Acceptability of Self‐Sampling for Cervical Screening in Ethnically Diverse Groups in Northwest England: A Focus Group Study.
Introduction: Research indicates disproportionately low cervical screening uptake by diverse ethnic groups in England. If acceptable, self‐sampling might address population‐specific barriers and improve screening uptake. The Alternative CErvical Screening (ACES) Diversity study aimed to explore the...
| Publicado en: | Health Expectations Vol. 28; no. 4; pp. 1 - 15 |
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| Autores principales: | , , , , , , |
| Formato: | questionnaire/scale research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Aug2025
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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=187616912&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 187616912 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13696513 EVY jtl: Health Expectations issn: 13696513 maglogo: Y pubinfo: dt: Aug2025 vid: 28 iid: 4 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 187616912 187616912 187616912 10.1111/hex.70338 187616912 ppf: 1 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Acceptability of Self‐Sampling for Cervical Screening in Ethnically Diverse Groups in Northwest England: A Focus Group Study. aug: au: Whitley, Sophie Hawkins, Rachel L. Davies, Jennifer C. Cao, Jiexin Malcomson, Lee Crosbie, Emma J. McWilliams, Lorna affil: Manchester Centre for Health Psychology, Division of Psychology & Mental Health, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK sug: subj: Cervix Neoplasms Diagnosis Cervix Neoplasms Ethnology Cancer Screening Early Detection of Cancer Methods Women's Health Psychosocial Factors Ethnic Groups England Self Care Urine Specimen Collection Methods Patient Attitudes Cervical Smears Methods Human Female Adult Middle Age Aged England Focus Groups Cross Sectional Studies Multimethod Studies Semi-Structured Interview Questionnaires Thematic Analysis Feedback Poland Prospective Studies Retrospective Design Record Review Cancer Pain Community Health Services Health Services Research Conceptual Framework Health Care Delivery Health Services Accessibility Descriptive Statistics Comparative Studies Data Analysis Software Funding Source Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Female ab: Introduction: Research indicates disproportionately low cervical screening uptake by diverse ethnic groups in England. If acceptable, self‐sampling might address population‐specific barriers and improve screening uptake. The Alternative CErvical Screening (ACES) Diversity study aimed to explore the prospective acceptability of self‐sampling (urine sampling and self‐swabbing), as an alternative to current cervical screening, among women from diverse ethnic groups. Methods: A qualitative study design was employed using focus groups. Forty‐eight women from diverse ethnic groups were recruited via community partners in Northwest England and a cross‐sectional survey. Eight focus groups were conducted (one online and seven in‐person; four with interpreters for Mandarin, Cantonese, Polish and Urdu). Data were transcribed, translated and analysed in English using thematic framework analysis guided by the Theoretical Framework of Acceptability. Results: Three themes were identified. 'Cultural considerations' explored how aspects of culture and faith influenced perceptions of self‐sampling. 'Desire for comfort and control' reflected views of how self‐sampling increases autonomy by maintaining privacy, potentially reducing both pain and tension associated with screening. 'Confidence in testing' illustrates beliefs about self‐sampling, around ease of use, practical challenges and accuracy concerns. Conclusions: Self‐sampling for cervical screening was considered highly acceptable. If introduced, self‐sampling could increase cervical screening uptake amongst women from diverse ethnic groups. Having a choice in how to interact with the screening programme and continuing to raise awareness of cervical screening were considered important. Future research should explore the concurrent or retrospective acceptability of urine self‐sampling for cervical screening. Patient or Public Contribution: Multiple public involvement discussion sessions in Northwest England‐based community centres were arranged with women to explore and build understanding about cervical screening and speak about the ACES Diversity study. A further session was held, with an interpreter, to discuss the focus group topic guide and study design with women and create an opportunity for any feedback. Written feedback was provided for the recruitment poster from seven women (two East Asian, two Central and Eastern European, two African‐Caribbean and one South Asian). pubtype: Academic Journal doctype: questionnaire/scale research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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