Direct mailing of HPV self-sampling kits to women aged 50-65 non-participating in cervical screening in the Czech Republic.
Background: A population-based cervical cancer screening programme is implemented in the Czech Republic. However, participation is insufficient among women over 50 years. This study aimed to estimate the potential improvement in participation through directly mailed HPV self-sampling kits (HPVssk) c...
| Publicado en: | European Journal of Public Health Vol. 34; no. 2; pp. 361 - 368 |
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| Autores principales: | , , , , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Apr2024
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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=176643622&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 176643622 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11011262 BHW jtl: European Journal of Public Health issn: 11011262 maglogo: N pubinfo: dt: Apr2024 vid: 34 iid: 2 pid: 622 pub: Oxford University Press / USA artinfo: ui: 176643622 176643622 176643622 10.1093/eurpub/ckad229 176643622 ppf: 361 ppct: 7 formats: fmt: @attributes: type: P tig: atl: Direct mailing of HPV self-sampling kits to women aged 50-65 non-participating in cervical screening in the Czech Republic. aug: au: Ngo, Ondřej Chloupková, Renata Cibula, David Sláma, Jiří Mandelová, Lucie Hejduk, Karel Hajdúch, Marián Minka, Petr Koudeláková, Vladimíra Jaworek, Hana Trnková, Markéta Vaněk, Peter Dvořák, Vladimír Dušek, Ladislav Májek, Ondřej affil: Institute of Health Information and Statistics of the Czech Republic, Prague, Czech Republic sug: subj: Papillomavirus Infections Diagnosis Cervix Neoplasms Diagnosis Cancer Screening Czech Republic Self-Testing Women Czech Republic Human Female Middle Age Aged Czech Republic Comparative Studies Confidence Intervals Gynecologic Examination Descriptive Statistics Cervical Smears Funding Source Middle Aged: 45-64 years Aged: 65+ years Female ab: Background: A population-based cervical cancer screening programme is implemented in the Czech Republic. However, participation is insufficient among women over 50 years. This study aimed to estimate the potential improvement in participation through directly mailed HPV self-sampling kits (HPVssk) compared with standard invitation letters in women aged 50-65 non-participating in screening. Methods: The study recruited 1564 eligible women (no cervical cancer screening in the last 3 years or more, no previous treatment associated with cervical lesions or cervical cancer). Eight hundred women were mailed with an HPVssk (HPVssk group), and 764 women were sent a standard invitation letter (control group) inviting them to a routine screening (Pap test). The primary outcome was a comparison of the overall participation rate between study groups using a binominal regression model. Results: The participation rate in the HPVssk group was 13.4% [95% confidence interval (CI) 11.2-15.9%; 7.4% of women returned the HPVssk and 6.0% attended gynaecological examination] and 5.0% (95% CI 3.6-6.8%) in the control group. Using the binominal regression model, the difference between the groups was estimated as 7.6% (95% CI 5.0-10.2%; P<0.001). In the HPVssk group, 22% of women who returned HPVssk had a positive result and 70% of them underwent a follow-up examination. Conclusions: Compared with traditional invitation letters, the direct mailing of the HPVssk achieved a significantly higher participation rate, along with a notable HPV positivity rate among HPVssk responders. This approach offers a potentially viable method for engaging women who have not yet attended a cervical screening programme. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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