Acceptability of self-sampling and human papillomavirus testing among non-attenders of cervical cancer screening programs in El Salvador

M. Maza, M. Melendez, R. Masch, K. Alfaro, A. Chacon, E. Gonzalez, M. Soler, G. Conzuelo-Rodriguez, J. C. Gage, T. A. Alonzo, P. E. Castle, J. C. Felix, M. Cremer

Research output: Contribution to journalArticle

Abstract

In a cross-sectional study carried out in El Salvador between February 2016 and July 2017, self-sampling and human papillomavirus (HPV) testing was found to be highly acceptable among 2019 women who had not attended a cervical cancer screening in at least 3 years. Within this population, HPV positivity rates differed according to age, marital status, number of children, and lifetime sexual partners. The proportion of women who tested HPV positive or who were diagnosed with cervical intraepithelial neoplasia grade 2 (CIN2) or more severe diagnoses (CIN2+) was similar to the general population of the area. Among the reasons for failing to participate in previous screening programs, non-attending women described logistic concerns, but also erroneous beliefs regarding HPV and cervical cancer, misconceptions regarding the screening procedure, discomfort with male providers, and confidentiality fears. The aim of this study was to identify opportunities and challenges that emerged from the use of self-sampling and HPV testing as part of a public cervical cancer control effort in a low-resource setting.

LanguageEnglish (US)
Pages149-155
Number of pages7
JournalPreventive Medicine
Volume114
DOIs
StatePublished - Sep 1 2018

Fingerprint

El Salvador
Early Detection of Cancer
Uterine Cervical Neoplasms
Cervical Intraepithelial Neoplasia
Sexual Partners
Confidentiality
Marital Status
Population
Fear
Cross-Sectional Studies

Keywords

  • Cervical cancer
  • El Salvador
  • HPV
  • Self-sampling

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

Acceptability of self-sampling and human papillomavirus testing among non-attenders of cervical cancer screening programs in El Salvador. / Maza, M.; Melendez, M.; Masch, R.; Alfaro, K.; Chacon, A.; Gonzalez, E.; Soler, M.; Conzuelo-Rodriguez, G.; Gage, J. C.; Alonzo, T. A.; Castle, P. E.; Felix, J. C.; Cremer, M.

In: Preventive Medicine, Vol. 114, 01.09.2018, p. 149-155.

Research output: Contribution to journalArticle

Maza, M, Melendez, M, Masch, R, Alfaro, K, Chacon, A, Gonzalez, E, Soler, M, Conzuelo-Rodriguez, G, Gage, JC, Alonzo, TA, Castle, PE, Felix, JC & Cremer, M 2018, 'Acceptability of self-sampling and human papillomavirus testing among non-attenders of cervical cancer screening programs in El Salvador' Preventive Medicine, vol. 114, pp. 149-155. https://doi.org/10.1016/j.ypmed.2018.06.017
Maza, M. ; Melendez, M. ; Masch, R. ; Alfaro, K. ; Chacon, A. ; Gonzalez, E. ; Soler, M. ; Conzuelo-Rodriguez, G. ; Gage, J. C. ; Alonzo, T. A. ; Castle, P. E. ; Felix, J. C. ; Cremer, M. / Acceptability of self-sampling and human papillomavirus testing among non-attenders of cervical cancer screening programs in El Salvador. In: Preventive Medicine. 2018 ; Vol. 114. pp. 149-155.
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