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Title
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Cervical cancer screening using HPV tests on self-samples : attitudes and preferences of women participating in the VALHUDES study
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Author
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Abstract
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| Background Interventions to reach women who do not participate regularly in screening may reduce the risk of cervical cancer. Self-collection of a vaginal specimen has been shown to increase participation. The relative clinical accuracy of human papillomavirus (HPV) testing on first-void urine (with Colli-Pee) and on vaginal self-samples versus on cervical clinician-collected samples is being investigated in the VALHUDES trial. The current study assesses attitudes and experiences regarding self-sampling among women enrolled in VALHUDES. Methods Questionnaires from 515 women (age 25–64 years [N = 498]; < 25 [N = 10], age ≥ 65 [N = 3], enrolled between December 2017 - January 2020) referred to colposcopy because of previous cervical abnormalities and enrolled in VALHUDES (NCT03064087) were analysed. Results Of the 515 participants, nearly all women confirmed that self-sampling may help in reaching under-screened women (93%). Nevertheless, 44% of the participants stated before starting collection that a clinician-collected sample is more effective than a self-collected sample. After self-sampling, the large majority of women (> 95%) declared that instructions for self-collection were clear, that collection was easy, and that they were confident about having performed the procedure correctly, for both urine and vaginal collection. However, a proportion of women found self-sampling unpleasant (9.5% [49/515] for urine collection; 18.6% [96/515] and 15.5% [80/515] for vaginal sampling with cotton swabs or plastic brushes, respectively). For their next screening round, 57% would prefer self-sampling whereas 41% opted for collection by a clinician. Among women preferring self-sampling, 53% would choose for urine collection, 38% for vaginal self-collection and 9% had no preference. Age did not modify preferences. Conclusion We conclude that both urine and vaginal self-sampling are well accepted by women, with a preference for urine sampling. Although the large majority of women are confident in their ability to perform self-sampling, four to five over ten women preferred specimen collection by a clinician. |
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Language
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English
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Source (journal)
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Archives of public health / Institut scientifique de la santé publique--Louis Pasteur (Belgium); Belgium. Ministère de la santé publique et de l'environnement. - Brussels, 1990, currens
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Publication
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Brussels
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2021
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ISSN
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0778-7367
[print]
2049-3258
[online]
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DOI
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10.1186/S13690-021-00667-4
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Volume/pages
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79
:1
(2021)
, 9 p.
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Article Reference
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155
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ISI
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000692386600001
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Pubmed ID
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34462004
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Medium
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E-only publicatie
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Full text (Publisher's DOI)
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Full text (open access)
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