Acceptability of self-sampling and human papillomavirus testing among non-attenders of cervical cancer screening programs in El Salvador.

Abstract:

:In a cross-sectional study carried out in El Salvador between February 2016 and July 2017, self-sampling and human papillomavirus (HPV) testing was found to be highly acceptable among 2019 women who had not attended a cervical cancer screening in at least 3 years. Within this population, HPV positivity rates differed according to age, marital status, number of children, and lifetime sexual partners. The proportion of women who tested HPV positive or who were diagnosed with cervical intraepithelial neoplasia grade 2 (CIN2) or more severe diagnoses (CIN2+) was similar to the general population of the area. Among the reasons for failing to participate in previous screening programs, non-attending women described logistic concerns, but also erroneous beliefs regarding HPV and cervical cancer, misconceptions regarding the screening procedure, discomfort with male providers, and confidentiality fears. The aim of this study was to identify opportunities and challenges that emerged from the use of self-sampling and HPV testing as part of a public cervical cancer control effort in a low-resource setting.

journal_name

Prev Med

journal_title

Preventive medicine

authors

Maza M,Melendez M,Masch R,Alfaro K,Chacon A,Gonzalez E,Soler M,Conzuelo-Rodriguez G,Gage JC,Alonzo TA,Castle PE,Felix JC,Cremer M

doi

10.1016/j.ypmed.2018.06.017

subject

Has Abstract

pub_date

2018-09-01 00:00:00

pages

149-155

eissn

0091-7435

issn

1096-0260

pii

S0091-7435(18)30206-8

journal_volume

114

pub_type

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