Acceptability of self-sampling and human papillomavirus testing among non-attenders of cervical cancer screening programs in E1 Salvador

被引：29

作者：

Maza, M. ^{[1
,8
]}

Melendez, M. ^{[1
,8
]}

Masch, R. ^{[1
,8
]}

Alfaro, K. ^{[1
,8
]}

Chacon, A. ^{[2
]}

Gonzalez, E. ^{[2
]}

Soler, M. ^{[1
,8
]}

Conzuelo-Rodriguez, G. ^{[1
,8
]}

Gage, J. C. ^{[3
]}

Alonzo, T. A. ^{[4
]}

Castle, P. E. ^{[5
]}

Felix, J. C. ^{[6
]}

Cremer, M. ^{[1
,7
,8
]}

机构：

[1] Basic Hlth Int, Ave Camelias 14, San Salvador, El Salvador

[2] Minist Hlth, Calle Arce 827, San Salvador, El Salvador

[3] NCI, 9000 Rockville Pike, Bethesda, MD 20892 USA

[4] Univ Southern Calif, 222 East Huntington Dr,Suite 100, Monrovia, CA 91016 USA

[5] Albert Einstein Coll Med, 300 Morris Pk Ave, Bronx, NY 10461 USA

[6] Med Coll Wisconsin, 9200 W Wisconsin Ave, Milwaukee, WI 53226 USA

[7] Cleveland Clin, 9500 Euclid Ave, Cleveland, OH 44195 USA

[8] Basic Hlth Int, 25 Broadway,9th Floor, New York, NY 10004 USA

来源：

PREVENTIVE MEDICINE | 2018年 / 114卷

关键词：

HPV; Self-sampling; Cervical cancer; E1; Salvador; HPV-DNA TEST; EL SALVADOR; CLINICAL ACCURACY; WOMEN; POPULATION; CAREHPV; ATTENDANCE; IMPACT; TRIAL;

D O I：

10.1016/j.ypmed.2018.06.017

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

In a cross-sectional study carried out in El Salvador between February 2016 and July 2017, self-sampling and human papillomavirus (HPV) testing was found to be highly acceptable among 2019 women who had not attended a cervical cancer screening in at least 3 years. Within this population, HPV positivity rates differed according to age, marital status, number of children, and lifetime sexual partners. The proportion of women who tested HPV positive or who were diagnosed with cervical intraepithelial neoplasia grade 2 (CIN2) or more severe diagnoses (CIN2+) was similar to the general population of the area. Among the reasons for failing to participate in previous screening programs, non-attending women described logistic concerns, but also erroneous beliefs regarding HPV and cervical cancer, misconceptions regarding the screening procedure, discomfort with male providers, and confidentiality fears. The aim of this study was to identify opportunities and challenges that emerged from the use of self-sampling and HPV testing as part of a public cervical cancer control effort in a low-resource setting.

引用

页码：149 / 155

页数：7

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