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Elderly women's experiences of self-sampling for HPV testing
Department of Women’s and Children’s Health, Uppsala University, Uppsala, Sweden; Clinical Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Department of Women’s and Children’s Health, Uppsala University, Uppsala, Sweden.
Center for Clinical Research Dalarna, Uppsala University, Falun, Sweden; School of Education, Health and Social Studies, Dalarna University, Falun, Sweden; Department of Public Health and Caring Sciences, Family Medicine and Preventive Medicine, Uppsala University, Uppsala, Sweden.
Örebro University, School of Medical Sciences. Örebro University Hospital. Department of Women’s and Children’s Health, Uppsala University, Uppsala, Sweden; Center for Clinical Research Dalarna, Uppsala University, Falun, Sweden.ORCID iD: 0000-0002-7407-9642
2020 (English)In: BMC Cancer, E-ISSN 1471-2407, Vol. 20, no 1, article id 473Article in journal (Refereed) Published
Abstract [en]

Background: Self-sampling for HPV testing, as an alternative to the conventional speculum based sampling, is highly acceptable to women of screening ages. The aim of this study was to describe older women's (60 to 75 years) experiences of self-sampling.

Methods: In Sweden a descriptive study with quantitative and qualitative methods was designed to collect data from a survey of women who participated in self-sampling for HPV testing. Individual interviews were done with women who tested positive in the first self-sampling, and were either negative in their second HPV test or were positive in their second HPV test, but without precancerous lesions or cancer.

Results: Of 893 eligible women, 868 (97.2%) answered the survey. Among the surveyed women, 49.2% reported it was very easy to perform self-sampling, 46.8% answered it was easy and 2.0% answered it was not easy. A majority (58.9%) answered that they prefer self-sampling, 16.5% that they prefer sample collection by a healthcare provider, 23.7% did not have any preference and 0.9% did not answer the question. In the interviews, 13 of 16 invited women participated. Most of them reported that they prefer self-sampling because it was easy to perform, less embarrassing and less time consuming than a visit to a clinic. The majority of women reported that they were not worried when informed about having an HPV positive test. Overall, participating women with better knowledge about the significance of an HPV infection were more worried about having a positive HPV test.

Conclusion: Cervical cancer remains a highly preventable disease through screening and early treatment. Our results indicated that vaginal self-sampling for HPV testing was a well-accepted method for cervical cancer prevention in this group of older women.

Place, publisher, year, edition, pages
BMC , 2020. Vol. 20, no 1, article id 473
Keywords [en]
HPV, Self-sampling, Cervical cancer, Prevention, Elderly, Women
National Category
Cancer and Oncology
Identifiers
URN: urn:nbn:se:oru:diva-84528DOI: 10.1186/s12885-020-06977-0ISI: 000537858300004PubMedID: 32456679Scopus ID: 2-s2.0-85085539538OAI: oai:DiVA.org:oru-84528DiVA, id: diva2:1457815
Note

Funding Agencies:

Regional Research Council Uppsala Örebro, Sweden  RFR 383351 RFR-561251

Uppsala University 

Available from: 2020-08-13 Created: 2020-08-13 Last updated: 2024-07-04Bibliographically approved

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Lindström, Annika K

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