Exploring Factors Associated with Patients Who Prefer Clinician-Sampling to HPV Self-Sampling: A Study Conducted in a Low-Resource Setting

Sormani, Jessica; Wisniak, Ania; Datchoua, Alida Moukam; Makajio, Sophie Lemoupa; Schmidt, Nicole; Vassilakos, Pierre; Petignat, Patrick

doi:10.20944/preprints202111.0249.v1

Cited by 3 publications

(2 citation statements)

References 17 publications

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“…The apparent contradiction between higher knowledge and attitude scores predicting good practice, while lower knowledge and attitude scores are associated with self-sampling, may be due to the fact that individuals with higher scores may perceive traditional methods as more reliable, whereas individuals with lower scores may be more open to considering selfsampling as a convenient and accessible alternative. A study conducted in Geneva adds further relevance by highlighting that women with higher education and professional occupations still prefer clinician sampling, possibly due to their perceived lack of expertise in selfsampling (31). These findings underscore the importance of considering individual preferences and addressing concerns when designing effective HPV screening programs and interventions.…”

Section: Yes Nomentioning

confidence: 99%

Knowledge, attitudes, and practices of human papillomavirus and self-sampling among adult women: a cross-sectional study

Shao,

Ke,

Jiang

et al. 2024

Front. Public Health

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BackgroundThis study aimed to investigate the knowledge, attitude, and practice (KAP) of human papillomavirus (HPV) and self-sampling among adult women.MethodsThe cross-sectional, questionnaire-based study included adult women at Shanghai Pudong Hospital from October 14, 2022, to March 31, 2023. The questionnaire contained demographic information, knowledge, attitude and practice dimensions. Factors associated with KAP and self-sampling were identified by multivariate logistic regression.ResultsA total of 1843 valid questionnaires were collected. The average knowledge, attitude, and practice score was 10.09 ± 5.60, 26.76 ± 3.80, and 6.24 ± 2.20, respectively. Urban residents (estimate = 0.705, p < 0.001), suburban residents (estimate = 0.512, p < 0.001), as well as individuals with undergraduate degrees and higher (estimate = 0.535, p < 0.001), were associated with good knowledge, while individuals lacking a history of HPV infection (estimate = −0.461, p < 0.001) and married individuals (estimate = −0.185, p < 0.001) were less likely to have good knowledge. Higher knowledge scores (estimate = 0.087, p < 0.001) and individuals with undergraduate education and above (estimate = 1.570, p < 0.001) were associated with a positive attitude. Being married (estimate = 0.291, p = 0.049) was associated with good practice, whereas not engaging in sexual activity (estimate = −0.959, p < 0.001) or lacking a history of HPV infection (estimate = −0.499, p = 0.011) were associated with unfavorable practices. Minorities (OR = 2.787, p = 0.038) and individuals with multiple sexual partners (OR = 2.297 for two partners, OR = 2.767 for three or more partners, p = 0.020 and p = 0.022) were positively associated with self-sampling. However, higher knowledge (OR = 0.952, p = 0.026) and attitude scores (OR = 0.929, p = 0.015) were negatively associated with self-sampling.ConclusionDemographic and behavioral factors significantly influenced KAP scores and self-sampling behaviors regarding HPV. Urban residency, higher education levels, positive attitudes, and minority status correlated with favorable outcomes, while factors like marriage and lack of sexual activity were associated with less favorable practices.

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Section: Yes Nomentioning

confidence: 99%

Knowledge, attitudes, and practices of human papillomavirus and self-sampling among adult women: a cross-sectional study

Shao,

Ke,

Jiang

et al. 2024

Front. Public Health

View full text Add to dashboard Cite

show abstract

“…Lower self-confidence was associated with a lower intention of doing the test, which led to a postponement of the screening procedure (Williams et al, 2017). Confidence can be gained by enhancing knowledge, perceived capability in self-sampling and proper guidance and reassurance from healthcare professionals (Williams et al, 2017;Sormani et al, 2021).…”

Section: Negative Factorsmentioning

confidence: 99%

The Acceptance of Human Papillomavirus Self-Sampling Test among Muslim Women:A Systematic Review

