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Racial and Ethnic Differences in Acceptability of Urine and Cervico-Vaginal Sample Self-Collection for HPV-Based Cervical Cancer Screening.
- Source :
-
Journal of Women's Health (15409996) . Jul2020, Vol. 29 Issue 7, p971-979. 9p. 3 Charts, 1 Graph. - Publication Year :
- 2020
-
Abstract
- Background: We compared women's acceptability of urine and cervico-vaginal sample self-collection for high-risk (oncogenic) human papillomavirus (hrHPV) testing and assessed whether acceptability varied across racial/ethnic groups. Methods: As part of a test accuracy study of urine-based hrHPV testing, we recruited a convenience sample of women 25–65 years of age at two colposcopy clinics in North Carolina between November 2016 and January 2019. After self-collection of urine and cervico-vaginal samples, women completed a questionnaire on the acceptability of the sample collection methods. We coded open-ended questions inductively. All results are presented stratified by racial/ethnic group. Results: We included 410 women (119 Hispanic, 115 non-Hispanic Black, 154 non-Hispanic White, and 22 women with other racial identities). Most women (79%, 95% confidence interval [CI] = 76%–83%) had positive feelings about urine-based hrHPV testing. Women generally preferred urine (78%, 95% CI = 74%–82%) over cervico-vaginal self-collection (18%, 95% CI = 14%–22%), but the degree differed by racial/ethnic group, increasing from 75% in non-Hispanic Black to 82% in Hispanic women (p = 0.011). Most women reported at least one positive aspect of urine (89%) and cervico-vaginal self-collection (85%) for hrHPV testing with the most common positive aspect being easy sample collection, although 16% of women were concerned about performing the cervico-vaginal self-collection correctly. Conclusions: Self-collection for hrHPV-based cervical cancer screening is highly acceptable to women across different racial/ethnic groups in the United States, and most women in our study would be more likely to attend future cervical cancer screening appointments if screening were urine based. Urine-based hrHPV testing is a promising approach to improve cervical cancer screening coverage. [ABSTRACT FROM AUTHOR]
- Subjects :
- *COLLECTION & preservation of biological specimens
*BLACK people
*COLPOSCOPY
*CONFIDENCE intervals
*EMOTIONS
*ETHNIC groups
*HISPANIC Americans
*PAP test
*PAPILLOMAVIRUSES
*QUESTIONNAIRES
*RACE
*STATISTICAL sampling
*URINALYSIS
*WHITE people
*PSYCHOLOGY of women
*POSITIVE psychology
*HUMAN research subjects
*PATIENT selection
*PATIENTS' attitudes
*SELF diagnosis
CERVIX uteri tumors
Subjects
Details
- Language :
- English
- ISSN :
- 15409996
- Volume :
- 29
- Issue :
- 7
- Database :
- Academic Search Index
- Journal :
- Journal of Women's Health (15409996)
- Publication Type :
- Academic Journal
- Accession number :
- 144576976
- Full Text :
- https://doi.org/10.1089/jwh.2019.8132