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

• DOI: 10.3390/ijerph19010054
• Publication Date: 2021-12-22T06:08:09Z
• Authors: Jessica Sormani; Bruno Kenfack; Ania Wisniak; Alida Moukam Datc...; Sophie Lemoupa Ma...; Nicole C. Schmidt; Pierre Vassilakos; Patrick Petignat
• Keywords: Experience sampling method

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