Many women are open to using a human papillomavirus (HPV) self-collection test if offered the chance, says a paper published yesterday in BMC Public Health. Providing self-testing kits could increase the number of women undergoing cervical cancer screening.
“Cervical cancer disparities exist among vulnerable populations, with over half of cases diagnosed in women who rarely or never screen,” wrote the authors, led by researchers at Rutgers Robert Wood Johnson Medical School. “Emergency departments (EDs) may be an effective site to reach patients overdue for cancer screening, especially using human papillomavirus (HPV) self-sampling, where women use a swab to collect their own cervicovaginal sample.”
58% prefer self-testing over staff testing
American Indian, Alaska native, Hispanic, and Black people are more likely to receive a cervical cancer diagnosis than White people, says the American Cancer Society. Offering self-testing for cervical cancer could help improve HPV screening among women who are not undergoing regular monitoring.
Cervical cancer disparities exist among vulnerable populations, with over half of cases diagnosed in women who rarely or never screen.
Doctors surveyed 359 women ages 30 to 65 who visited one of three EDs without life-threatening conditions, about their interest in using a self-sampling HPV kit. A strong majority of the women (84%) said they were somewhat or very inclined to try self-testing if ED staff suggested it. More than half (58%) said they preferred conducting the test themselves rather than having a nurse or doctor do it.
The vast majority of participants, (91%) felt somewhat or very assured that they could correctly use the kit, and 76% felt somewhat or very comfortable taking the test in a bathroom while in the ED. Older women and patients with Medicaid showed more interest in a self-sampling kit than younger women or those with private health insurance.
“Our survey showed strong patients willingness, confidence, and comfort with HPV self-sampling in the ED,” authors wrote.