Acceptability of self-sample human papillomavirus testing among medically underserved women visiting the emergency department

Montealegre, Jane R.; Landgren, Rachel M.; Anderson, Matthew L.; Hoxhaj, S.; Williams, Stephen; Robinson, David J.; Scheurer, Michael E.; Ramondetta, Lois M.

doi:10.1016/j.ygyno.2015.05.028

Cited by 21 publications

(20 citation statements)

References 32 publications

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“…The findings from the current study are similar to prior studies conducted among women living in other countries (Racey, Withrow, and Gesink 2013; Verdoodt et al 2015), and in recent research studies completed in the U.S. (Crosby et al 2015; Galbraith et al 2014; Montealegre et al 2015; Nelson et al 2015; Scarinci et al 2013). Most studies conducted in the U.S. have found that women were receptive to having an HPV self-test mailed to their home and to completing the test; these studies reported many of the same concerns, especially about correctly completing the test (Galbraith et al 2014; Nelson et al 2015).…”

Section: Discussionsupporting

confidence: 90%

“…Most studies conducted in the U.S. have found that women were receptive to having an HPV self-test mailed to their home and to completing the test; these studies reported many of the same concerns, especially about correctly completing the test (Galbraith et al 2014; Nelson et al 2015). These findings were similar among immigrant women (Barbee et al 2010; Sewali et al 2015), among lesbian and bisexual women (Reiter and McRee 2015), and underserved women (Crosby et al 2015; Galbraith et al 2014; Montealegre et al 2015). …”

Section: Discussionmentioning

confidence: 52%

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Perspectives from health-care providers and women about completing human papillomavirus (HPV) self-testing at home

Katz

Zimmermann

Moore³

et al. 2016

Women & Health

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Cervical cancer (CC) incidence and mortality rates are increased, and CC screening rates are low among Appalachian Ohio women. Mailing human papillomavirus (HPV) self-tests to women to complete at home is a potential new strategy to engage women in CC screening. The authors aimed to gain insights into the perceived acceptability of mailed HPV self-tests. Focus groups were conducted (August 2014–January 2015) among providers (physicians, nurse practitioners, nurses) and women in Appalachian Ohio. Providers (n = 28) and women (n = 15; age range: 32–62 years) reported general acceptance of HPV self-tests, however, for different reasons. Providers thought HPV self-testing would increase the proportion of under-screened women returning to the health-care system, while women thought self-testing would eliminate logistical and reduce psychological CC screening barriers. Findings provide insights into facilitators and barriers of completing an HPV self-test at home, returning it, reporting results, and providing needed follow-up care. To the authors’ knowledge, no systematic research exists addressing providers’ views regarding women’s use of HPV self-tests and the relation of such use to fostering subsequent Pap testing. This information will be useful in developing CC screening programs that include mailed HPV self-tests, as well as encouragement of follow-up Pap testing to meet existing CC screening guidelines.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 52%

Perspectives from health-care providers and women about completing human papillomavirus (HPV) self-testing at home

Katz

Zimmermann

Moore³

et al. 2016

Women & Health

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“…Most recently, a high-risk HPV (HR HPV) test that may be selfcollected has been approved by the FDA. Self-testing may represent a more feasible screening option for women who are unable to participate in more traditional approaches to cervical cancer screening [8].…”

Section: Introductionmentioning

confidence: 99%

Qualitative assessment of knowledge and attitudes towards cervical cancer screening among male Latino immigrants in Houston, Texas

et al. 2020

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Background: Male spouses and partners play an important role in determining a woman's willingness to participate in cervical cancer screening. However, the attitudes and behaviors by which they influence a woman's decision to undergo Pap testing remain poorly understood. Methods: A series of semi-structured, qualitative interviews were conducted in Spanish with 19 recent Latino immigrants in Houston, Texas. The interview format was designed to establish each individual's pattern of engagement with the United States healthcare system, assess baseline knowledge of cervical cancer screening and evaluate attitudes and patterns of communication with their female partners regarding health care. Interview questions were constructed using principles of the Theory of Reasoned Action. All interviews were conducted in Spanish. After translation, responses were coded and scored with the goal of identifying themes and key observations. Results: Most subjects reported few, if any, interactions with the healthcare system since their arrival in the United States. Although most participants reported being aware that women should be seen by their doctors regularly, fewer than half could clearly indicate the purpose of a Pap test or could state with certainty the last time their female partner had undergone screening. Multiple subjects expressed a general distrust of the health care system and concern for its costs. Approximately half of subjects reported that they accompanied their female partner to the health care provider's office and none of the participants reported that they were present in examination rooms at the time their partner underwent screening. Multiple participants endorsed that there may be some concerns within their community regarding women receiving frequent gynecologic care and distrust of the healthcare system. Almost all interviewed subjects stated that while they would allow their female partners to see male physicians, they also expressed the opinion that other men might be uncomfortable with this and that women would likely be more comfortable with female physicians.

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“…Several studies have shown that self-collection is well accepted by most women, being an attractive alternative strategy for cervical cancer screening, especially in hardto-reach and remote areas [8][9][10][11][12][13][14][15] . In Brazil, a limited number of publications have evaluated self-collection as an alternative method [16][17][18] .…”

Section: Discussionmentioning

confidence: 99%

The Role of Self-Collection by Vaginal Lavage for the Detection of HPV and High-Grade Intraepithelial Neoplasia

Kuil

Lorenzi²,

Stein³

et al. 2017

Acta Cytologica

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Objective: To compare the results of cervical cytology and high-risk HPV tests using samples obtained using two different collection modalities in a population of Brazilian women: self-collection (vaginal lavage) and cervical Pap testing. Methods: We enrolled 204 women who were aged 18-64 years and had previously obtained abnormal cervical cytology test results; 83.8% of them agreed to participate. The sample was divided into two aliquots: one for the cytological study and one for the molecular analysis of high-risk HPV. Results: Fifty-eight percent of the participants preferred to utilize self-collection as an alternative screening method. However, we noticed that the HPV positivity rate was significantly lower in self-collected samples when compared to those obtained using the conventional collection method (p = 0.035). The cytology tests of the samples obtained via self-collection were sensitive and had a positive predictive value and an area under the curve (AUC) that were significantly lower than those of the Pap test. However, the specificity and negative predictive value of these tests were similar. When compared with the HPV test, the self-collected samples demonstrated lower accuracy in predicting high-grade cervical intraepithelial neoplasia or worse, with a significantly lower sensitivity, positive predictive value, and AUC than the cervical Pap test samples. Conclusion: Self-collection by vaginal lavage is simple and well accepted by women. Due to its limitations, however, self-collection by lavage should be utilized with caution.

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Acceptability of self-sample human papillomavirus testing among medically underserved women visiting the emergency department

Cited by 21 publications

References 32 publications

Perspectives from health-care providers and women about completing human papillomavirus (HPV) self-testing at home

Perspectives from health-care providers and women about completing human papillomavirus (HPV) self-testing at home

Qualitative assessment of knowledge and attitudes towards cervical cancer screening among male Latino immigrants in Houston, Texas

The Role of Self-Collection by Vaginal Lavage for the Detection of HPV and High-Grade Intraepithelial Neoplasia

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