Self-sampling HPV test in women not undergoing Pap smear for more than 5 years and factors associated with under-screening in Taiwan

Chou, Hung Hsueh; Huang, Hsuan-Rong; Cheng, Hui; Chang, Chee Jen; Yang, Lan-Yan; Huang, Ching-Shui; Chang, W. Y.; Hsueh, Swei; Chao, Angel; Wang, Chin Jung; Tang, Yueh‐Bih; Lin, Cheng Tao; Qiu, Jian Tai; Chen, Min Yu; Chen, Chao Yu; Huang, Kuo‐Lun; Tsai, Tzu Chun; Chang, Ting Chang; Lai, Chyong‐Huey

doi:10.1016/j.jfma.2015.10.014

Cited by 14 publications

(20 citation statements)

References 24 publications

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“…From 2003 to 2015, the prevalence of regular screenings every three years was approximately 54% [ 55 ]. The reasons for low screening rates include women's fear of discomfort or pain, shyness, lack of medical knowledge, or busyness at work [ 56 ]. This has resulted in a large number of women being diagnosed with advanced cervical cancer who had not been screened regularly [ 57 ].…”

Section: Discussionmentioning

confidence: 99%

Cancer Incidence Characteristic Evolution Based on the National Cancer Registry in Taiwan

Huang

Chen

2020

Journal of Oncology

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Introduction. Taiwan has committed itself to cancer prevention. This study investigates the impact of cancer prevention on cancer incidence in Taiwan. Objective. This study describes the secular trends and present status of cancer incidence in Taiwan during the years of 1988 to 2016. Methods. Age-standardized incidence rates (ASRs), age-specific incidence, and sex ratios for all cancers were calculated using data from the Taiwan Cancer Registry System for the years 1988 to 2016. Results and Conclusions. ASRs of cancer for males increased from 150.93 per 105 individuals in 1988 to 330.03 per 105 individuals in 2016, and, for females, they increased from 124.18 per 105 individuals in 1988 to 269.5 per 105 individuals in 2016. We found that cancer incidence has begun at younger ages and that the rates of cancer incidence are increasing faster. This study shows that the incidence of cancer in males has decreased slightly in recent years, while the incidence of cancer in females has continued to increase. The continuous promotion of health literacy, lifestyle modification, HBV and HPV vaccination, and cancer early screening can improve the effectiveness of cancer prevention.

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Section: Discussionmentioning

confidence: 99%

Cancer Incidence Characteristic Evolution Based on the National Cancer Registry in Taiwan

Huang

Chen

2020

Journal of Oncology

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“…[14] One study revealed that reasons for Taiwanese women avoiding Pap smear included fear of discomfort or pain, shyness, lack of medical knowledge, not feeling urgent, busyness, loss of confidence in Pap smear screening, feeling not possible to get cervical cancer, and not being able to face a bad result of Pap smear. [15] In many countries, cervical cancer is often diagnosed at 30 to 59 years old. [16–18] In our study, the incidence of cervical cancer in Taiwan increases with age.…”

Section: Discussionmentioning

confidence: 99%

Trend and survival outcome in Taiwan cervical cancer patients

et al. 2019

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Cervical cancer is one of the most common cancers in Taiwan. The aim of this study was to estimate the incidence of cervical cancer in Taiwan, the relationship between cervical cancer and previous co-morbidities, and the long-term trend of cervical cancer mortality differences in the rest of the world.This study was based on the data of cervical cancer in the National Health Insurance Research Database from 1997 to 2013, and estimated the annual prevalence and incidence of cervical cancer. Joinpoint regression analysis was used to obtain the percentage of annual incidence of cervical cancer, morbidity and survival of patients with cervical cancer by statistical regression analysis.The average annual percentage change (APC) was −7.2, indicating a decrease in the incidence of cervical cancer during the study period. The 1-year, 2-year, and 5-year mortality rates of cervical cancer are relatively stable. The average APC of mortality was higher in high Charlson comorbidity index (CCI) group.This study found that both of prevalence and incidence of cervical cancer descend in Taiwan. The incidence of cervical cancer in Taiwan is increasing with age. The sample survival rate was stable in cervical cancer patients during the study period.

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“… 10 , 11 , 23 - 27 , 29 - 37 , 39 - 47 , 49 , 50 , 54 , 57 - 60 , 63 - 65 , 68 - 71 , 74 Studies reported high satisfaction of self-collection among women, 10 , 11 , 30 , 36 , 42 , 43 , 50 , 58 , 62 , 63 , 65 , 68 , 70 that women were willing to perform self-collection again, 10 , 11 , 23 , 27 , 29 - 31 , 35 , 41 , 49 , 57 , 58 , 60 , 68 , 69 and to recommend self-collection to others. 10 , 11 , 27 , 29 , 30 , 32 , 49 , 50 , 68 Self-collection was commonly described as easy, 10 , 11 , 26 , 29 , 30 , 33 - 36 , 39 - 41 , 43 , 50 ...…”

Section: Resultsmentioning

confidence: 99%

Self-Collection Cervical Screening in the Asia-Pacific Region: A Scoping Review of Implementation Evidence

Creagh

Boyd

Bavor

et al. 2023

JCO Global Oncology

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PURPOSE Although cervical cancer is a disease of inequity, it can be eliminated as a public health problem through vaccination, screening, and treatment. Human papillomavirus vaginal self-collection cervical screening is a high-performance test that can increase reach of screening. This review describes the different contexts and models of care used to pilot or implement self-collection within the Asia-Pacific, measures the extent that implementation outcome measures are reported and, where available, summarizes key implementation findings. METHODS A scoping review was conducted by searching five databases of the peer-reviewed literature on June 20, 2022. Two researchers assessed eligibility and extracted data independently to the model of care used and the Conceptual Framework for Implementation Outcomes. A mixed-method consolidation of findings (quantitative: count and frequencies; qualitative: content analysis) was undertaken to narratively report findings. RESULTS Fifty-seven articles, comprising 50 unique studies from 11 countries and two special autonomous regions, were included; 82% were conducted in trials. The implementation of self-collection was conducted in low- (2%), lower-middle– (32%), upper-middle– (32%), and high-income (35%) settings, with 10 different delivery models used; 80% delivered through practitioner-supported models with diversity in how samples were processed, and treatment was offered. Acceptability (73%) and appropriateness (64%) measures were most reported, followed by adoption (57%), feasibility (48%), and fidelity (38%). Only 7% of articles reported implementation cost or penetration measures. No articles reported sustainability measures. CONCLUSION The literature confirms that self-collection cervical screening has been implemented within the Asia-Pacific region, with evidence demonstrating that it is acceptable and appropriate from the user's perspective. Well-designed, high-quality implementation trials and real-world evaluations of self-collection that report the breadth of implementation outcomes can support the progression toward the elimination of cervical cancer.

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Self-sampling HPV test in women not undergoing Pap smear for more than 5 years and factors associated with under-screening in Taiwan

Abstract: Our study indicated that different approaches (e.g., direct mailing self-samplers to under-users and/or various educational interventions) must be explored to improve coverage in populations with culture characteristics similar to Taiwan.

Cited by 14 publications

References 24 publications

Cancer Incidence Characteristic Evolution Based on the National Cancer Registry in Taiwan

Cancer Incidence Characteristic Evolution Based on the National Cancer Registry in Taiwan

Trend and survival outcome in Taiwan cervical cancer patients

Self-Collection Cervical Screening in the Asia-Pacific Region: A Scoping Review of Implementation Evidence

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