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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Assessing women's willingness to collect their own cervical samples for HPV testing as part of the ASPIRE cervical cancer screening project in Uganda
International Journal of Gynecology and Obstetrics, Volume 114, No. 2, Year 2011
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Description
Objective: To assess women's willingness to collect their own samples for HPV testing as the first part of a screening program for cervical cancer in Uganda. Methods: In March and April 2010, trained assistants from Kisenyi interviewed 300 women aged 30 to 65 years who lived and/or worked in this community. Descriptive data and multivariate modeling were used to identify the predictors of the women's willingness to collect their own cervical samples. Results: More than 80% of the 300 participants were willing to collect their own samples. In multivariate modeling, factors positively associated with this willingness were agreement to let outreach workers deliver the necessary swab at their homes (adjusted odds ratio [AOR], 4.10; 95% confidence interval [CI], 1.83-9.18) and willingness to undergo a pelvic examination if the sample was abnormal (AOR, 3.91; 95% CI,1.03-14.90). Factors negatively associated were embarrassment at collecting the sample at home where they lacked privacy (AOR, 0.09; 95% CI, 0.03-0.29) and concern of not collecting the sample properly (AOR, 0.1; 95% CI, 0.05-0.3). Conclusion: Self-collection is an option in impoverished settings in Africa. To improve acceptability, women should be taught how to properly collect their own cervical sample and encouraged to find ways to make the collection less embarrassing. © 2011 International Federation of Gynecology and Obstetrics.
Authors & Co-Authors
Mitchell, Sheona M.
Canada, Vancouver
The University of British Columbia
Ogilvie, Gina S.
Canada, Vancouver
The University of British Columbia
Canada, Vancouver
Bc Centre for Disease Control
Steinberg, Malcolm H.
Canada, Vancouver
Bc Centre for Disease Control
Canada, Burnaby
Simon Fraser University
Sekikubo, Musa
Uganda, Kampala
Makerere University
Biryabarema, Christine
Uganda, Kampala
Makerere University
Money, Deborah M.
Canada, Vancouver
The University of British Columbia
Canada, Vancouver
British Columbia Women's Hospital
Statistics
Citations: 77
Authors: 6
Affiliations: 5
Identifiers
Doi:
10.1016/j.ijgo.2011.01.028
ISSN:
00207292
e-ISSN:
18793479
Research Areas
Cancer
Study Design
Cross Sectional Study
Case-Control Study
Study Locations
Uganda
Participants Gender
Female