Exploring Factors Associated with Patients Who Prefer Clinician-Sampling to HPV Self-Sampling: A Study Conducted in a Low-Resource Setting
| Autor: | Pierre Vassilakos, Nicole C Schmidt, Alida Moukam Datchoua, Bruno Kenfack, Patrick Petignat, Jessica Sormani, Ania Wisniak, Sophie Lemoupa Makajio |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
sub-Saharan Africa
Adult obstetrics_gynaecology Low resource Health Toxicology and Mutagenesis cervical cancer screening Uterine Cervical Neoplasms Alphapapillomavirus Cervical cancer screening Article Specimen Handling Environmental health HPV self-sampling preference Medicine Humans Mass Screening Papillomaviridae Early Detection of Cancer business.industry Papillomavirus Infections Public Health Environmental and Occupational Health Sampling (statistics) Middle Aged Preference Self Care Female business Self sampling |
| Zdroj: | International Journal of Environmental Research and Public Health; Volume 19; Issue 1; Pages: 54 International Journal of Environmental Research and Public Health International Journal of Environmental Research and Public Health, Vol 19, Iss 54, p 54 (2022) |
| Popis: | Human papillomavirus (HPV) self-sampling (Self-HPV) is a promising strategy to improve cervical cancer screening coverage in low-income countries. However, issues associated with women who prefer conventional HPV clinical-sampling over HPV self-sampling may affect screening participation. To address this issue, our study assessed factors associated with women’s preferences related to Self-HPV. This study was embedded in a large clinical trial recruiting women aged 30–49 years in a primary HPV-based study termed “3T-Approach” (for Test-Triage-Treatment), launched in 2018 at Dschang District Hospital, West Cameroon. Participants were invited to perform a Self-HPV. After the sampling and before receiving the results, participants completed a questionnaire about cervical cancer screening and their preferences and perceptions around Self-HPV. The median age of the 2201 participants was 40.6 (IQR 35–45) years. Most (1693 (76.9%)) preferred HPV self-sampling or had no preference for either method and 508 (23.1%) preferred clinician-sampling. Factors associated with an increased likelihood of reporting a clinician-sampling preference were tertiary educational level (14.4% CI: 12.8–16.1 vs 29.5% CI: 25.6–33.6) and being an employee with higher grade professional or managerial occupations (5.5% CI: 3.8–7.9 vs 2.6% CI: 2.3–2.8). The main reported reason for women preferring clinician-sampling was a lack of “self-expertise”. Most women (>99%) would agree to repeat HPV self-sampling and would recommend it to their relatives. HPV self-sampling in the cultural context of central Africa was well accepted by participants, but some participants would prefer to undergo clinician sampling. Health systems should support well-educated women to increase self-confidence in using HPV self-sampling. |
| Databáze: | OpenAIRE |
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