Attitudes Toward Self-Sampling for Cervical Cancer Screening among Primary Care Attendees Living on the US–Mexico Border

Peñaranda, Eribeth; Molokwu, Jennifer; Hernandez, Ingrid C.; Salaiz, Rebekah; Nguyen, Norma; Byrd, Theresa; Shokar, Navkiran K.

doi:10.14423/smj.0000000000000132

Cited by 16 publications

(20 citation statements)

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“…Only two studies (10.5%) demonstrated that the self-collection method exhibited low acceptability among women 9,23. The acceptability of the self-collection method among women was determined subjectively (without standardized questionnaires) in ten studies (52.6%) 10,13-16,18,20-21,23,26 and via structured and valid questionnaires in the remaining studies. Only five studies were randomized.…”

Section: Resultsmentioning

confidence: 99%

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The acceptability of vaginal smear self-collection for screening for cervical cancer: a systematic review

Braz¹,

Lorenzi²,

Sorpreso³

et al. 2017

Clinics

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Cervical cancer is a major cause of death in adult women. However, many women do not undergo cervical cancer screening for the following reasons: fear, shame, physical limitations, cultural or religious considerations and lack of access to health care services. Self-collected vaginal smears maybe an alternative means of including more women in cervical cancer screening programs. The objective of this systematic review was to evaluate the acceptability of vaginal smear self-collection for cervical cancer screening. We selected articles from PubMed, the Cochrane Library and Embase that were published between January 1995 and April 2016. Studies written in English, French, Italian, Portuguese or Spanish that involved women between 18 and 69 years of age who had engaged in sexual intercourse were included in this review. The review was performed in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. Nineteen studies were ultimately evaluated in this review. Most of the included studies (n=17) demonstrated that the self-collection method exhibited outstanding acceptability among women with respect to cervical cancer screening, and only two studies indicated that self-collection exhibited low acceptability among women in this context. The acceptability of self-collection was determined subjectively (without standardized questionnaires) in 10 studies (53%) and via structured and validated questionnaires in the remaining studies. The results of our review suggest that the self-collection method is well-accepted and may therefore encourage greater participation in cervical cancer screening programs. However, additional studies are required to verify these results.

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Section: Resultsmentioning

confidence: 99%

“…Among the 17 manuscripts demonstrating that the self-collection method exhibited high acceptability among women, nine performed only subjective evaluations 10,13-16,18,20-21,26, whereas the remaining eight studies used standardized and validated questionnaires.…”

Section: Resultsmentioning

confidence: 99%

The acceptability of vaginal smear self-collection for screening for cervical cancer: a systematic review

Braz¹,

Lorenzi²,

Sorpreso³

et al. 2017

Clinics

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“…Depending on language preference, the education sessions were provided in English or Spanish, and lasted approximately 30 to 40 minutes. The educational material consisted of a PowerPoint presentation developed using information from focus groups done in this population, 24 literature, 25 and instructions on how to collect self-sampling provided by the manufacturer. The presentation included the Health Belief Model constructs of seriousness and susceptibility of the hrHPV infection, natural history of infection with hrHPV, as well as cervical cancer prevention through immunization, safe sex practices and cervical cancer screening.…”

Section: Methodsmentioning

confidence: 99%

“…In order to examine women’s attitudes towards self-sampling, we developed survey items measuring constructs identified as being significant in previous focus groups 24 and existing literature. 16,19 We used the term “Pap smear” referring to cervical cytology in all communication with subjects including surveys given that the former is more familiar term for lay public.…”

Section: Methodsmentioning

confidence: 99%

Women's Attitudes Toward Cervicovaginal Self-Sampling for High-Risk HPV Infection on the US-Mexico Border

Peñaranda¹,

Molokwu

Flores

et al. 2015

Journal of Lower Genital Tract Disease

Self Cite

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Objective The purpose of this study is to assess the acceptability and intention to use cervico-vaginal self-sampling for hrHPV infection after receiving an educational intervention among the predominantly Hispanic population residing along the U.S.-Mexico border. Methods Women received an educational intervention about cervical cancer prevention through screening with conventional cytology and with self-sampling for hrHPV. After the educational intervention women performed the self-sampling test. Women’s attitudes towards the self-sampling test and cervical cytology were assessed and compared. Results A total of 110 women aged 30 – 65 years completed the study. The mean age of the population was 48 years (SD 9.3); most (87%) self-identified as being Hispanic and half were born in Mexico; 16% had not had cervical cytology done in 3 years. Self-sampling was more acceptable than cervical cytology; acceptability scores were 25.0(SD 2.9) and 22.7(SD 3.0) respectively, with the maximum possible score being 28. (p <.001). A large proportion of women (42.7%) preferred both tests equally. We found high intention to use and recommend self-sampling. Contrary to previous studies, there were no differences between cervical cytology and self-sampling regarding women’s concerns about performing the test well and the accuracy of the test, which we attribute to the educational intervention. Conclusion The high acceptability of self-sampling after participants received education about the test and the reported intention to use it if made available adds to the evidence on the feasibility of integrating self-testing within cervical cancer screening guidelines.

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“…In a study with Hispanic women, who lived along the US border with Mexico, fear of embarrassment, the pelvic examination and lack of access to care services 19 were identified as barriers to screening. This feeling 20 may be related to unease faced with a real or imaginary danger, for women, as they do not know the examination and imagine that they will feel pain or discover a disease.…”

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confidence: 99%

Inadequate Practice Related of the Papanicolaou Test Among Women

Malta

Gubert

Vasconcelos³

et al. 2017

Texto contexto - enferm.

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Objective: to identify the factors related to inadequate practice of the Papanicolaou test among women in northeastern Brazil. Method: cross-sectional study using a KNOWLEDGE, ATTITUDE AND PRACTICE inquiry, performed from June to October, 2013, with 240 women aged between 24 and 59 years. Results: inadequacies were observed, particularly in knowledge, because, despite having information about the examination, it was only used to detect sexually transmitted infections. Regarding the issue of practice, it was noted that single women and those up to 29 years of age were more likely to present inadequate practice than the older and married women, increasing the likelihood of developing cervical cancer. The greater difficulty for performing the examination was the lack of materials (68.1%). Conclusion: clarification for women regarding the examination requires effective communication between the users and health professionals, as well as guarantees and support for the continuity of care by managers.

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Attitudes Toward Self-Sampling for Cervical Cancer Screening among Primary Care Attendees Living on the US–Mexico Border

Cited by 16 publications

References 0 publications

The acceptability of vaginal smear self-collection for screening for cervical cancer: a systematic review

The acceptability of vaginal smear self-collection for screening for cervical cancer: a systematic review

Women's Attitudes Toward Cervicovaginal Self-Sampling for High-Risk HPV Infection on the US-Mexico Border

Inadequate Practice Related of the Papanicolaou Test Among Women

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