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Background Screening can reduce cancer mortality, but uptake is suboptimal and characterized by disparities. Home-based self-sampling can facilitate screening for colorectal cancer (with stool tests, eg, fecal immunochemical tests) and for cervical cancer (with self-collected human papillomavirus tests), especially among patients who face barriers to accessing health care. Additional data are needed on feasibility and potential effects of self-sampling tools for cancer screening among underserved patients. Methods We conducted a pilot randomized controlled trial with patients (female, ages 50-65 years, out of date with colorectal and cervical cancer screening) recruited from federally qualified health centers in rural and racially segregated counties in Pennsylvania. Participants in the standard-of-care arm (n   =   24) received screening reminder letters. Participants in the self-sampling arm (n   =   24) received self-sampling tools for fecal immunochemical tests and human papillomavirus testing. We assessed uptake of screening (10-week follow-up), self-sampling screening outcomes, and psychosocial variables. Analyses used Fisher exact tests to assess the effect of study arm on outcomes. Results Cancer screening was higher in the self-sampling arm than the standard-of-care arm (colorectal: 75% vs 13%, respectively, odds ratio = 31.32, 95% confidence interval = 5.20 to 289.33; cervical: 79% vs 8%, odds ratio = 72.03, 95% confidence interval = 9.15 to 1141.41). Among participants who returned the self-sampling tools, the prevalence of abnormal findings was 24% for colorectal and 18% for cervical cancer screening. Cancer screening knowledge was positively associated with uptake (P  < .05). Conclusions Self-sampling tools can increase colorectal and cervical cancer screening among unscreened, underserved patients. Increasing the use of self-sampling tools can improve primary care and cancer detection among underserved patients. Clinical Trials Registration Number STUDY00015480. [ABSTRACT FROM AUTHOR]

The execution of Covid-19 vaccination drives in former Yugoslavia's successor states has been disappointing. The rapidly evolving literature on the Covid-19 pandemic suggests the levels of support for vaccination are correlated with education, trust in public-health institutions, and exposure to the negative economic and health effects of the pandemic. The explanations of the political foundations of vaccination hesitancy, however, need better empirical grounding. We shed light on this subject by analyzing the results of a survey conducted on more than six thousand respondents from Bosnia-Herzegovina, Croatia, and Serbia, as well as a combination of public-health, economic, and sociodemographic data across more than five hundred municipalities in Croatia. Most notably, we find the political sources of vaccination hesitancy to be strongly related to people's support for the ideas of political parties committed to nationalist populism. [ABSTRACT FROM AUTHOR]