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Research letter: Feasibility of self-collection of specimens for human papillomavirus testing in hard-to-reach women
Authors:Gina Ogilvie  Mel Krajden  Juanita Maginley  Judy Isaac-Renton  Greg Hislop  Ruth Elwood-Martin  Chris Sherlock  Darlene Taylor  and Michael Rekart
Abstract:To study the feasibility of self-collected specimens for testing human papillomavirus (HPV) status among hard-to-reach women, outreach nurses recruited women in women's centres, shelters and alleys in Vancouver's Downtown Eastside. Of the 151 participants for whom samples were available, 43 (28.5%) tested positive for high-risk HPV. Outreach nurses were able to recontact 81.4% of the participants who tested positive and referred them for further testing. About 14% (21/151) of participants had never received a Papanicolaou smear in British Columbia, as compared with 8.3% (608/7336) of women in the BC general population (p < 0.05). This difference suggests that self-collection of specimens for HPV testing is a feasible method to reach women who have not previously participated in cervical cancer screening programs.
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