22 publications

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“…This result demonstrates the feasibility of self-collection among Hopi women. As in other studies, most women reported positive attitudes toward self-sampling [6, 8, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40], with almost all reporting that the test was easy to use, and that they would recommend it to a friend or relative. A minority reported discomfort.…”

Section: Discussionsupporting

confidence: 72%

Assessing Acceptability of Self-Sampling Kits, Prevalence, and Risk Factors for Human Papillomavirus Infection in American Indian Women

et al. 2016

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We evaluated the feasibility and acceptability of self-sampling for human papillomavirus (HPV) testing and calculated the prevalence of and risk factors for high-risk (hr) HPV infections in a community-based sample of American Indian women. To this end, we recruited 329 Hopi women aged 21-65 years to self-collect vaginal samples for hrHPV testing. Samples were tested by polymerase chain reaction for 14 hrHPV genotypes. We used chi-square tests to identify correlates of preference for clinician Pap testing versus HPV self-sampling, and age-adjusted Poisson regression to evaluate correlates of hrHPV prevalence. We found that satisfaction with HPV self-sampling was high, with 96% of women reporting that the sample was easy to collect and 87% reporting no discomfort. The majority (62%) indicated that they preferred HPV self-sampling to receiving a Pap test from a clinician. Preference for Pap testing over HPV self-sampling was positively associated with adherence to Pap screening and employment outside the home. All samples evaluated were satisfactory for HPV testing, and 22% were positive for hrHPV. HrHPV prevalence peaked in the late 20s and declined with increasing age. HrHPV positivity was inversely associated with having children living the household. In conclusion, HPV self-sampling is feasible and acceptable to Hopi women, and could be effective in increasing rates of cervical cancer screening in Hopi communities. HrHPV prevalence was similar to estimates in the general United States population.

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Section: Discussionsupporting

confidence: 72%

Assessing Acceptability of Self-Sampling Kits, Prevalence, and Risk Factors for Human Papillomavirus Infection in American Indian Women

et al. 2016

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“…One survey conducted in the US in 2013 estimated that 90 % of young adults aged 18-29 have a Facebook account, with 71 % identifying Facebook as their primary social media site [23]. To date, no HPV self-collection study has used online recruitment to recruit women to selfcollect a sample for HPV testing [22,[24][25][26][27]. The objective of this study was to determine the feasibility of initiating at-home HPV self-collected testing among women aged 21-30 in Minnesota who had been recruited using advertisements on the social networking site Facebook.…”

Section: Introductionmentioning

confidence: 99%

Human Papillomavirus Infection in Women Who Submit Self-collected Vaginal Swabs After Internet Recruitment

et al. 2014

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Submission of vaginal samples collected at home could remove barriers that women face in getting screened for cervical cancer. From December 2013 to January 2014, women aged 21-30 years were recruited online to participate in either (1) self-collected testing for human papillomavirus (HPV) infection and an online survey, or (2) an online survey regarding their perceptions of self-collected testing for HPV infection. Demographics, risk factors, testing perceptions, and satisfaction with self-collected testing were assessed with online questionnaires. Women who performed self-collection were sent a home sampling kit by US mail, which was returned via US mail for HPV testing. A total of 197 women were enrolled, with 130 completing the online survey and 67 participating in both the survey and self-collection. Of the 67 women who were sent kits, 62 (92.5%) were returned for testing. Sixty kits contained a sample sufficient for testing. The overall prevalence of HPV infection was 17.8%, however 6 women (9.7%) were infected with >1 type of HPV. Women who self-collected a sample reported more favorable attributes of self-collection compared to women who only participated in the online survey, including ease of sampling (87.1 vs. 18.9%), no pain during sampling (72.6 vs. 5.6%), and lack of embarrassment (67.7 vs. 12.9%). A high prevalence of HPV infection was demonstrated among women recruited via the internet. Online recruitment and at home screening methods have the potential to engage women in screening by offering an approach that might be more acceptable to women of different backgrounds.

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“…Moreover, findings from recent systematic reviews show that self-sampling was highly acceptable and that a majority of women preferred vaginal self-sampling to provider-collected cervical sampling [11,12]. As compared to the conventional speculum based Pap smear procedure, women preferred self-sampling because it was private, comfortable, less painful, and less embarrassing [13,14]. Moreover, research indicates that the correlation between self-collected and provider-collected samples was good [10,15].…”

Section: Introductionmentioning

confidence: 99%

Acceptability of self-collection sampling for HPV-DNA testing in low-resource settings: a mixed methods approach

et al. 2014

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BackgroundVaginal self-sampling with HPV-DNA tests is a promising primary screening method for cervical cancer. However, women’s experiences, concerns and the acceptability of such tests in low-resource settings remain unknown.MethodsIn India, Nicaragua, and Uganda, a mixed-method design was used to collect data from surveys (N = 3,863), qualitative interviews (N = 72; 20 providers and 52 women) and focus groups (N = 30 women) on women’s and providers’ experiences with self-sampling, women’s opinions of sampling at home, and their future needs.ResultsAmong surveyed women, 90% provided a self- collected sample. Of these, 75% reported it was easy, although 52% were initially concerned about hurting themselves and 24% were worried about not getting a good sample. Most surveyed women preferred self-sampling (78%). However it was not clear if they responded to the privacy of self-sampling or the convenience of avoiding a pelvic examination, or both. In follow-up interviews, most women reported that they didn’t mind self-sampling, but many preferred to have a provider collect the vaginal sample. Most women also preferred clinic-based screening (as opposed to home-based self-sampling), because the sample could be collected by a provider, women could receive treatment if needed, and the clinic was sanitary and provided privacy. Self-sampling acceptability was higher when providers prepared women through education, allowed women to examine the collection brush, and were present during the self-collection process. Among survey respondents, aids that would facilitate self-sampling in the future were: staff help (53%), additional images in the illustrated instructions (31%), and a chance to practice beforehand with a doll/model (26%).ConclusionSelf-and vaginal-sampling are widely acceptable among women in low-resource settings. Providers have a unique opportunity to educate and prepare women for self-sampling and be flexible in accommodating women’s preference for self-sampling.

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Acceptability of self-collected human papillomavirus specimens as a primary screen for cervical cancer

Cited by 33 publications

References 22 publications

Assessing Acceptability of Self-Sampling Kits, Prevalence, and Risk Factors for Human Papillomavirus Infection in American Indian Women

Assessing Acceptability of Self-Sampling Kits, Prevalence, and Risk Factors for Human Papillomavirus Infection in American Indian Women

Human Papillomavirus Infection in Women Who Submit Self-collected Vaginal Swabs After Internet Recruitment

Acceptability of self-collection sampling for HPV-DNA testing in low-resource settings: a mixed methods approach

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