HPV Testing Behaviors and Willingness to Use HPV Self-sampling at Home Among African American (AA) and Sub-Saharan African Immigrant (SAI) Women
| Autor: | Amanda T. Wiggins, Mark Dignan, Adebola Adegboyega, Lovoria B. Williams |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Health (social science) Sociology and Political Science media_common.quotation_subject Immigration Uterine Cervical Neoplasms Emigrants and Immigrants Logistic regression Article Health care medicine Humans Mass Screening Pap test Early Detection of Cancer Africa South of the Sahara media_common African american medicine.diagnostic_test business.industry Health Policy Papillomavirus Infections Public Health Environmental and Occupational Health virus diseases female genital diseases and pregnancy complications Underinsured Test (assessment) Black or African American Self Care Hpv testing Cross-Sectional Studies Anthropology Female business Demography |
| Zdroj: | J Racial Ethn Health Disparities |
| ISSN: | 2196-8837 2197-3792 |
| Popis: | Background HPV self-sampling is an emerging HPV testing method that offers reliable identification of cervical precancer and cancer. To determine the feasibility of HPV self-sampling in the USA, information is needed regarding women's use of HPV test and willingness to use self-sampling, especially among disparate groups such as African American (AA) and sub-Saharan African immigrant (SAI) women. The purpose of this study was to examine factors associated with having had at least one HPV test and willingness to use HPV self-sampling among AA and SAI women. Methods AA and SAI women (n = 91) recruited from community settings completed a survey in a cross-sectional study. Data included sociodemographics, HPV and HPV testing knowledge, and willingness to use a HPV self-sampling test at home. Logistic regressions were performed to evaluate associations with having had a HPV test and willingness to use self-sampling. Results Respondents mean age was 38.2 years (SD = 12.6) and 65% were SAIs. The majority (84%) reported having had at least one Pap test and (36%) had at least one HPV test. Sixty-seven percent were willing to self-sample at home. Age, education, and HPV testing knowledge were associated with having had a HPV test. Being uninsured and likelihood to accept a Pap test if recommended were associated with willingness to use self-sampling at home for an HPV test. Conclusions Health care providers have an important role in recommending cervical cancer screening according to current guidelines. HPV self-sampling may be a promising strategy to reach older, less educated, uninsured, and underinsured Black women. |
| Databáze: | OpenAIRE |
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