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Acceptability of self-sampling in Portuguese women: the good, the bad or the ugly?
Jani Silva1, Fátima Cerqueira2, Rui Medeiros1
1Molecular Oncology and Viral Pathology GRP-IC, Portuguese Institute of Oncology of Porto (IPO Porto), Rua Dr. António Bernardino de Almeida, 4200-072, Porto, Portugal.
Background:
Self-sampling is a less costly approach that has been used for human papillomavirus (HPV) testing.
Methods:
A cross-sectional study involving 313 Portuguese women assessed the acceptability of cervicovaginal self-sampling.
Results:
Self-sampling was a well-accepted method [75.7%; 95% confidence interval (CI) 70.5-80.2], and the majority of women felt no pain (67.4%; 95% CI 61.9-72.5), no discomfort (70.9%; 95% CI 65.5-75.8) and no complexity (76.4%; 95% CI 71.2-80.9). The willingness to repeat self-sampling was high (89.5%; 95% CI 85.4-92.5). Compared to physician-sampling, women reported a preference for self-sampling (58.1%; 95% CI 52.5-63.6), as it was more comfortable (67.1%; 95% CI 61.5-72.2) and caused less pain (16.3%; 95% CI 12.5-20.9) and embarrassment (13.4%; 95% CI 9.9-17.8).
Conclusion:
Offering self-sampling for HPV testing may improve screening participation rates and overcome women's embarrassment regarding physician examination.
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