Acceptability and Usability of Self-Collected Sampling for HPV Testing Among African-American Women Living in the Mississippi Delta

Isabel C. Scarinci; Allison G. Litton; Isabel C. Garcés-Palacio; Edward E. Partridge; Philip E. Castle

doi:10.1016/j.whi.2012.12.003

Acceptability and Usability of Self-Collected Sampling for HPV Testing Among African-American Women Living in the Mississippi Delta

Isabel C. Scarinci, Allison G. Litton, Isabel C. Garcés-Palacio, Edward E. Partridge, Philip E. Castle

Epidemiology & Population Health

Research output: Contribution to journal › Article

39 Citations (Scopus)

Abstract

Background: Human papillomavirus (HPV) DNA testing has been shown to be an effective approach to cervical cancer screening, and self-collection sampling for HPV testing could be a potential alternative to Pap test, provided that women who tested positive by any method get timely follow-up and care. This feasibility study examined acceptability and usability of self-collected sampling for HPV testing among African-American (AA) women in the Mississippi Delta to inform the development of interventions to promote cervical cancer screening in this population. Methods: The study consisted of two phases. Phase I consisted of eight focus groups (n = 87) with AA women to explore knowledge, attitudes, and beliefs about cervical cancer and HPV infection as well as acceptability of self-collected sampling for HPV testing. In phase II, we examined the usability of this technology through one discussion group (n = 9). The Health Belief Model guided data collection and analysis. Results: Although participants perceived themselves as susceptible to cervical cancer and acknowledged its severity, there was a lack of knowledge of the link between HPV and cervical cancer, and they expressed a number of misconceptions. The most frequent barriers to screening included embarrassment, discomfort, and fear of the results. Women in both phases were receptive to self-collected sampling for HPV testing. All participants in the usability phase expressed that self-collection was easy and they did not experience any difficulties. Conclusion: Self-collection for HPV testing is an acceptable and feasible method among AA women in the Mississippi Delta to complement current cytology cervical cancer screening programs.

Original language	English (US)
Journal	Women's Health Issues
Volume	23
Issue number	2
DOIs	https://doi.org/10.1016/j.whi.2012.12.003
State	Published - Mar 2013

Fingerprint

Mississippi

African Americans

cancer

Uterine Cervical Neoplasms

Early Detection of Cancer

model analysis

Papanicolaou Test

Aftercare

group discussion

Papillomavirus Infections

American

Feasibility Studies

data analysis

Focus Groups

anxiety

Fear

Cell Biology

lack

Technology

health

ASJC Scopus subject areas

Obstetrics and Gynecology
Public Health, Environmental and Occupational Health
Maternity and Midwifery
Health(social science)

Cite this

Scarinci, I. C., Litton, A. G., Garcés-Palacio, I. C., Partridge, E. E., & Castle, P. E. (2013). Acceptability and Usability of Self-Collected Sampling for HPV Testing Among African-American Women Living in the Mississippi Delta. Women's Health Issues, 23(2). https://doi.org/10.1016/j.whi.2012.12.003

Acceptability and Usability of Self-Collected Sampling for HPV Testing Among African-American Women Living in the Mississippi Delta. / Scarinci, Isabel C.; Litton, Allison G.; Garcés-Palacio, Isabel C.; Partridge, Edward E.; Castle, Philip E.

In: Women's Health Issues, Vol. 23, No. 2, 03.2013.

Research output: Contribution to journal › Article

Scarinci, IC, Litton, AG, Garcés-Palacio, IC, Partridge, EE & Castle, PE 2013, 'Acceptability and Usability of Self-Collected Sampling for HPV Testing Among African-American Women Living in the Mississippi Delta', Women's Health Issues, vol. 23, no. 2. https://doi.org/10.1016/j.whi.2012.12.003

Scarinci IC, Litton AG, Garcés-Palacio IC, Partridge EE, Castle PE. Acceptability and Usability of Self-Collected Sampling for HPV Testing Among African-American Women Living in the Mississippi Delta. Women's Health Issues. 2013 Mar;23(2). https://doi.org/10.1016/j.whi.2012.12.003

Scarinci, Isabel C. ; Litton, Allison G. ; Garcés-Palacio, Isabel C. ; Partridge, Edward E. ; Castle, Philip E. / Acceptability and Usability of Self-Collected Sampling for HPV Testing Among African-American Women Living in the Mississippi Delta. In: Women's Health Issues. 2013 ; Vol. 23, No. 2.

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10.1016/j.whi.2012.12.003