Determinants of women’s likelihood of vaginal self-sampling for human papillomavirus to screen for cervical cancer in Taiwan: a cross-sectional studyReportar como inadecuado




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BMC Women-s Health

, 14:139

Gynecology, gynecological disease, and reproductive health reproductive health

Abstract

BackgroundMany Taiwanese women 43.8% did not participate in regular cervical screening in 2011. An alternative to cervical screening, self-sampling for human papillomavirus HPV, has been available at no cost under Taiwan’s National Health Insurance since 2010, but the extent and likelihood of HPV self-sampling were unknown.

MethodsA cross-sectional study was performed to explore determinants of women’s likelihood of HPV self-sampling. Data were collected by questionnaire from a convenience sample of 500 women attending hospital gynecologic clinics in central Taiwan from June to October 2012. Data were analyzed by descriptive statistics, chi-square test, and logistic regression.

ResultsOf 500 respondents, 297 59.4% had heard of HPV; of these 297 women, 69 23% had self-sampled for HPV. Among the 297women who had heard of HPV, 234 78.8% considered cost a priority for HPV self-sampling. Likelihood of HPV self-sampling was determined by previous Pap testing, high perceived risk of cervical cancer, willingness to self-sample for HPV, high HPV knowledge, and cost as a priority consideration.

ConclusionsOutreach efforts to increase the acceptability of self-sampling for HPV testing rates should target women who have had a Pap test, perceive themselves at high risk for cervical cancer, are willing to self-sample for HPV, have a high level of HPV knowledge, and for whom the cost of self-sampling covered by health insurance is a priority.

KeywordsCervical cancer Pap smear Human Papillomavirus Self-sampling Electronic supplementary materialThe online version of this article doi:10.1186-s12905-014-0139-0 contains supplementary material, which is available to authorized users.

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Autor: Shu-Ling Chen - Pao-Chun Hsieh - Chia-Hui Chou - Ya-Ling Tzeng

Fuente: https://link.springer.com/



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