Cervical cancer screening with clinic‐based Pap test versus home HPV test among Somali immigrant women in Minnesota: a pilot randomized controlled trial

Sewali, Barrett; Okuyemi, Kolawole S.; Askhir, Asli; Belinson, Jerome L.; Vogel, Rachel Isaksson; Joseph, Anne M.; Ghebre, Rahel

doi:10.1002/cam4.429

Cited by 61 publications

(63 citation statements)

References 60 publications

(66 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[25] That our study found a lower cervical screening uptake among Somali women compared to other ethnic groups align with the findings of a randomized control trial pilot study conducted in Minnesota using the same methodological approach of targeting participants outside of a health system or medical home. In this study, only 19.4% Somali women accepted the cervical cancer screening [26] compared to 27% of Somali women in our study. Similar findings were observed in the Boston area where Somali women were found to be less likely to be screened for cervical cancer than Central African women (21.3% vs. 44.1%).…”

Section: Plos Onecontrasting

confidence: 60%

Uptake of cancer screenings among a multiethnic refugee population in North Texas, 2014-2018

Raines-Milenkov¹,

Felini²,

Baker³

et al. 2020

PLoS ONE

View full text Add to dashboard Cite

Background Refugees are less likely than US born populations to receive cancer screenings. Building Bridges is a community health worker prevention program designed to increase refugee's cancer screening uptake. The purpose of this cross sectional analysis was to assess differences in uptake of cervical, breast, liver, and colorectal screens across six cultural groups. Methods Data was abstracted in 2018 for this analysis. Participants were categorized into six cultural groups (Myanmar, Central Africa, Bhutan, Somalia, Arabic Speaking Countries, and Other) to assess differences in sociodemographic measures and screening uptake. Uptake proportions were calculated for each cancer type (cervical, breast, liver, and colon) among eligible participants, by gender and cultural group. Differences in uptake across groups were assessed using stratified analysis and logistic regression. Prevalence odds ratios (POR) and 95% confidence intervals (CIs) were calculated for each group to assess the association between screening completion and cultural group. Findings 874 refugees were asked about cancer screening history. The majority of participants were either 'never had been screened' or 'not up-to-date' for every cancer screening. Among age eligible, 82% had no prior pap exam within the past 3 years, 81% had no prior mammogram within the past year, 69% didn't know their Hepatitis B status and 87% never had a colon cancer screening. Overall, higher uptake of all types of cancer screenings was observed in Myanmar and Bhutanese groups, except colon cancer screening which was higher among Central African Region and Arabic Speaking participants.

show abstract

Section: Plos Onecontrasting

confidence: 60%

Uptake of cancer screenings among a multiethnic refugee population in North Texas, 2014-2018

Raines-Milenkov¹,

Felini²,

Baker³

et al. 2020

PLoS ONE

View full text Add to dashboard Cite

show abstract

“…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%

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

Katz

Zimmermann

Moore³

et al. 2016

Women & Health

View full text Add to dashboard Cite

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.

show abstract

“…Recent evidence suggests that vaginal self‐obtained samples provide sensitivity and specificity equal to clinician‐collected specimens for detecting high‐risk HPV types and cervical intraepithelial neoplasia 2+ . HPV self‐testing acceptability, feasibility and satisfaction studies among Indigenous and ethnic minority women found that HPV self‐testing is preferable to cervical cytology, and potentially eliminates barriers to cervical screening …”

Section: Introductionmentioning

confidence: 99%

Acceptability of self‐taken vaginal HPV sample for cervical screening among an under‐screened Indigenous population

Adcock

Cram²,

Lawton

et al. 2019

Aust NZ J Obst Gynaeco

View full text Add to dashboard Cite

Background: Human papillomavirus (HPV), the causative agent of cervical cancer, can be screened for using self-collected vaginal samples (self-testing). This may overcome barriers to screening for Māori women who suffer a greater burden of cervical disease than New Zealand European women. Aims:This study aimed to explore the potential acceptability of HPV self-testing for never/under-screened (self-reported no cervical screen in 4+ years, aged 25+) Māori women by Kaupapa Māori (by, with and for Māori) mixed methods, involving hui (focus groups/interviews) and survey. Materials and Methods:Community-based researchers ran hui with women in four regions (N = 106) and supported hui participants to collect survey data (N = 397). Healthcare providers (HCPs) were also interviewed (N = 17). Hui data were thematically analysed. Survey data were analysed by age group, rural/urban, primary health organisation (PHO) enrolment, and time since last cervical screen.Results: Most survey participants were PHO-enrolled (87.15%) and attended regularly (71.79%), but did not attend regular cervical screening. A desire for bodily autonomy, including whakamā (embarrassment/shyness/reticence), was the most frequently cited barrier. Three in four women reported being likely/very likely to do an HPV self-test. Nine in ten women reported being likely/very likely to attend follow up if they receive a positive HPV test result. Women and HCPs in the hui emphasised the importance of health literacy, cultural competence and empathetic support. Conclusion:The findings indicate that with a culturally competent introduction of HPV self-testing, many currently never/under-screened Māori women would be willing to be screened and followed up if necessary. HPV self-testing has the potential to save lives. K E Y W O R D Scervical screening, HPV self-sampling, HPV self-testing, Indigenous health, Kaupapa Māori

show abstract

Cervical cancer screening with clinic‐based Pap test versus home HPV test among Somali immigrant women in Minnesota: a pilot randomized controlled trial

Cited by 61 publications

References 60 publications

Uptake of cancer screenings among a multiethnic refugee population in North Texas, 2014-2018

Uptake of cancer screenings among a multiethnic refugee population in North Texas, 2014-2018

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

Acceptability of self‐taken vaginal HPV sample for cervical screening among an under‐screened Indigenous population

Contact Info

Product

Resources

About