Acceptability to Healthcare Professionals of Home-Based HPV Self-Sampling for Cervical Screening: A French Qualitative Study Conducted in an Area with Low Access to Health Services - Archive ouverte HAL
Article Dans Une Revue Cancers Année : 2023

Acceptability to Healthcare Professionals of Home-Based HPV Self-Sampling for Cervical Screening: A French Qualitative Study Conducted in an Area with Low Access to Health Services

Johane Le Goff
Anne-Sophie Le Duc-Banaszuk
  • Fonction : Auteur
Caroline Lefeuvre
Adeline Pivert
  • Fonction : Auteur
  • PersonId : 992791
Alexandra Ducancelle
  • Fonction : Auteur
  • PersonId : 1311412
Hélène de Pauw
  • Fonction : Auteur
  • PersonId : 1311413
Marc Arbyn
  • Fonction : Auteur
  • PersonId : 1311414

Résumé

Self-sampling may improve participation in cervical cancer secondary prevention programs by women who do not respond or respond irregularly when invited to contact a health professional for the collection of a cervical specimen. It could also help resolve access problems in areas with a low physician density. The present qualitative study examined barriers to screening, effective screening strategies, and the advantages and disadvantages of sending women urine or vaginal self-sampling kits in two medically underserved administrative departments in France (Mayenne and Sarthe) showing low cervical screening coverage. As part of the CapU4 randomized trial, a team of psychologists investigated the attitudes and experiences of 59 healthcare professionals (gynecologists, general practitioners, and midwives) through semi-structured interviews. Results indicated that health professionals believe that self-sampling may address the issues of low physician density and underscreening by removing logistical, organizational, financial, and psychological obstacles. They confirmed trust in the use of vaginal self-sampling, with urine self-sampling as an alternative solution (e.g., for women with vaginismus). The health professionals also identified several limitations of the self-sampling kit that will need to be addressed in future screening campaigns (incomplete kit, complex instructions, poor anatomical knowledge, and obesity).
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Dates et versions

hal-04294057 , version 1 (20-11-2023)

Identifiants

Citer

Johane Le Goff, Anne-Sophie Le Duc-Banaszuk, Caroline Lefeuvre, Adeline Pivert, Alexandra Ducancelle, et al.. Acceptability to Healthcare Professionals of Home-Based HPV Self-Sampling for Cervical Screening: A French Qualitative Study Conducted in an Area with Low Access to Health Services. Cancers, 2023, 15 (21), pp.5163. ⟨10.3390/cancers15215163⟩. ⟨hal-04294057⟩

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