Cervical Cancer Prevention and High-Risk HPV Self-Sampling Awareness and Acceptability among Women Living with HIV: A Qualitative Investigation from the Patients' and Providers' Perspectives.

Routine cervical cancer screening is important for women living with HIV (WLH) due to the greater incidence and persistence of high-risk HPV (HR-HPV) infection. HR-HPV self-sampling has been proposed to overcome barriers to in-office cervical cancer screening in underserved populations. However, lit...

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Publicado en:Current Oncology Vol. 29; no. 2; pp. 516 - 534
Autores principales: Le, Daisy, Coriolan Ciceron, Annie, Jeon, Min Jeong, Gonzalez, Laura Isabel, Jordan, Jeanne A., Bordon, Jose, Long, Beverly
Formato: research tables/charts Journal Article
Publicado: MDPI Feb2022
Acceso en línea:Ver este registro en EBSCOhost
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      pub: MDPI
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        atl: Cervical Cancer Prevention and High-Risk HPV Self-Sampling Awareness and Acceptability among Women Living with HIV: A Qualitative Investigation from the Patients' and Providers' Perspectives.
      aug:
        au:
          Le, Daisy
          Coriolan Ciceron, Annie
          Jeon, Min Jeong
          Gonzalez, Laura Isabel
          Jordan, Jeanne A.
          Bordon, Jose
          Long, Beverly
        affil: School of Nursing, The George Washington University, Washington, DC 20006, USA
      sug:
        subj:
          Cervix Neoplasms Prevention and Control
          Cancer Screening
          Patient Attitudes
          HIV-Positive Persons
          Attitude of Health Personnel
          Papillomavirus Infections
          Human
          Semi-Structured Interview
          Health Knowledge
          Self-Testing
          Female
          Focus Groups
          Qualitative Studies
          Female
      ab: Routine cervical cancer screening is important for women living with HIV (WLH) due to the greater incidence and persistence of high-risk HPV (HR-HPV) infection. HR-HPV self-sampling has been proposed to overcome barriers to in-office cervical cancer screening in underserved populations. However, little is known about baseline knowledge of HR-HPV and the acceptability of HR-HPV self-sampling among WLH. This paper describes WLH's experiences and needs regarding cervical cancer screening, specifically HR-HPV self-sampling, and seeks to reconcile their experiences with the views of their providers. In total, 10 providers and 39 WLH participated in semi-structured interviews and group discussions, respectively. Knowledge of cervical cancer and HR-HPV was generally limited among WLH; when present, it was often due to personal experience of or proximity to someone affected by cervical cancer. Most WLH were not familiar with HR-HPV self-sampling but, despite some of the providers' skepticism, expressed their willingness to participate in a mail-based HR-HPV self-sampling intervention and highlighted convenience, ease of use, and affordability as facilitators to the uptake of HR-HPV self-sampling. The experiences identified can be used to guide patient-centered communication aimed at improving cervical cancer knowledge and to inform interventions, such as HR-HPV self-sampling, designed to increase cervical cancer screening among under-screened WLH.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
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      ougenre: Article
    language: English
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