Experience of HPV primary screening: a cross-sectional survey of 'Let's test for HPV' study participants in Aotearoa New Zealand.

IF 1.1 Q4 PRIMARY HEALTH CARE
Sally B Rose, Lynn McBain, Rebecca Bell, Carrie Innes, Sarah Te Whaiti, Alexandria Tino, Peter Sykes
{"title":"Experience of HPV primary screening: a cross-sectional survey of 'Let's test for HPV' study participants in Aotearoa New Zealand.","authors":"Sally B Rose, Lynn McBain, Rebecca Bell, Carrie Innes, Sarah Te Whaiti, Alexandria Tino, Peter Sykes","doi":"10.1071/HC24110","DOIUrl":null,"url":null,"abstract":"<p><p>Introduction In 2022-2023, a multi-region implementation study ('Let's test for HPV') was undertaken in New Zealand primary care to inform the National Cervical Screening Programme shift to human papillomavirus (HPV) primary screening in September 2023. Aim This study aimed to describe 'Let's test for HPV study participants' experiences with HPV primary screening. Method Implementation study participants were invited to complete an anonymous online survey in September 2023. Survey data were summarised using descriptive statistics. Free text comments were analysed using inductive thematic analysis. Results Forty-two percent of those invited began a survey (969/2302) and 921 were included in analyses. Respondents were aged 24-71, represented each of the three regions of New Zealand and different ethnic groups and included never and under-screened participants. Most people chose to self-test for comfort, convenience and privacy. Gaps were identified in participant understanding about HPV, how HPV testing differs from cervical cytology and the implications of HPV test results. Key topics requiring further explanation were identified by participants. Around 8% did not find self-testing easy or comfortable. Intent to screen again was high (92.4%), with greater preference for self-testing at home (48.2%) over the GP practice (33.5%). Discussion HPV primary screening incorporating the option to self-test was highly acceptable to primary care-based study participants. Despite having participated in the new pathway, knowledge gaps were evident. Clear communication from screen-takers will be key to support participant knowledge, understanding and confidence in the efficacy of HPV primary screening. Ongoing programme evaluation, including patients' perspectives, will be essential in the pursuit of equity and progress towards cervical cancer elimination.</p>","PeriodicalId":16855,"journal":{"name":"Journal of primary health care","volume":"17 2","pages":"123-133"},"PeriodicalIF":1.1000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of primary health care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1071/HC24110","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"PRIMARY HEALTH CARE","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction In 2022-2023, a multi-region implementation study ('Let's test for HPV') was undertaken in New Zealand primary care to inform the National Cervical Screening Programme shift to human papillomavirus (HPV) primary screening in September 2023. Aim This study aimed to describe 'Let's test for HPV study participants' experiences with HPV primary screening. Method Implementation study participants were invited to complete an anonymous online survey in September 2023. Survey data were summarised using descriptive statistics. Free text comments were analysed using inductive thematic analysis. Results Forty-two percent of those invited began a survey (969/2302) and 921 were included in analyses. Respondents were aged 24-71, represented each of the three regions of New Zealand and different ethnic groups and included never and under-screened participants. Most people chose to self-test for comfort, convenience and privacy. Gaps were identified in participant understanding about HPV, how HPV testing differs from cervical cytology and the implications of HPV test results. Key topics requiring further explanation were identified by participants. Around 8% did not find self-testing easy or comfortable. Intent to screen again was high (92.4%), with greater preference for self-testing at home (48.2%) over the GP practice (33.5%). Discussion HPV primary screening incorporating the option to self-test was highly acceptable to primary care-based study participants. Despite having participated in the new pathway, knowledge gaps were evident. Clear communication from screen-takers will be key to support participant knowledge, understanding and confidence in the efficacy of HPV primary screening. Ongoing programme evaluation, including patients' perspectives, will be essential in the pursuit of equity and progress towards cervical cancer elimination.

HPV初级筛查的经验:新西兰奥特罗阿“让我们检测HPV”研究参与者的横断面调查。
在2022-2023年,新西兰初级保健部门开展了一项多区域实施研究(“让我们检测HPV”),以告知国家子宫颈筛查计划将于2023年9月转向人乳头瘤病毒(HPV)初级筛查。目的本研究旨在描述“让我们测试HPV研究参与者的HPV初级筛查经历”。方法实施研究的参与者被邀请于2023年9月完成一份匿名在线调查。使用描述性统计对调查数据进行汇总。运用归纳主题分析法对自由文本评论进行分析。结果42%的被邀请者开始调查(969/2302),921人被纳入分析。受访者年龄在24-71岁之间,分别代表新西兰的三个地区和不同的种族群体,包括从未和未被筛选的参与者。大多数人选择自测是为了舒适、方便和隐私。在参与者对HPV的理解、HPV检测与宫颈细胞学的区别以及HPV检测结果的含义方面存在差距。与会者确定了需要进一步解释的关键议题。约8%的人认为自测不容易或不舒服。再次筛查的意愿很高(92.4%),更倾向于在家自测(48.2%),而不是全科医生(33.5%)。基于初级保健的研究参与者高度接受包含自我检测选项的HPV初级筛查。尽管参与了新途径,但知识差距很明显。筛查人员的明确沟通将是支持参与者了解、理解和信任HPV初级筛查效果的关键。正在进行的方案评价,包括患者的观点,对于追求公平和在消除宫颈癌方面取得进展至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Journal of primary health care
Journal of primary health care PRIMARY HEALTH CARE-
CiteScore
2.70
自引率
16.70%
发文量
79
审稿时长
28 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信