HPV self-sampling in Japanese women: A feasibility study in a population with limited experience of tampon use
| Autor: | Hidemichi Watari, Sharon J.B. Hanley, Noriaki Sakuragi, Masataka Kudo, Peixin Dong, Susumu Yokoyama, Hiromasa Fujita, Akiko Tamakoshi, Shiori Kunisawa, Noriko Kobayashi |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
medicine.medical_specialty Population Alternative medicine Uterine Cervical Neoplasms Specimen Handling Young Adult 03 medical and health sciences 0302 clinical medicine Japan medicine Humans 030212 general & internal medicine education Papillomaviridae Gynecology Cervical cancer education.field_of_study business.industry Health Policy Papillomavirus Infections Public Health Environmental and Occupational Health Middle Aged Patient Acceptance of Health Care Uterine Cervical Dysplasia medicine.disease Human papillomavirus vaccination Test (assessment) Self Care Tampon use Cancer incidence 030220 oncology & carcinogenesis Family medicine Female business Papanicolaou Test Self sampling |
| Zdroj: | Journal of Medical Screening. 23:164-170 |
| ISSN: | 1475-5793 0969-1413 |
| DOI: | 10.1177/0969141315625702 |
| Popis: | Objectives Cervical cancer incidence and mortality is increasing in Japanese women under age 50. Screening uptake is low and proactive recommendations for human papillomavirus vaccination have been suspended. Other cervical cancer prevention initiatives are urgently needed. We assessed whether human papillomavirus self-sampling might be an acceptable alternative to physician-led screening, particularly in women with limited experience of tampon use. We also sought to identify any practical, logistical, or safety issues in women already attending for screening, before carrying out further large-scale studies in non-responders. Methods In total, 203 women aged 20–49 attending their annual workplace healthcheck in Sapporo, northern Japan, performed unsupervised human papillomavirus self-sampling before undergoing a physician-led cervical smear and human papillomavirus test, and completing a measure of acceptability for both tests. Results Ninety per cent of participants stated they would use self-sampling again. They found instructions easy to follow and reported no issues with the usability of the self-sampling device. Compared with physician-led testing, women found self-sampling significantly less painful, less embarrassing and could relax more (p Conclusions Self-sampling was highly acceptable in this population of women. They could perform the test safely unsupervised, but lacked confidence the test has been carried out correctly. Japanese women need to be educated about the accuracy of human papillomavirus self-sampling and further large-scale studies are necessary in non-responders. |
| Databáze: | OpenAIRE |
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