Evaluation of human papillomavirus self-collection offered by community health workers at home visits among under-screened women in Brazil.

Autor: de Paula Pantano, Naitielle, Fregnani, José H., Resende, Júlio C. P., Zeferino, Luiz C., de Oliveira Fonseca, Bruno, Antoniazzi, Márcio, de Oliveira, Cristina M., da Rocha Sant'ana, Gisele, Longatto-Filho, Adhemar
Předmět:
Zdroj: Journal of Medical Screening; Jun2021, Vol. 28 Issue 2, p163-168, 6p
Abstrakt: Objective: To explore the acceptability of high-risk human papillomavirus self-testing, involving community health workers, for never/under-screened Brazilian women. Cervical cancer is the most common cause of cancer-related death among adult women in a large number of low-income and lower-middle-income countries, where it remains a major public health problem. High-risk human papillomavirus persistence is required for the development of cervical neoplasia. Methods: The target population was all women aged 30+ from the list of families available in healthcare centre data, who had never been screened or were not screened in the previous 3 years (under-screened women), and who were living in the 17 cities included in this study. Results: Of the 377 women included, 16.9% (n = 64) had never had a pap smear. Of all samples included in the study, 97.1% (n = 366) were considered adequate for evaluation, as 2.9% (n = 11) were considered invalid for all high-risk human papillomavirus types. Analysing these 366 samples, 9.6% (n = 35) of the women were infected by at least one high-risk human papillomavirus type and 90.4% (n = 331) had no infection with any high-risk type of the virus. Conclusions: Vaginal self-sampling is an adequate strategy to improve the effectiveness of the cervical cancer program by increasing screening in a high-risk group. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index