工作场所的 HPV 自我采样:关于卫生专业人员和管理人员认为的益处、障碍和改进机会的定性研究。

IF 4.7 3区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL
Svetlana V. Doubova , Sean P. McClellan , Ingrid Patricia Martinez-Vega , Enrique Leobardo Ureña-Bogarín , Olga Georgina Martínez-Montañez
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引用次数: 0

摘要

目的:为在工作场所实施人乳头瘤病毒自我采样(HPV-SS)提供信息,我们评估了医疗保健专业人员和管理人员对试点项目的益处、障碍和改进机会的看法:我们在 2023 年 6 月至 8 月期间进行了一项基于深入电话访谈的定性描述性研究。通过归纳主题分析法对数据进行分析。来自不同公司的 15 名医疗专业人员和墨西哥社会保障局(IMSS)的 15 名管理人员接受了访谈:结果:参与者指出了 HPV-SS 的几个好处,包括易于使用、保护隐私、方便、经济实惠、减少工作场所缺勤以及促进预防文化。然而,计划的实施也存在个人和组织障碍。前者包括妇女担心采集的样本不可靠或弄伤自己、对 HPV 检测缺乏信心、害怕出现阳性结果以及采集样本时使用的刷子造成的不适。组织方面的障碍包括未能跟进阳性检测结果、对项目指标缺乏了解、认为对既定的巴氏涂片宫颈癌筛查指标有负面影响,以及缺乏支持 HPV 检测的政府法规。为了改进该计划,参与者建议通过大众媒体宣传和社交网络传播信息,为公司提供 IMSS 预防人员的额外支持,延长 IMSS 家庭医学诊所的工作时间,并对 IMSS 医务人员进行培训,以便对获得 HPV 检测结果的妇女进行后续跟踪:研究结果表明,HPV-SS 计划有可能在某些方面得到改进。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
HPV Self-Sampling in the Workplace: A Qualitative Study of Benefits, Barriers, and Opportunities for Improvement Perceived by Health Professionals and Managers

Aim

To inform the implementation of Human Papillomavirus Self-Sampling (HPV-SS) in the workplace, we assessed the perspectives of healthcare professionals and managers on the benefits, barriers, and opportunities for improvement of a pilot program.

Methods

A qualitative descriptive study based on in-depth telephone interviews was conducted between June and August 2023. Data were analyzed through inductive thematic analysis. Fifteen health professionals from different companies and fifteen managers from the Mexican Institute of Social Security (IMSS) were interviewed.

Results

Participants identified several benefits of the HPV-SS, including ease of use, privacy, convenience, affordability, reduced workplace absences, and promotion of a prevention culture. However, there were also individual and organizational barriers to program implementation. The former consisted of women's concerns about collecting a reliable sample or injuring themselves, lack of confidence in the HPV test, fear of positive results, and discomfort caused by the brush used to collect the sample. Organizational barriers included failure to follow up on positive test results, lack of knowledge of program indicators, perceived negative impact on the established Pap smear cervical cancer screening indicator, and the lack of government regulations supporting HPV testing. To improve the program, participants suggested disseminating information through mass media campaigns and social networks, providing companies with additional support from IMSS preventive staff, extending the work hours of IMSS Family Medicine clinics, and training IMSS health staff on the follow-up of women with HPV test results.

Conclusions

The study findings suggest potential areas for improvement in HPV-SS programs.

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来源期刊
Archives of Medical Research
Archives of Medical Research 医学-医学:研究与实验
CiteScore
12.50
自引率
0.00%
发文量
84
审稿时长
28 days
期刊介绍: Archives of Medical Research serves as a platform for publishing original peer-reviewed medical research, aiming to bridge gaps created by medical specialization. The journal covers three main categories - biomedical, clinical, and epidemiological contributions, along with review articles and preliminary communications. With an international scope, it presents the study of diseases from diverse perspectives, offering the medical community original investigations ranging from molecular biology to clinical epidemiology in a single publication.
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