Feasibility and anticipated acceptability of community health worker-facilitated HPV self-sampling for cervical cancer screening around Lake County, Indiana.

Autor:	Adekunle TB; Brian Lamb School of Communication, Purdue University, West Lafayette, IN, USA., Arreola A; College of Science, Purdue University, West Lafayette, IN, USA., Sembian S; Weldon School of Biomedical Engineering, Purdue University, West Lafayette, IN, USA., Castro R; Department of Public Health, Purdue University, West Lafayette, IN, USA., Claure L; Department of Public Health, Purdue University, West Lafayette, IN, USA., Balian L; Department of Public Health, Purdue University, West Lafayette, IN, USA., Rodriguez NM; Weldon School of Biomedical Engineering, Purdue University, West Lafayette, IN, USA.; Department of Public Health, Purdue University, West Lafayette, IN, USA.
Jazyk:	angličtina
Zdroj:	Journal of clinical and translational science [J Clin Transl Sci] 2023 Jun 23; Vol. 7 (1), pp. e157. Date of Electronic Publication: 2023 Jun 23 (Print Publication: 2023).
DOI:	10.1017/cts.2023.578
Abstrakt:	Background/objective: In light of calls to engage community health workers (CHWs) in the delivery of cervical cancer screening innovations, this study explores CHW perspectives on i) barriers to cervical cancer screening in a predominantly Hispanic community in Lake County, Indiana, the county with the highest cervical mortality in the state; and ii) the acceptability and feasibility of CHW-facilitated human papillomavirus (HPV) self-sampling as a means of reducing screening disparities. Methods: In 2021, in-depth interviews were conducted with 15 CHWs employed by Lake County community-based organizations including clinics, schools, and faith-based organizations. Results: Harnessing CHWs' voices as insiders with knowledge of their communities' health landscape, our analysis identified multilevel barriers to screening that spanned individual, interpersonal, and community levels of the socio-ecological model. CHW-facilitated HPV self-sampling shows promise of mitigating several barriers to cervical cancer screening. Privacy, time saved, and comfort were perceived to be facilitators for acceptability, with concerns about the novelty of this approach and trust in provider (as opposed to CHW) expertise emerging as key barriers. In terms of feasibility, synergies with existing CHW work, and some community members' prior experience with self-sampling were found to be facilitators, while CHW's time limitations and self-efficacy in providing adequate medical support were areas of concern. Considerations for adoption included CHW training, gender concordance, safety, and respect, among others. Conclusion: This study provides critical insights from CHWs as key stakeholders on a screening model that directly engages them, which can inform implementation to increase screening in medically-underserved communities in the US. Competing Interests: The authors have no conflicts of interest to disclose. (© The Author(s) 2023.)
Databáze:	MEDLINE
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