Acceptability and Usability of Self-Collected Sampling for HPV Testing Among African-American Women Living in the Mississippi Delta |
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Authors: | Isabel C Scarinci Allison G Litton Isabel C Garcés-Palacio Edward E Partridge Philip E Castle |
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Institution: | 1. University of Alabama at Birmingham, Division of Preventive Medicine, Birmingham, Alabama;2. Walden University, Minneapolis, Minnesota;3. University of Antioquia, School of Public Health, Department of Epidemiology, Antioquia, Colombia;4. University of Alabama at Birmingham, Division of Obstetrics and Gynecology, Birmingham, Alabama;5. Albert Einstein College of Medicine, New York, New York |
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Abstract: | BackgroundHuman papillomavirus (HPV) DNA testing has been shown to be an effective approach to cervical cancer screening, and self-collection sampling for HPV testing could be a potential alternative to Pap test, provided that women who tested positive by any method get timely follow-up and care. This feasibility study examined acceptability and usability of self-collected sampling for HPV testing among African-American (AA) women in the Mississippi Delta to inform the development of interventions to promote cervical cancer screening in this population.MethodsThe study consisted of two phases. Phase I consisted of eight focus groups (n = 87) with AA women to explore knowledge, attitudes, and beliefs about cervical cancer and HPV infection as well as acceptability of self-collected sampling for HPV testing. In phase II, we examined the usability of this technology through one discussion group (n = 9). The Health Belief Model guided data collection and analysis.ResultsAlthough participants perceived themselves as susceptible to cervical cancer and acknowledged its severity, there was a lack of knowledge of the link between HPV and cervical cancer, and they expressed a number of misconceptions. The most frequent barriers to screening included embarrassment, discomfort, and fear of the results. Women in both phases were receptive to self-collected sampling for HPV testing. All participants in the usability phase expressed that self-collection was easy and they did not experience any difficulties.ConclusionSelf-collection for HPV testing is an acceptable and feasible method among AA women in the Mississippi Delta to complement current cytology cervical cancer screening programs. |
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