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Self-Collection for Primary HPV Testing: Acceptability in a Large Urban Emergency Department.

Itunu O Sokale1, Dick C Kuo2, Claire M Hoppenot3

  • 1Department of Medicine, Section of Epidemiology and Population Sciences, Baylor College of Medicine, Houston, TX.

Annals of Emergency Medicine
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Summary

Human papillomavirus (HPV) self-collection kits are acceptable for cervical cancer screening among women overdue for care. This approach shows high completion rates and positive experiences, making it a viable option for hard-to-reach populations.

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Area of Science:

  • Public Health
  • Gynecology
  • Infectious Disease Epidemiology

Background:

  • Overdue cervical cancer screening poses a significant risk for invasive disease.
  • Identifying effective screening strategies for hard-to-reach populations is crucial.
  • Human papillomavirus (HPV) testing is a primary method for cervical cancer prevention.

Purpose of the Study:

  • To assess the acceptability of HPV self-collection for cervical cancer screening.
  • To evaluate completion rates, attitudes, and experiences with HPV self-collection.
  • To determine feasibility in an urban safety-net hospital emergency department (ED) setting among women with overdue screening.

Main Methods:

  • A pilot study involving women overdue for cervical cancer screening in an ED waiting area.
  • Participants completed pre- and post-intervention surveys regarding HPV self-collection.
  • Offered HPV self-collection kits to eligible women seeking noncritical care.

Main Results:

  • High enrollment rate (93%) among eligible women, predominantly Hispanic, uninsured, and with a median age of 45.
  • A 90% completion rate for HPV self-collection was observed.
  • Over 27% of participants had never been screened, and 14% had not screened in over 10 years; 97% found the kit easy to use, with 88% willing to use it for regular screening.

Conclusions:

  • HPV self-collection is a feasible and highly acceptable method for primary cervical cancer screening.
  • This strategy is effective for reaching women overdue for screening during noncritical ED visits.
  • The findings support the integration of HPV self-collection into safety-net healthcare settings.