生活在印度不同生态环境中的妇女对宫颈癌筛查中 HPV 自我采样的接受度和有效性。

IF 5.7 2区 医学 Q1 ONCOLOGY
Gauravi A. Mishra, Sharmila A. Pimple, Kavita V. Anand, Vasundhara Y. Kulkarni, Anil S. Patil, Sanjay K. Biswas
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引用次数: 0

摘要

印度的宫颈癌发病率占全球的五分之一。与人类乳头瘤病毒(HPV)自我采样不同,其他筛查方法可能会引起不适和尴尬。本研究旨在调查居住在不同环境和不同文化水平的印度妇女对 HPV 自我采样的态度、接受程度、障碍、预测因素、有效的指导方式和有效性。这是一项以社区为基础的干预性研究,研究对象为 30-55 岁的印度妇女,分别居住在城市贫民窟(500 人)、城市非贫民窟(500 人)和农村(600 人),她们的盥洗室设施和隐私情况各不相同,因此需要采集自我样本。每组又分为两部分:一部分妇女接受小册子教育,另一部分妇女接受健康教育计划(HEP)教育。研究包括招募合格者、获得知情同意和进行个人访谈以收集基线数据。在分发自我采样器的同时,还分发了有关使用、储存和归还的说明(一组为图解小册子,另一组为健康教育计划)。对使用自我采样器的意愿、拒绝情况、经验等进行了记录。记录干预后的知识、态度和做法。分发 HPV 报告。对检测结果呈阳性的妇女提供进一步的治疗。在城市非贫民窟、城市贫民窟和农村妇女中,自我采样的接受率分别为 99.2%、97% 和 98.8%,HPV 阳性率分别为 7%、7.8% 和 8.5%。医护人员收集的样本与自我收集的样本之间的一致率,在小册子中为 96.5%,在 HEP 中为 93.2%。自我采样的主要障碍是对正确进行自我检测缺乏信心、担心检测会很痛苦以及对检测结果感到焦虑。HPV自我采样在印度妇女中的接受度很高,与医务人员采集的样本吻合度也很高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Acceptability and validity of HPV self-sampling for cervical cancer screening among women living in different ecological settings in India

Acceptability and validity of HPV self-sampling for cervical cancer screening among women living in different ecological settings in India

India records one fifth of global cervical cancer burden. Unlike human papillomavirus (HPV) self-sampling, other screening methods may cause discomfort and embarrassment. This study aimed to investigate attitudes, acceptability, barriers, predictors, effective modality of instructions, and validity of HPV self-sampling among Indian women residing in varied settings and different literacy levels. This is community-based interventional study among Indian women 30–55 years, residing in urban slums (500), urban non-slums (500), and rural (600) settings with varied washroom facilities and privacy, to collect self-samples. Each group was subdivided into two arms; in one women received education with pamphlets and other with health education program (HEP). Study involved enlisting eligibles, obtaining informed consents and conducting personal interviews to collect baseline data. Self-samplers were distributed with instructions (pictorial pamphlets in one group and HEP in other) regarding usage, storage and return. Willingness to use self-samplers, refusals, experiences, and so forth were captured. Post-intervention knowledge, attitudes, practices was recorded. HPV reports were distributed. Women with positive result on either test were offered further management. Acceptance rate of self-sampling was 99.2%, 97%, and 98.8% and HPV positivity was 7%, 7.8%, and 8.5%, respectively among urban non-slum, urban slum and rural women. Agreement rate between health personnel collected and self-collected samples was 96.5% in pamphlet and 93.2% in HEP arm. Major barriers of self-sampling were lack of confidence about performing self-test correctly, fear that test would be painful and anxiety about test results. HPV self-sampling has good acceptability among Indian women and good agreement with health personnel collected samples.

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来源期刊
CiteScore
13.40
自引率
3.10%
发文量
460
审稿时长
2 months
期刊介绍: The International Journal of Cancer (IJC) is the official journal of the Union for International Cancer Control—UICC; it appears twice a month. IJC invites submission of manuscripts under a broad scope of topics relevant to experimental and clinical cancer research and publishes original Research Articles and Short Reports under the following categories: -Cancer Epidemiology- Cancer Genetics and Epigenetics- Infectious Causes of Cancer- Innovative Tools and Methods- Molecular Cancer Biology- Tumor Immunology and Microenvironment- Tumor Markers and Signatures- Cancer Therapy and Prevention
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