Abstract
BackgroundSelf-sampling for HPV testing may be a method to increase overall cervical cancer screening rates among Black women, who are underscreened for cervical cancer in parts of the US. The purpose of this study was to assess preferred characteristics for delivery of HPV self-sampling kits, return of HPV self-sampling kits, and communication of HPV test results and explore sociodemographic factors (income, education, and marital status) associated with acceptability of self-sampling for HPV testing.MethodsSurvey data were gathered at an Indiana minority health fair. Participants evaluated 9 scenarios that varied along 3 dimensions: HPV self-sampling kit delivery (mail, pharmacy pick-up, or clinic pick-up), HPV self-sampling kit return (mail, pharmacy drop-off, or clinic drop-off), and HPV test results (mail, phone call, or text message). The 9 scenarios were produced from a fractional factorial design and rated on a 0 to 100 scale. Ratings-based conjoint analysis (RBCA) determined how each dimension influenced ratings. A measure for acceptability of self-sampling was obtained from the ratings of all 9 scenarios. The acceptability measure was regressed on sociodemographics.ResultsThe 98 participants ranged in age from 21 to 65 (M = 45). Across the 9 scenarios, overall acceptability to self-sample had a mean of 60.9 (SD = 31.3). RBCA indicated that HPV self-sampling kit return had the most influence on ratings, followed by HPV self-sampling kit delivery, and finally, HPV test result communication. Thirty-six percent of participants rated all self-sampling scenarios the same. Sociodemographic characteristics were not associated with acceptability of self-sampling.ConclusionsSelf-sampling for HPV testing was found to be generally acceptable to Black women in this pilot survey study. This information could be used by researchers developing self-sampling interventions and the implementation of self-sampling among providers.
Highlights
Self-sampling for Human papillomavirus (HPV) testing may be a method to increase overall cervical cancer screening rates among Black women, who are underscreened for cervical cancer in parts of the US
Self-sampling for HPV testing acceptability The current study evaluated factors related to the willingness of participants to engage in HPV testing for self-sampling
Self-sampling for HPV testing characteristics The current study found that most participants (n = 63) did discriminate between the different self-sampling for HPV testing scenarios
Summary
Self-sampling for HPV testing may be a method to increase overall cervical cancer screening rates among Black women, who are underscreened for cervical cancer in parts of the US. The United States Preventive Services Task Force (USPSTF) guidelines for cervical cancer screening include: clinic-based screening options with 1.) cytology alone every 3 years (age 21–65), 2) co-testing of cytology and human papillomavirus (HPV) every 5 years (age 30– 65), or 3) an HPV test alone every 5 years (age 30–65) [4]. Self-sampling for human papillomavirus (HPV) testing, a method for women to collect their own cervicovaginal sample, is one technology that has been explored in the US and internationally as an alternative to clinicbased cervical cancer screening. Self-sampling for HPV testing could increase cervical cancer screening rates and decrease morbidity and mortality from cervical cancer
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