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Acceptance of Self-Sampling Among Long-Term Cervical Screening Non-Attenders with HPV-Positive Results : Promising Opportunity for Specific Cancer Education

Andersson, Sonia (författare)
Department of Women's and Children's Health, Karolinska University Hospital and Institute, Stockholm, Sweden
Belkić, Karen (författare)
Department of Oncology-Pathology, Karolinska Institute, Stockholm, Sweden; Claremont Graduate University, Claremont, CA, USA; Keck School of Medicine, University of Southern California, Los Angeles, USA
Mints, Miriam, 1958- (författare)
Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Women's and Children's Health, Karolinska University Hospital and Institute, Stockholm, Sweden
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Östensson, Ellinor (författare)
Department of Women's and Children's Health, Karolinska University Hospital and Institute, Stockholm, Sweden
Östensson, E (författare)
Karolinska Institutet
Mints, M (författare)
Belkić, K (författare)
Karolinska Institutet
Andersson, S (författare)
Karolinska Institutet
Ostensson, E (författare)
Karolinska Institutet
Belkic, K (författare)
Karolinska Institutet
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Springer, 2021
Ingår i: Journal of Cancer Education. - : Springer. - 0885-8195 .- 1543-0154. ; 36:1, s. 126-133
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
  • This study aims to investigate acceptance of vaginal self-sampling for high-risk human papilloma virus (HPV) among long-term screening non-attenders at increased cervical cancer risk and to identify leverage points to promote screening adherence among these women. Forty-three long-term screening non-attenders performed home vaginal self-sampling for HPV, had positive HPV results, and subsequently attended gynecologic examination. Sixteen (37.2%) had high-grade cervical intraepithelial neoplasia (CIN2 or 3), and two had invasive cervical cancer. Forty-one of these women completed a questionnaire concerning Specific Knowledge about HPV, CIN, and cervical cancer, potential barriers to screening and views about self-sampling. Results were compared with 479 women treated for CIN2+ who attended gynecologic follow-up and also performed self-sampling. Significant multivariate predictors of long-term non-attender status compared with referents were low Specific Knowledge, high confidence in self-sampling, and potential barriers-refraining from activity to attend gynecologic examination, needing another's help to attend, and long travel time. Non-attenders citing fear/refraining from gynecologic examination as why they preferred self-sampling significantly more often had lowest Specific Knowledge compared with other non-attenders. All non-attenders could envision themselves doing self-sampling again while only 74% of referents endorsed this statement (p = 0.0003). We conclude that HPV self-sampling is an acceptable option for women at increased cervical cancer risk who have been long-term screening non-attenders. Educational outreach to enhance Specific Knowledge about HPV, CIN and cervical cancer is critical. Those non-attenders who explicitly avoid gynecologic examinations need special attention. Trial Registry: Clinicaltrials.gov NCT02750124.


MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine (hsv//eng)


Cervical cancer screening
HPV testing
Leverage points
Specific knowledge

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