Acceptability of Self-Sampling for Human Papillomavirus-Based Cervical Cancer Screening.

Background: Human papillomavirus (HPV)-DNA testing combined with self-sampling could increase cervical cancer screening effectiveness, utilizing a sensitive screening modality and an easy sampling method with minimal pain or discomfort. Self-sampling acceptability, though, is pivotal. Materials and...

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Publicado en:Journal of Women's Health (15409996) Vol. 29; no. 11; pp. 1447 - 1457
Autores principales: Chatzistamatiou, Kimon, Vrekoussis, Thomas, Tsertanidou, Athena, Moysiadis, Theodoros, Mouchtaropoulou, Evangelia, Pasentsis, Konstantinos, Kitsou, Anastasia, Moschaki, Viktoria, Ntoula, Maria, Zempili, Paraskevi, Halatsi, Despina, Truva, Theoni, Piha, Vaia, Agelena, Georgia, Daponte, Alexandros, Vanakara, Polyxeni, Paschopoulos, Minas, Stefos, Theodoros, Lymberis, Vasilis, Kontomanolis, Emmanuel N.
Formato: research tables/charts Journal Article
Publicado: Mary Ann Liebert, Inc. Nov2020
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2020
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      pub: Mary Ann Liebert, Inc.
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        10.1089/jwh.2019.8258
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        atl: Acceptability of Self-Sampling for Human Papillomavirus-Based Cervical Cancer Screening.
      aug:
        au:
          Chatzistamatiou, Kimon
          Vrekoussis, Thomas
          Tsertanidou, Athena
          Moysiadis, Theodoros
          Mouchtaropoulou, Evangelia
          Pasentsis, Konstantinos
          Kitsou, Anastasia
          Moschaki, Viktoria
          Ntoula, Maria
          Zempili, Paraskevi
          Halatsi, Despina
          Truva, Theoni
          Piha, Vaia
          Agelena, Georgia
          Daponte, Alexandros
          Vanakara, Polyxeni
          Paschopoulos, Minas
          Stefos, Theodoros
          Lymberis, Vasilis
          Kontomanolis, Emmanuel N.
        affil: 1st Department of Obstetrics and Gynecology, Aristotle University of Thessaloniki, Papageorgiou General Hospital, Thessaloniki, Greece
      sug:
        subj:
          Papillomaviruses Analysis
          Cervix Neoplasms Prevention and Control
          Cancer Screening Methods
          Specimen Handling
          Home Diagnostic Tests Utilization
          Human
          Cross Sectional Studies
          Greece
          Rural Areas
          Adult
          Middle Age
          Midwives
          Female
          Descriptive Statistics
          Predictive Value of Tests
          Vulvar Self-Examination
          Pain
          Confidence
          Communication
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
      ab: Background: Human papillomavirus (HPV)-DNA testing combined with self-sampling could increase cervical cancer screening effectiveness, utilizing a sensitive screening modality and an easy sampling method with minimal pain or discomfort. Self-sampling acceptability, though, is pivotal. Materials and Methods: This study is a nested cross-sectional survey within GRECOSELF, a cross-sectional study on HPV-based screening with self-sampling, aiming at investigating self-sampling acceptability among Greek women residing in rural areas, and the factors affecting it. Women between 25 and 60 years old were recruited by midwives participating in a nationwide midwifery network. Participants, after self-sampling, filled out a questionnaire with three sections, one regarding demographic characteristics, a second with questions pertaining to the participants' cervical cancer screening history, and a third with questions regarding the self-sampling process per se. Results: The sample included 13,111 women. Most participants (67.9%), including those screened or not in the past, would prefer self-sampling if assured that the results are not inferior to standard testing. Discomfort or pain during self-sampling was absent or minimal in 97.1% and 96.5% of the cases, respectively, and 74.4% of the women felt adequately confident that they followed the instructions correctly. Women mostly preferred selfsampling at home compared with health care facilities. Pain and discomfort during the procedure, although rare, were significant factors against acceptance. Most of the women reporting a negative impression had a negative experience with conventional sampling in the past. Conclusion: Self-sampling is highly acceptable. Acceptance can be further improved with proper communication of the process and its noninferiority compared with conventional screening.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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