Cervicovaginal and Anal Self-Sampling for Human Papillomavirus Testing in a Transgender and Gender Diverse Population Assigned Female at Birth: Comfort, Difficulty, and Willingness to Use.

IF 4.3 3区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC
Erin F Welsh, E. Andrus, Claire B. Sandler, Molly B Moravek, D. Stroumsa, S. Kattari, H. Walline, C. Goudsmit, A. Brouwer
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Abstract

Purpose: Transgender and gender diverse (TGD) people assigned female at birth (AFAB) face numerous barriers to preventive care, including for cervical cancer screening. At-home human papillomavirus (HPV) testing may expand access to cervical cancer screening for TGD people AFAB. This study assessed the perceptions of TGD individuals AFAB who self-collected cervicovaginal and anal samples. Methods: We recruited TGD individuals AFAB to collect cervicovaginal and anal specimens at home using self-sampling for HPV testing, and individuals reported their perceptions of self-sampling. Associations between demographic and health characteristics and each of comfort of use, ease of use, and willingness to use self-sampling were estimated using robust Poisson regression. Results: Of 137 consenting participants, 101 completed the sample collection and the surveys. The majority of participants reported that the cervicovaginal self-swab was not uncomfortable (68.3%) and not difficult to use (86.1%), and nearly all (96.0%) were willing to use the swab in the future. Fewer participants found the anal swab to not be uncomfortable (47.5%), but most participants still found the anal swab to not be difficult to use (70.2%) and were willing to use the swab in the future (89.1%). Participants were more willing to use either swab if they had not seen a medical professional in the past year. Conclusions: TGD individuals AFAB were willing to use and preferred self-sampling methods for cervicovaginal and anal HPV testing. Developing clinically approved self-sampling options for HPV testing could expand access to cancer screening for TGD populations.
在出生时被指定为女性的变性和性别多元化人群中进行宫颈阴道和肛门人类乳头瘤病毒检测的自我采样:舒适度、难度和使用意愿。
目的:出生时即被指派为女性的变性者和性别多元化者(TGD)在接受预防保健(包括宫颈癌筛查)时面临诸多障碍。在家进行人类乳头瘤病毒(HPV)检测可扩大变性人和性别多元化者接受宫颈癌筛查的机会。本研究评估了自行采集宫颈阴道和肛门样本的 TGD 无行为能力者的看法。方法:我们招募了无肛门指诊的 TGD 患者,让他们在家中通过自我采样采集宫颈阴道和肛门标本进行 HPV 检测,并由患者报告他们对自我采样的看法。使用稳健泊松回归法估计了人口统计学和健康特征与使用舒适度、易用性和使用自我采样意愿之间的关系。结果:在 137 名同意的参与者中,101 人完成了样本采集和调查。大多数参与者表示,宫颈阴道自我采样器不会让人感到不舒服(68.3%),也不难使用(86.1%),几乎所有参与者(96.0%)都愿意在将来使用这种采样器。较少参与者认为肛门拭子不会让人感到不舒服(47.5%),但大多数参与者仍然认为肛门拭子不难 使用(70.2%),并愿意在今后使用肛门拭子(89.1%)。如果参与者在过去一年中没有看过医疗专业人员,那么他们更愿意使用这两种肛拭子。结论:宫颈阴道和肛门 HPV 检测中,TGD 患者和 AFAB 患者都愿意使用并倾向于使用自我采样方法。开发临床认可的 HPV 检测自取样方法可以扩大 TGD 群体接受癌症筛查的机会。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.20
自引率
4.30%
发文量
567
期刊介绍: ACS Applied Electronic Materials is an interdisciplinary journal publishing original research covering all aspects of electronic materials. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrate knowledge in the areas of materials science, engineering, optics, physics, and chemistry into important applications of electronic materials. Sample research topics that span the journal's scope are inorganic, organic, ionic and polymeric materials with properties that include conducting, semiconducting, superconducting, insulating, dielectric, magnetic, optoelectronic, piezoelectric, ferroelectric and thermoelectric. Indexed/​Abstracted: Web of Science SCIE Scopus CAS INSPEC Portico
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