Journal
JOURNAL OF HEALTH CARE FOR THE POOR AND UNDERSERVED
Volume 24, Issue 1, Pages 46-55Publisher
JOHNS HOPKINS UNIV PRESS
DOI: 10.1353/hpu.2013.0017
Keywords
Cervical cancer screening; preferences; HPV self-collection; medically underserved women
Funding
- Intramural NIH HHS Funding Source: Medline
- NCI NIH HHS [U01 CA86128] Funding Source: Medline
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Although cervical cancer screening rates have increased in the United States, there are still geographic areas that experience a high cervical cancer burden, including the Mississippi Delta. Human papillomavirus (HPV) self-collection may be a feasible alternative to traditional clinician-collection for cervical cancer screening for under-screened women. This study examined women's preferences for cervical cancer screening methods. Interviewer-administered questionnaires regarding cervical cancer screening preferences were completed by 524 African American women in the Mississippi Delta. Statistically significant differences were observed for age, employment status, and number of children across recruitment groups. Regardless of how women were recruited, the majority preferred self-sampling for HPV testing method to clinician-collection. Among women who preferred self-collected sampling for HPV testing, the most frequent reasons given were convenience, privacy, and comfort. Alternative strategies must be considered when targeting the under-screened to reduce the burden of cervical cancer.
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