The acceptibility of self-collected samples for HPV testing vs. The pap test as alternatives in cervical cancer screening

Ilan G. Dzuba, Ela Ynes Díaz, Betania Allen, Yvonne F. Leonard, Eduardo C.Lazcano Ponce, Keerti V. Shah, David Bishai, Attila Lorincz, Daron Gale Ferris, Bernarp Turnbull, Mauricio Hernández Avila, Jorge Salmerón

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136 Citations (Scopus)

Abstract

Objective: To explore the acceptability of the self-collection of samples for human papillomavirus (HPV) testing in comparison with that of the Pap test. Methods: The study population consisted of 1069 women 20 years and older who were eligible for coverage through the Mexican Institute of Social Security (IMSS). These women were randomly selected among participants in a larger study to evaluate the use of HPV testing as an alternative in cervical cancer screening. All participants provided a self-collected vaginal sample for HPV testing according to explicit instructions and underwent a Pap test. Afterwards, each woman was interviewed about her experience and opinion regarding the two procedures. Acceptability was measured by a calculated score based on discomfort, pain, embarrassment, privacy, perception of personal treatment during the Pap test, and understanding of how to perform the self-sampling method. Results: Ninety-three percent of women experienced sufficient privacy with the Pap test, whereas 98% of women reported that privacy with the self-sampling procedure was acceptable. The Pap test consistently provoked more discomfort, pain, and embarrassment than self-sampling. Sixty-eight percent of the women who indicated a test preference chose self-sampling. Preference for this method was positively associated with monthly household income. Women reported a preference for self-sampling because it is more comfortable (71.2%) and causes less embarrassment (55.8%). Conclusions: Self-sampling is more acceptable than the Pap test and could improve coverage rates of early detection programs. The incorporation of self-collected samples to detect HPV could encourage participation in screening programs among those women who reject the Pap test because of the necessary pelvic examination.

Original languageEnglish (US)
Pages (from-to)265-275
Number of pages11
JournalJournal of Women's Health and Gender-Based Medicine
Volume11
Issue number3
DOIs
StatePublished - Jan 1 2002

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Papanicolaou Test
Early Detection of Cancer
Uterine Cervical Neoplasms
Privacy
Pain
Gynecological Examination
Social Security

ASJC Scopus subject areas

  • Medicine(all)

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The acceptibility of self-collected samples for HPV testing vs. The pap test as alternatives in cervical cancer screening. / Dzuba, Ilan G.; Díaz, Ela Ynes; Allen, Betania; Leonard, Yvonne F.; Ponce, Eduardo C.Lazcano; Shah, Keerti V.; Bishai, David; Lorincz, Attila; Ferris, Daron Gale; Turnbull, Bernarp; Avila, Mauricio Hernández; Salmerón, Jorge.

In: Journal of Women's Health and Gender-Based Medicine, Vol. 11, No. 3, 01.01.2002, p. 265-275.

Research output: Contribution to journalArticle

Dzuba, IG, Díaz, EY, Allen, B, Leonard, YF, Ponce, ECL, Shah, KV, Bishai, D, Lorincz, A, Ferris, DG, Turnbull, B, Avila, MH & Salmerón, J 2002, 'The acceptibility of self-collected samples for HPV testing vs. The pap test as alternatives in cervical cancer screening', Journal of Women's Health and Gender-Based Medicine, vol. 11, no. 3, pp. 265-275. https://doi.org/10.1089/152460902753668466
Dzuba, Ilan G. ; Díaz, Ela Ynes ; Allen, Betania ; Leonard, Yvonne F. ; Ponce, Eduardo C.Lazcano ; Shah, Keerti V. ; Bishai, David ; Lorincz, Attila ; Ferris, Daron Gale ; Turnbull, Bernarp ; Avila, Mauricio Hernández ; Salmerón, Jorge. / The acceptibility of self-collected samples for HPV testing vs. The pap test as alternatives in cervical cancer screening. In: Journal of Women's Health and Gender-Based Medicine. 2002 ; Vol. 11, No. 3. pp. 265-275.
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