Abstract

Acceptability of self-sampling HPV testing is confirmed worldwide. However, some cultural differences may affect this question. Therefore, this study was conducted to evaluate the acceptability of self- sampling HPV testing in Thai women. One hundred women aged 30-65 years with an intact cervix were included in this study. The participants were asked to do the Pap test by physicians and then brush type self-sampling instruments were assigned for self-collection and finally completed a questionnaire for acceptability evaluation. The questionnaire contains 2 parts. Part one covered general information of the participants and part two is the acceptability questions. Mean age was 40.6 years. The incidence of high risk HPV detection in this study was 16%. The most common reason for doing Pap smear was for annual checkup. On the topic of ease of use, 85 % of the subjects agreed. Most of the participants (82%) reported that they felt less pain. However, reliability of the result was not satisfactory because 37% of the participants hesitated to rely on the results of the test. According to the price, if the price is less than 1,000 Baht (32.59 Baht = 1USD), 82% of the subjects would use it for their next screening. The acceptability of self-sampling device in this study is quite good but the reliability of the test was questioned by some of the participants. Moreover, the price of the test in Thailand may also influence the acceptability of the test.

Highlights

  • Cervical cancer is the second most common female cancer in Thailand and worldwide (IARC, 2005; Ferlay et al, 2010)

  • There was a report about the coverage of Pap smear in Thai women

  • Cervical cancer is considered as a major health problem in Thai women

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Summary

Introduction

Cervical cancer is the second most common female cancer in Thailand and worldwide (IARC, 2005; Ferlay et al, 2010). Several methods have been used to detect precancerous lesions of the cervix such as VIA (visual inspection with acetic acid) and HPV DNA testing either physician taking or self-sampling method (WHO, 2006). These screening tests can reduced the incidence of cervical cancer nearly 80% in developed countries (WHO, 2006). HPV DNA testing has been proven an effective and better method for cervical cancer screening than cytology (Li et al, 2014). Conclusions: The acceptability of self-sampling device in this study is quite good but the reliability of the test was questioned by some of the participants. The price of the test in Thailand may influence the acceptability of the test

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