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Sökning: onr:"swepub:oai:DiVA.org:oru-78277" > Acceptance of Self-...

  • Andersson, SoniaDepartment of Women's and Children's Health, Karolinska University Hospital and Institute, Stockholm, Sweden (författare)

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

  • Artikel/kapitelEngelska2019

Förlag, utgivningsår, omfång ...

  • Springer,2019
  • printrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:oru-78277
  • urn:nbn:se:oru:diva-78277urn
  • https://doi.org/10.1007/s13187-019-01608-0DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:231522376URI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:144778182URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • <p>Funding Agencies:</p><p>Medical Research Council UK (MRC) LS 2015-1198</p><p>Cancer Society in Stockholm  154022</p><p></p>
  • gratis
  • 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.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Belkić, KarenDepartment of Oncology-Pathology, Karolinska Institute, Stockholm, Sweden; Claremont Graduate University, Claremont, CA, USA; Keck School of Medicine, University of Southern California, Los Angeles, USA (författare)
  • Mints, Miriam,1958-Örebro universitet,Institutionen för medicinska vetenskaper,Region Örebro län,Department of Women's and Children's Health, Karolinska University Hospital and Institute, Stockholm, Sweden(Swepub:oru)mms (författare)
  • Östensson, EllinorDepartment of Women's and Children's Health, Karolinska University Hospital and Institute, Stockholm, Sweden (författare)
  • Belkić, KKarolinska Institutet(Swepub:ki)f54f06a846a4505f2a1f9c8e745a89ed (författare)
  • Östensson, EKarolinska Institutet(Swepub:ki)2497314d22213482d92cd556ce216c8a (författare)
  • Andersson, SKarolinska Institutet(Swepub:ki)1f428543c1d6f50f39ecdb021e3b0675 (författare)
  • Mints, M (författare)
  • Belkic, KKarolinska Institutet(Swepub:ki)f54f06a846a4505f2a1f9c8e745a89ed (författare)
  • Ostensson, EKarolinska Institutet(Swepub:ki)2497314d22213482d92cd556ce216c8a (författare)
  • Department of Women's and Children's Health, Karolinska University Hospital and Institute, Stockholm, SwedenDepartment of Oncology-Pathology, Karolinska Institute, Stockholm, Sweden; Claremont Graduate University, Claremont, CA, USA; Keck School of Medicine, University of Southern California, Los Angeles, USA (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Journal of Cancer Education: Springer0885-81951543-0154

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