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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.

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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, LilianaORCID iD for 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 Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30086108

Document type: Journal Article
Collections: Faculty of Health
Open Access Collection
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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.