Cancer Control Abstract

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Submitted By delgarci
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Self-sampling for HPV infection among low-income Hispanic women.

Although cervical cancer is preventable through regular screening 1 with Pap smear and liquid-based cytology,2 only 72% of women in the Texas-Mexico border and 82% of women in the US undergo such regular screening.3 Hispanic women in this region have one of the highest cervical cancer mortality rates in the nation.4 Previous studies have identified barriers to screening in this minority population such as lack of access to healthcare, fear of pain during the gynecological exam and embarrassment.5 Persistent infection with oncogenic Human Papillomavirus (HPV) types is necessary for developing cervical cancer.6 Thus, HPV testing of women 30 – 65 years of age has been added to the cervical cancer screening guidelines in addition to Pap/cytology (co-testing).2 Self-sampling is a novel approach to detect HPV infection, it allows women to collect their own cervical specimen with a brush in the clinic or in their own homes.7 It has high sensitivity (74%) and specificity (88%) compared to physician collected samples.8-13 Women that deem it acceptable cite reasons such as privacy, costs, and lack of need for an office visit.13-21 However, Pap/cytology has been preferred over self-sampling among some groups because of low confidence in self-sampling accuracy and uncertainty over performing it correctly.13,17,20,22,23 Self-sampling has been least likely to be preferred by Hispanic women and those with lower educational levels.13,17 Interventions using a community health worker for group or one-to-one education have effectively increased Pap/cytology uptake among Hispanic women.24-26 However, there are no studies assessing the effects of a culturally sensitive educational intervention on women’s attitudes towards self-sampling and on their…...

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