Scientific article
Open access

Exploring Factors Associated with Patients Who Prefer Clinician-Sampling to HPV Self-Sampling: A Study Conducted in a Low-Resource Setting

Publication date2021-12-22
First online date2021-12-22

Human papillomavirus (HPV) self-sampling (Self-HPV) is a promising strategy to improve cervical cancer screening coverage in low-income countries. However, issues associated with women who prefer conventional HPV clinical-sampling over HPV self-sampling may affect screening participation. To address this issue, our study assessed factors associated with women's preferences related to Self-HPV. This study was embedded in a large clinical trial recruiting women aged 30-49 years in a primary HPV-based study termed "3T-Approach" (for Test-Triage-Treatment), launched in 2018 at Dschang District Hospital, West Cameroon. Participants were invited to perform a Self-HPV. After the sampling and before receiving the results, participants completed a questionnaire about cervical cancer screening and their preferences and perceptions around Self-HPV. The median age of the 2201 participants was 40.6 (IQR 35-45) years. Most (1693 (76.9%)) preferred HPV self-sampling or had no preference for either method, and 508 (23.1%) preferred clinician-sampling. Factors associated with an increased likelihood of reporting a clinician-sampling preference were tertiary educational level (29.4% CI: 25.6-33.6 vs. 14.4% CI: 12.8-16.1) and being an employee with higher grade professional or managerial occupations (5.5% CI: 3.8-7.9 vs. 2.7% CI: 2.0-3.5). The main reported reason for women preferring clinician-sampling was a lack of "self-expertise". Most women (>99%) would agree to repeat HPV self-sampling and would recommend it to their relatives. HPV self-sampling in the cultural context of central Africa was well accepted by participants, but some participants would prefer to undergo clinician sampling. Health systems should support well-educated women to increase self-confidence in using HPV self-sampling.

  • HPV self-sampling
  • Cervical cancer screening
  • Preference
  • Sub-Saharan Africa
  • Adult
  • Alphapapillomavirus
  • Early Detection of Cancer
  • Female
  • Humans
  • Mass Screening
  • Middle Aged
  • Papillomaviridae
  • Papillomavirus Infections / diagnosis
  • Self Care
  • Specimen Handling
  • Uterine Cervical Neoplasms / diagnosis
Citation (ISO format)
SORMANI, Jessica et al. Exploring Factors Associated with Patients Who Prefer Clinician-Sampling to HPV Self-Sampling: A Study Conducted in a Low-Resource Setting. In: International journal of environmental research and public health, 2021, vol. 19, n° 1, p. 54. doi: 10.3390/ijerph19010054
Main files (1)
Article (Published version)
ISSN of the journal1660-4601

Technical informations

Creation10/06/2022 8:56:17 AM
First validation06/21/2023 3:05:22 PM
Update time06/21/2023 3:05:22 PM
Status update06/21/2023 3:05:22 PM
Last indexation08/31/2023 11:49:02 AM
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