Uptake and acceptability of human papillomavirus self-sampling in rural and remote aboriginal communities: evaluation of a nurse-led community engagement model.
Background: Aboriginal women experience disproportionately higher rates of cervical cancer mortality yet are less likely to participate in screening for early detection. This study sought to determine whether a community-based HPV self-sampling service model can effectively recruit never-screened an...
| Publicado en: | BMC Health Services Research Vol. 20; no. 1; pp. 1 - 10 |
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| Autores principales: | , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
BioMed Central
5/11/2020
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=143152402&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 143152402 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 14726963 1CHS jtl: BMC Health Services Research issn: 14726963 maglogo: N pubinfo: dt: 5/11/2020 vid: 20 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 143152402 143152402 NLM32393243 143152402 10.1186/s12913-020-05214-5 NLM32393243 143152402 ppf: 1 ppct: 9 formats: tig: atl: Uptake and acceptability of human papillomavirus self-sampling in rural and remote aboriginal communities: evaluation of a nurse-led community engagement model. aug: au: Dutton, Tegan Marjoram, Jo Burgess, Shellie Montgomery, Laurinne Vail, Anne Callan, Nichole Jacob, Sunil Hawkes, David Saville, Marion Bailey, Jannine affil: Western Sydney University, School of Medicine, Bathurst Rural Clinical School, PO Box 9008, 2795, Bathurst, NSW, Australia sug: subj: Self Care Methods Health Screening Methods Papillomavirus Infections Diagnosis Papillomaviruses Female Aged New South Wales Rural Population Patient Satisfaction Middle Age Community Health Nursing Adult Specimen Handling Methods Cervix Neoplasms Prevention and Control Human Aged: 65+ years Middle Aged: 45-64 years Adult: 19-44 years Female ab: Background: Aboriginal women experience disproportionately higher rates of cervical cancer mortality yet are less likely to participate in screening for early detection. This study sought to determine whether a community-based HPV self-sampling service model can effectively recruit never-screened and under-screened Aboriginal women to participate in cervical cancer screening; assess the clinical outcomes; and explore the acceptability of the model from the perspective of the participants.Methods: Aboriginal women aged 25-69 years of age were recruited from eight rural and remote communities in New South Wales, Australia to participate in HPV self-sampling via a community-based service model. Outcome measures were: number of women screened by HPV self-sampling, their prior cervical screening status (under-screened or never-screened), clinical outcomes and participation in follow-up pathways of care, and satisfaction with the service model.Results: In total, 215 women conducted a HPV self-sampling test and 200 evaluation surveys were completed. One-fifth of participants (n = 46) were never-screened and one-third (n = 69) were under-screened. Many were unsure of their screening status. Nine women were HPV 16/18 positive and eight had completed all follow up by the conclusion of the study. A further 30 women tested positive for a high risk type other than HPV 16/18 (HPV other), of which 14 had completed follow up at the conclusion of the study. Satisfaction with the HPV self-sampling kit, the process of self-sampling and the service model was high (> 92% satisfied on all items). Many women had difficulty understanding their official HPV results and placed high importance on the nurse explaining it to them.Conclusions: A community-based service model that respects Aboriginal Women's Business can effectively recruit under-screened and never-screened Aboriginal women to complete cervical cancer screening. Furthermore, this service model supports them to complete recommended follow-up care and engage with their local existing health services. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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