HPV testing: a mixed-method approach to understand why women prefer self-collection in a middle-income country

Mostrar todas las versiones(2)

Background HPV test self-collection has been shown to reduce barriers to cervical screening and increase uptake. However, little is known about women’s preferences when given the choice between self-collected and clinician-collected tests. This paper aims to describe experiences with HPV self-colle...

Descripción completa

Guardado en:
Detalles Bibliográficos
Autores principales: Arrossi, Silvina, Straw, Cecilia, Orellana, Liliana C, Ramos, Silvina, Thouyaret, Laura
Formato: Artículo
Lenguaje:Inglés
Publicado: 1471-2458 2019
Materias:
Argentina
Infecciones por Papillomavirus
Pruebas de ADN del Papillomavirus Humano
Aceptación de la Atención de Salud
Acceso en línea:https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-016-3474-2
http://repositorio.cedes.org/handle/123456789/4474
Aporte de:
Respositorio Digital CRIS del CEDES - Centro de Estudios de Estado y Sociedad de Centro de Estudios de Estado y Sociedad (CEDES)
id I61-R167123456789-4474
record_format dspace
institution Centro de Estudios de Estado y Sociedad (CEDES)
institution_str I-61
repository_str R-167
collection Respositorio Digital CRIS del CEDES - Centro de Estudios de Estado y Sociedad
language Inglés
orig_language_str_mv en
topic Argentina
Infecciones por Papillomavirus
Pruebas de ADN del Papillomavirus Humano
Aceptación de la Atención de Salud
spellingShingle Argentina
Infecciones por Papillomavirus
Pruebas de ADN del Papillomavirus Humano
Aceptación de la Atención de Salud
Arrossi, Silvina
Straw, Cecilia
Orellana, Liliana C
Ramos, Silvina
Thouyaret, Laura
HPV testing: a mixed-method approach to understand why women prefer self-collection in a middle-income country
topic_facet Argentina
Infecciones por Papillomavirus
Pruebas de ADN del Papillomavirus Humano
Aceptación de la Atención de Salud
description Background HPV test self-collection has been shown to reduce barriers to cervical screening and increase uptake. However, little is known about women’s preferences when given the choice between self-collected and clinician-collected tests. This paper aims to describe experiences with HPV self-collection among women in Jujuy, the first Argentinean province to have introduced HPV testing as the primary screening method, provided free of cost in all public health centers. Methods Between July and December 2012, data on acceptability of HPV self-collection and several social variables including past screening were collected from 2616 self-collection accepters and 433 non-accepters, and were analyzed using multivariate regression. In addition, in-depth interviews (n = 30) and 2 focus groups were carried out and analyzed using thematic analysis. Results Quantitative findings indicate that main reasons for choosing self-collection are those reducing barriers related to women’s roles of responsibility for domestic work and work/family organization, and to health care services’ organization. No social variables were significantly associated with acceptability. Among those who preferred clinician-collection, the main reasons were trust in health professionals and fear of hurting themselves. Qualitative findings also showed that self-collection allows women to overcome barriers related to the health system (i.e. long wait times), without sacrificing time devoted to work/domestic responsibilities. Conclusions Findings have implications for self-collection recommendations, as they show it is the preferred method when women are given the choice, even if they are not screening non-attenders. Findings also highlight the importance of incorporating women’s needs/preferences in HPV screening recommendations.
format Artículo
author Arrossi, Silvina
Straw, Cecilia
Orellana, Liliana C
Ramos, Silvina
Thouyaret, Laura
author_facet Arrossi, Silvina
Straw, Cecilia
Orellana, Liliana C
Ramos, Silvina
Thouyaret, Laura
author_sort Arrossi, Silvina
title HPV testing: a mixed-method approach to understand why women prefer self-collection in a middle-income country
title_short HPV testing: a mixed-method approach to understand why women prefer self-collection in a middle-income country
title_full HPV testing: a mixed-method approach to understand why women prefer self-collection in a middle-income country
title_fullStr HPV testing: a mixed-method approach to understand why women prefer self-collection in a middle-income country
title_full_unstemmed HPV testing: a mixed-method approach to understand why women prefer self-collection in a middle-income country
title_sort hpv testing: a mixed-method approach to understand why women prefer self-collection in a middle-income country
publisher 1471-2458
publishDate 2019
url https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-016-3474-2
http://repositorio.cedes.org/handle/123456789/4474
work_keys_str_mv AT arrossisilvina hpvtestingamixedmethodapproachtounderstandwhywomenpreferselfcollectioninamiddleincomecountry
AT strawcecilia hpvtestingamixedmethodapproachtounderstandwhywomenpreferselfcollectioninamiddleincomecountry
AT orellanalilianac hpvtestingamixedmethodapproachtounderstandwhywomenpreferselfcollectioninamiddleincomecountry
AT ramossilvina hpvtestingamixedmethodapproachtounderstandwhywomenpreferselfcollectioninamiddleincomecountry
AT thouyaretlaura hpvtestingamixedmethodapproachtounderstandwhywomenpreferselfcollectioninamiddleincomecountry
bdutipo_str Repositorios
_version_ 1764820545182892033

Ejemplares similares