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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Human papillomavirus self-sampling in Cameroon: Women's uncertainties over the reliability of the method are barriers to acceptance
Journal of Lower Genital Tract Disease, Volume 17, No. 3, Year 2013
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Description
Objective. The study aimed to assess acceptability and preference for self-collected human papillomavirus tests (self-HPV) compared with traditional physician-sampled Pap tests (physician sampling) in a low-resource country. Materials andMethods. Women were recruited through a cervical cancer screening campaign conducted in Cameroon. Written and oral instructions were given to carry out an unsupervised self-HPV, followed by a physician-collected cervical sample for HPV testing and cytology. Subsequently the women were asked to answer a questionnaire. Results. A total of 243 women were prospectively enrolled in this study. Median age of participants was 39 years (range = 25-65 years). Acceptability score was higher for self-HPV (p < .001) compared with physician sampling. Preference was lower for self-HPV than physician sampling (29% vs 62%; p < .001). Most participants thought that physician sampling was more reliable than self-HPV (59% vs 1%; p < .001). Women who preferred physician sampling were significantly more likely to have low knowledge about cervical cancer and a low educational level. Conclusions. Although most of the women were more comfortable and less embarrassed with the self-HPV, they did not trust the method and did prefer physician sampling. The study underlines the need not only to educate women about HPV, cervical cancer, and its prevention but also to reassure them about the accuracy of self-HPV. © 2013, American Society for Colposcopy and Cervical Pathology.
Authors & Co-Authors
Berner, Amandine
Switzerland, Geneva
Université de Genève
Hassel, Sélim Ben
Switzerland, Geneva
Université de Genève
Tebeu, Pierre Marie
Cameroon, Yaounde
University Center Hospital
Untiet, Sarah
Switzerland, Geneva
Hôpitaux Universitaires de Genève
Kengne-Fosso, Gisèle
Cameroon, Yaounde
University Center Hospital
Navarria, Isabelle
Switzerland, Geneva
Hôpitaux Universitaires de Genève
Boulvain, Michel B.
Switzerland, Geneva
Hôpitaux Universitaires de Genève
Vassilakos, Pierre P.
Switzerland, Geneva
Geneva Foundation for Medical Education and Research
Petignat, P.
Switzerland, Geneva
Hôpitaux Universitaires de Genève
Statistics
Citations: 62
Authors: 9
Affiliations: 4
Identifiers
Doi:
10.1097/LGT.0b013e31826b7b51
ISSN:
10892591
e-ISSN:
15260976
Research Areas
Cancer
Health System And Policy
Study Locations
Cameroon
Participants Gender
Female