HPV testing: a mixed-method approach to understand why women prefer self-collection in a middle-income country Arrossi, Silvina, Ramos, Silvina, Straw, Cecilia, Thouyaret, Laura and Orellana, Liliana 2016, HPV testing: a mixed-method approach to understand why women prefer self-collection in a middle-income country, BMC Public Health, vol. 16, Article number: 832, pp. 1-11, doi: 10.1186/s12889-016-3474-2. Attached Files Name Description MIMEType Size Downloads orellana-hpvtesting-2016.pdf Published version application/pdf 603.03KB 8 Title HPV testing: a mixed-method approach to understand why women prefer self-collection in a middle-income country Author(s) Arrossi, Silvina Ramos, Silvina Straw, Cecilia Thouyaret, Laura Orellana, Liliana orcid.org/0000-0003-3736-4337 Journal name BMC Public Health Volume number 16 Season Article number: 832 Start page 1 End page 11 Total pages 11 Publisher BioMed Central Place of publication London, Eng. Publication date 2016-08-19 ISSN 1471-2458 Keyword(s) Argentina HPV testing self-collection acceptability Summary BACKGROUND: HPV test self-collection has been shown to reduce barriers to cervical screening and increase uptake. However, little is known about women's preferences when given the choice between self-collected and clinician-collected tests. This paper aims to describe experiences with HPV self-collection among women in Jujuy, the first Argentinean province to have introduced HPV testing as the primary screening method, provided free of cost in all public health centers. METHODS: Between July and December 2012, data on acceptability of HPV self-collection and several social variables including past screening were collected from 2616 self-collection accepters and 433 non-accepters, and were analyzed using multivariate regression. In addition, in-depth interviews (n = 30) and 2 focus groups were carried out and analyzed using thematic analysis. RESULTS: Quantitative findings indicate that main reasons for choosing self-collection are those reducing barriers related to women's roles of responsibility for domestic work and work/family organization, and to health care services' organization. No social variables were significantly associated with acceptability. Among those who preferred clinician-collection, the main reasons were trust in health professionals and fear of hurting themselves. Qualitative findings also showed that self-collection allows women to overcome barriers related to the health system (i.e. long wait times), without sacrificing time devoted to work/domestic responsibilities. CONCLUSIONS: Findings have implications for self-collection recommendations, as they show it is the preferred method when women are given the choice, even if they are not screening non-attenders. Findings also highlight the importance of incorporating women's needs/preferences in HPV screening recommendations. Language eng DOI 10.1186/s12889-016-3474-2 Field of Research 111799 Public Health and Health Services not elsewhere classified 1117 Public Health And Health Services Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified HERDC Research category C1 Refereed article in a scholarly journal ERA Research output type C Journal article Copyright notice ©2016, The Authors Free to Read? Yes Use Rights Persistent URL http://hdl.handle.net/10536/DRO/DU:30086108 Document type: Journal Article Collections: Faculty of Health Open Access Collection Related Links Link Description Connect to published version Go to link with your DU access privileges     Unless expressly stated otherwise, the copyright for items in DRO is owned by the author, with all rights reserved. Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au. Versions Version Filter Type Mon, 12 Sep 2016, 17:26:06 EST Tue, 13 Sep 2016, 05:01:19 EST Wed, 09 Nov 2016, 11:15:34 EST Tue, 17 Jan 2017, 05:03:47 EST Mon, 06 Feb 2017, 11:07:46 EST Mon, 06 Feb 2017, 11:13:35 EST Filtered Full Citation counts:   Cited 8 times in TR Web of Science Cited 8 times in Scopus Search Google Scholar Access Statistics: 89 Abstract Views, 9 File Downloads  -  Detailed Statistics Created: Mon, 12 Sep 2016, 17:26:06 EST

Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.