Comparison of use of vaginal HPV self-sampling and offering flexible appointments as strategies to reach long-term non-attending women in organized cervical screening

Darlin, Lotten; Borgfeldt, Christer; Forslund, Ola; Hénic, Emir; Hortlund, Maria; Dillner, Joakim; Kannisto, Päivi

doi:10.1016/j.jcv.2013.06.029

Cited by 67 publications

(74 citation statements)

References 37 publications

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“…For example, in Sweden, incorporation of HPV self-sampling into their organized cervical cancer screening program by mailing self-samplers to nonscreened women was demonstrated to increase rates of screening. 29 In other countries that lack such comprehensive screening programs, opportunistic approaches using HPV self-sampling have also led to increased rates of screening among hard-toreach populations. 30,31 In the United States, our team is currently finalizing a randomized study testing HPV self-sampling among minority women lacking adequate screening from community-based nonclinical settings.…”

Section: Introductionmentioning

confidence: 99%

Acceptability and Feasibility of Human Papilloma Virus Self-Sampling for Cervical Cancer Screening

Ilangovan

Kobetz

Koru‐Sengul

et al. 2016

Journal of Women's Health

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Section: Introductionmentioning

confidence: 99%

Acceptability and Feasibility of Human Papilloma Virus Self-Sampling for Cervical Cancer Screening

Ilangovan

Kobetz

Koru‐Sengul

et al. 2016

Journal of Women's Health

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“…The self‐taken sample can be returned for analysis directly to the laboratory using regular mail. In previous studies from screening programs with high screening coverage rates, such as the Netherlands and various Scandinavian countries, all nonattenders were mailed self‐sampling kits (“opt‐out” approach) 6, 7, 8, 9. This strategy, where 6–34% of nonattenders returned their self‐sampling kits for analysis,6, 10 leads to considerable waste of the distributed, but unused kits.…”

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confidence: 99%

Human papillomavirus self-sampling for screening nonattenders: Opt-in pilot implementation with electronic communication platforms

et al. 2017

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In organized cervical screening programs, typically 25% of the invited women do not attend. The Copenhagen Self‐sampling Initiative (CSi) aimed to gain experiences on participation among screening nonattenders in the Capital Region of Denmark. Here, we report on the effectiveness of different communication platforms used in the pilot with suggestions for strategies prior to a full‐implementation. Moreover, an innovative approach using self‐sampling brushes with unique radio frequency identification chips allowed for unprecedented levels patient identification safety. Nonattenders from the capital region of Denmark were identified via the organized national invitation module. Screening history was obtained via the nationwide pathology registry. Twenty‐four thousand women were invited, and as an alternative to the regular communication platforms (letter and phone), women could request a home test via a mobile‐friendly webpage. Instruction material and video‐animation in several languages were made available online. Chi‐square test was used to test differences. Out of all invited, 31.7% requested a home test, and 20% returned it to the laboratory. In addition, 10% were screened at the physician after receiving the invitation. Stratified by screening history, long‐term unscreened women were less likely to participate than intermittently screened women (28% vs. 16%, p < 0.001). Of all contacts received, 64% (63–65) came via letter, and 31% (95CI: 30–32%) via webpage/mobile‐app. Self‐sampling was well‐accepted among nonattenders. Adopting modern technology‐based platforms into the current organized screening program would serve as a convenient communication method between health authority and citizens, allowing easy access for the citizen and reducing the work load in administrating self‐sampling approaches.

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“…1 Although control programs require screening to treat and detect asymptomatic infections, commonly reported barriers to STI screening include embarrassment, fear of pain, lack of comfort with pelvic examinations, the invasiveness of physician sampling, concerns about confidentiality, and denial of STI risk. [2][3][4][5] Self-collection with a vaginal swab has been used in screening because it is less invasive than cervical sampling and facilitates greater privacy and convenience, widening the scope of screening programs to include noncompliant, remote, and low-income populations. 6,7 Self-collected vaginal samples are more sensitive than urine for the detection of Chlamydia trachomatis (CT) and Neisseria gonorrhoeae (NG).…”

mentioning

confidence: 99%

Ease, Comfort, and Performance of the HerSwab Vaginal Self-Sampling Device for the Detection of Chlamydia trachomatis and Neisseria gonorrhoeae

Amaris

Jang

Gilchrist

et al. 2016

Sexually Transmitted Diseases

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Comparison of use of vaginal HPV self-sampling and offering flexible appointments as strategies to reach long-term non-attending women in organized cervical screening

Cited by 67 publications

References 37 publications

Acceptability and Feasibility of Human Papilloma Virus Self-Sampling for Cervical Cancer Screening

Acceptability and Feasibility of Human Papilloma Virus Self-Sampling for Cervical Cancer Screening

Human papillomavirus self-sampling for screening nonattenders: Opt-in pilot implementation with electronic communication platforms

Ease, Comfort, and Performance of the HerSwab Vaginal Self-Sampling Device for the Detection of Chlamydia trachomatis and Neisseria gonorrhoeae

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