| Autor: |
Le Goff J; University of Angers, CLiPsy, SFR CONFLUENCES, F-49000 Angers, France., Le Duc-Banaszuk AS; Pays de la Loire Regional Cancer Screening Coordination Center (CRCDC Pays de La Loire), F-49000 Angers, France., Lefeuvre C; University of Angers, CHU Angers, HIFIH, SFR ICAT, F-49000 Angers, France., Pivert A; University of Angers, CHU Angers, HIFIH, SFR ICAT, F-49000 Angers, France., Ducancelle A; University of Angers, CHU Angers, HIFIH, SFR ICAT, F-49000 Angers, France., De Pauw H; Unit Cancer Epidemiology, Belgian Cancer Center, Sciensano, B1050 Brussels, Belgium., Arbyn M; Unit Cancer Epidemiology, Belgian Cancer Center, Sciensano, B1050 Brussels, Belgium.; Department of Human Structure and Repair, Faculty of Medicine and Health Sciences, Ghent University, B9000 Ghent, Belgium., Vinay A; University of Angers, CLiPsy, SFR CONFLUENCES, F-49000 Angers, France., Rexand-Galais F; University of Angers, CLiPsy, SFR CONFLUENCES, F-49000 Angers, France. |
| Abstrakt: |
Cervical cancer (CC) was diagnosed in 3159 women in France in 2023, and 1117 died from it. Organized screening for cervical cancer is potentially very effective for participating women. However, reaching under-screened populations remains a major challenge. The present qualitative study explored women's opinions on what discourages or encourages them to participate in CC screening and assessed the acceptability of two experimental strategies (urinary or vaginal self-sampling kits) to increase the screening coverage in three rural French administrative departments with low medical density and/or low screening participation rates. Forty-eight semi-structured interviews and four focus groups were conducted by a team of psychologists. Results showed that the participants accepted at-home self-sampling to reach non-participating women in medically underserved areas. However, they suggested that the type of kit sent should be adapted to the patient's profile (embarrassment from earlier exams, cultural aspects, fear of invasiveness, etc.), and that kits should be simple to use (in understandable language taking sociocultural aspects into account). Women wished to be assured that testing on self-samples is accurate and needed information about further actions in case of a positive result. |
