dc.contributor.author |
Mahomed, Kay
|
|
dc.contributor.author |
Evans, Denise
|
|
dc.contributor.author |
Sauls, Celeste
|
|
dc.contributor.author |
Richter, Karin Louise
|
|
dc.contributor.author |
Smith, Jennifer
|
|
dc.contributor.author |
Firnhaber, Cindy
|
|
dc.date.accessioned |
2015-07-20T07:54:14Z |
|
dc.date.available |
2015-07-20T07:54:14Z |
|
dc.date.issued |
2014-03-11 |
|
dc.description.abstract |
INTRODUCTION: Cervical cancer is the most common cancer among women in Sub-Saharan Africa. Cervical cancer is treatable if detected timeously,
yet only 20% of South African women have ever been for a Pap smear in their lifetime due to limited access to screening, transport or child care
responsibilities. OBJECTIVE: To evaluate the acceptability of self-collection for cervical cancer screening. We aimed to identify which self-collection
device women prefer and if they would consider using them for routine cervical cancer screening. METHODS: HIV-positive women (>18 years) from
urban and rural HIV clinics were interviewed following an education session on HIV, human papillomavirus (HPV) and cervical cancer. Participants
were shown three self-collection devices; (i) an Evalyn cervical brush, (ii) a Delphilavager and (iii) a tampon-like plastic wand before completing a
short questionnaire. RESULTS: A total of 106 women from the urban (n=52) and rural (n=54) clinic were interviewed. Overall 51% of women
preferred the cervical brush, while fewer women preferred the tampon-like plastic wand (31%) or lavage sampler (18%). More than 75% of
women from the rural site preferred the cervical brush, compared to 22% from the urban site (p<0.001). Women from the urban clinic preferred
the tampon-like plastic wand (45%) and then the lavage sampler (33%), as compared to women from the rural clinic (19% and 4%, respectively).
CONCLUSION: Women from urban or rural settings had different preferences for the various self-collection devices. Patient self-collection with HPV
testing may be an acceptable way to improve coverage to cervical cancer screening in high risk HIV-seropositive women. |
en_ZA |
dc.description.librarian |
am2015 |
en_ZA |
dc.description.uri |
http://www.panafrican-med-journal.com |
en_ZA |
dc.identifier.citation |
Mahomed, K, Evans, D, Sauls, C, Richter, K, Smith, J & Firnhaber, C 2014, 'Human papillomavirus (HPV) testing on self-collected specimens: perceptions among HIV positive women attending rural and urban clinics in South Africa', Pan African Medical Journal, vol. 17, art. no. 189, pp. 1-7. |
en_ZA |
dc.identifier.issn |
1937-8688 |
|
dc.identifier.other |
10.11604/pamj.2014.17.189.3454 |
|
dc.identifier.uri |
http://hdl.handle.net/2263/49112 |
|
dc.language.iso |
en |
en_ZA |
dc.publisher |
African Field Epidemiology Network |
en_ZA |
dc.rights |
© et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License
(http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly
cited. |
en_ZA |
dc.subject |
HIV-positive women |
en_ZA |
dc.subject |
Human immunodeficiency virus (HIV) |
en_ZA |
dc.subject |
Self-collection |
en_ZA |
dc.subject |
Human papillomavirus (HPV) |
en_ZA |
dc.subject |
Acceptability |
en_ZA |
dc.subject |
Cervical cancer |
en_ZA |
dc.subject |
Resource-limited setting |
en_ZA |
dc.subject |
South Africa (SA) |
en_ZA |
dc.title |
Human papillomavirus (HPV) testing on self-collected specimens: perceptions among HIV positive women attending rural and urban clinics in South Africa |
en_ZA |
dc.type |
Article |
en_ZA |