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Acceptability of self‐taken vaginal HPV sample for cervical screening among an under‐screened Indigenous population.
- Source :
-
Australian & New Zealand Journal of Obstetrics & Gynaecology . Apr2019, Vol. 59 Issue 2, p301-307. 7p. 3 Charts, 2 Graphs. - Publication Year :
- 2019
-
Abstract
- Background: Human papillomavirus (HPV), the causative agent of cervical cancer, can be screened for using self‐collected vaginal samples (self‐testing). This may overcome barriers to screening for Māori women who suffer a greater burden of cervical disease than New Zealand European women. Aims: This study aimed to explore the potential acceptability of HPV self‐testing for never/under‐screened (self‐reported no cervical screen in 4+ years, aged 25+) Māori women by Kaupapa Māori (by, with and for Māori) mixed methods, involving hui (focus groups/interviews) and survey. Materials and Methods: Community‐based researchers ran hui with women in four regions (N = 106) and supported hui participants to collect survey data (N = 397). Healthcare providers (HCPs) were also interviewed (N = 17). Hui data were thematically analysed. Survey data were analysed by age group, rural/urban, primary health organisation (PHO) enrolment, and time since last cervical screen. Results: Most survey participants were PHO‐enrolled (87.15%) and attended regularly (71.79%), but did not attend regular cervical screening. A desire for bodily autonomy, including whakamā (embarrassment/shyness/reticence), was the most frequently cited barrier. Three in four women reported being likely/very likely to do an HPV self‐test. Nine in ten women reported being likely/very likely to attend follow up if they receive a positive HPV test result. Women and HCPs in the hui emphasised the importance of health literacy, cultural competence and empathetic support. Conclusion: The findings indicate that with a culturally competent introduction of HPV self‐testing, many currently never/under‐screened Māori women would be willing to be screened and followed up if necessary. HPV self‐testing has the potential to save lives. [ABSTRACT FROM AUTHOR]
- Subjects :
- *COLLECTION & preservation of biological specimens
*COMMUNICATION
*COMMUNITY health services
*EMPATHY
*ETHNOPSYCHOLOGY
*FOCUS groups
*HEALTH promotion
*HEALTH services accessibility
*HEALTH status indicators
*INTERVIEWING
*MAORI (New Zealand people)
*RESEARCH methodology
*MEDICAL care costs
*MEDICAL personnel
*PAP test
*PAPILLOMAVIRUS diseases
*RESEARCH funding
*HEALTH self-care
*WOMEN'S health
*HEALTH of indigenous peoples
*SOCIAL support
*THEMATIC analysis
*CULTURAL competence
*HEALTH literacy
*DATA analysis software
*EARLY detection of cancer
*PSYCHOLOGY
PAPILLOMAVIRUS disease prevention
Subjects
Details
- Language :
- English
- ISSN :
- 00048666
- Volume :
- 59
- Issue :
- 2
- Database :
- Academic Search Index
- Journal :
- Australian & New Zealand Journal of Obstetrics & Gynaecology
- Publication Type :
- Academic Journal
- Accession number :
- 135775739
- Full Text :
- https://doi.org/10.1111/ajo.12933