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Patient attitudes toward HPV self-sampling and community health worker-delivered cervical cancer screening services
Mrithula Suresh Babu1, Monica L Kasting1,2, Natalia M Rodriguez1,2
1Department of Public Health, College of Health and Human Sciences, Purdue University, West Lafayette, IN, USA.
Introduction:
In Indiana, Black women had 12% higher cervical cancer incidence, and 21% higher mortality compared to White women during the years 2008-2017. Human Papillomavirus (HPV) self-sampling delivered by community health workers (CHW) has demonstrated potential to increase cervical cancer screening rates among at-risk populations. This study aims to understand patient attitudes toward HPV self-sampling and CHW-delivered screening.
Methods:
We conducted a cross-sectional online survey among patients from three Planned Parenthood clinics in Lake County, IN, which has one of the highest cervical cancer mortality rates in Indiana. Patients' willingness to self-sample and to receive health education and services related to cervical cancer screening from CHWs was analyzed using logistic regression.
Results:
In the final sample (N = 140), the largest proportions of respondents were below age 30 (54.3%), aware of cervical cancer (78.6%), up to date on cervical cancer screening (84.3%), had no prior self-sampling experience (53.6%) and were aware of CHWs (52.1%). Multivariable logistic regression analyses showed Black patients had higher odds of being willing to: self-sample at home (aOR = 3.749, 95% CI = 1.619-8.681), receive health education from CHWs (aOR = 4.952, 95% CI = 2.124-11.548), and receive health services from CHWs (aOR = 3.305, 95% CI = 1.479-7.388) compared to White patients.
Conclusion:
Our results showed Black patients had higher willingness for HPV self-sampling and CHW delivery of cervical cancer screening services. Study findings can be used to inform future CHW-led interventions for outreach, education, and delivery of self-sampling interventions to increase cervical cancer screening rates among Black women in underserved areas.
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