Amir

Idris

Yusoff

2022

Asian Pac J Cancer Prev

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Introduction: Human Papillomavirus (HPV) self-sampling test has the potential to increase cervical cancer screening rate. Although every screening test has its own advantages and disadvantages, culture and religion can be significant predictors for the acceptability of screening tests among patients, including the HPV self-sampling test. This systematic review intends to identify and review published literature on the acceptance of HPV self-sampling test among Muslim women globally. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) review protocol was utilised to guide this systematic review. We also used the Mixed Method Appraisal Tool (MMAT) for the evaluation of articles, and data from selected papers were retrieved and analysed using thematic analysis. Results: This systematic review includes seven publications that discussed on Muslim women’s perceptions of HPV self-sampling test. This comprises articles that revealed Muslim women’s acceptance of the HPV self-sampling test, including considerable positive factors that influenced their approval. On the other hand, the test’s disadvantages were mentioned, which served as barriers for these women’s participation. Convenience, cultural sensitivity, and availability were positive features, whereas religious taboo, low self-confidence, and perceived cost were some of the negative factors that were discussed. Conclusion: This review emphasises the positive and negative aspects that have an impact on the acceptance of HPV self-sampling test among Muslim women. Identifying the elements that influence HPV self-sampling test acceptance will help policymakers to better understand cervical cancer screening programmes and further guide future plans in reducing the incidence of cervical cancer.

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Does self-sampling for human papilloma virus testing have the potential to increase cervical cancer screening? An updated meta-analysis of observational studies and randomized clinical trials

Gennaro

Licata

Trovato

et al. 2022

Front. Public Health

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ObjectivesA meta-analysis was conducted to examine the effectiveness of HPV self-sampling proposal on cervical cancer screening (CCS) uptake when compared with an invitation to have a clinician to collect the sample. Secondary outcomes were acceptability and preference of self-sampling compared to clinician-collected samples.MethodsThe present systematic review and meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Studies examining the CCS uptake comparing self-sampling over invitation to be sampled by an healthcare professional and examining the proportion of women accepting or preferring self-sampling vs. clinician-collected sampling were included. The CCS uptake was also explored according to strategy of self-samplers' distribution, collection device type and screening status. Peters' test and Funnel Plot inspection were used to assess the publication bias. Quality of the studies was assessed through Cochrane Risk of Bias and NIH Quality Assessment tools.ResultsOne hundred fifty-four studies were globally identified, and 482,271 women were involved. Self-sampling procedures nearly doubled the probability (RR: 1.8; 95% CI: 1.7–2.0) of CCS uptake when compared with clinician-collected samples. The opt-out (RR: 2.1; 95% CI: 1.9–2.4) and the door-to-door (RR: 1.8; 95% CI: 1.6–2.0) did not statistically significant differ (p = 1.177) in improving the CCS uptake. A higher relative uptake was shown for brushes (RR: 1.6; 95% CI: 1.5–1.7) and swabs (RR: 2.5; 95% CI: 1.9–3.1) over clinician-collected samples. A high between-studies variability in characteristics of sampled women was shown. In all meta-analyses the level of heterogeneity was consistently high (I2 > 95%). Publication bias was unlikely.ConclusionsSelf-sampling has the potential to increase participation of under-screened women in the CCS, in addition to the standard invitation to have a clinician to collect the sample. For small communities door-to-door distribution could be preferred to distribute the self-sampler while; for large communities opt-out strategies should be preferred over opt-in. Since no significant difference in acceptability and preference of device type was demonstrated among women, and swabs and brushes exhibited a potential stronger effect in improving CCS, these devices could be adopted.

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Exploring Factors Associated with Patients Who Prefer Clinician-Sampling to HPV Self-Sampling: A Study Conducted in a Low-Resource Setting

Cited by 3 publications

References 17 publications

Knowledge, attitudes, and practices of human papillomavirus and self-sampling among adult women: a cross-sectional study

Knowledge, attitudes, and practices of human papillomavirus and self-sampling among adult women: a cross-sectional study

The Acceptance of Human Papillomavirus Self-Sampling Test among Muslim Women:A Systematic Review

Does self-sampling for human papilloma virus testing have the potential to increase cervical cancer screening? An updated meta-analysis of observational studies and randomized clinical trials

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