Attitude toward human papillomavirus self-sampling and associated factors among Thai women undergoing colposcopy
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objective To compare attitudes toward self-sampling for human papillomavirus (HPV) testing before and after specimen collection in women undergoing colposcopy. The factors associated with the pre-sampling attitude were also studied. Methods This prospective study enrolled women with abnormal cervical cytology and/or positive high-risk HPV who attended colposcopy clinics at 10 cancer centers in Thailand between October 2021 and May 2022. Prior to colposcopy, the attitudes of the women toward self-sampling were surveyed through a questionnaire. Written and verbal instructions for self-sampling were provided before the process and subsequent colposcopy. The attitudes toward self-sampling were reassessed after the actual self-sampling. Factors associated with the attitudes were analyzed. Results A total of 499 women were included in this study. The mean age was 39.28±11.36 years. A total of 85.3% were premenopause, and 98.8% had sexual experience. With the full score of 45, the attitude score after self-sampling was significantly higher than the attitude score before self-sampling (39.69±5.16 vs. 37.76±5.71; P<0.001). On univariate analysis, the factors associated with attitude before HPV self-sampling were age, menopausal status, sexual activity, education level, income, knowledge regarding HPV, and prior high-grade squamous intraepithelial lesion histology. The remaining significant factor on multivariate analysis was sexual activity within the past year (B=0.105, 95% confidence interval, 0.014-2.870; P=0.048). Conclusion Attitudes toward self-sampling improved after the actual self-sampling process, as evidenced by higher attitude scores. Sexual activity was the only independent factor related to the attitude before self-sampling.
Abstract
Objective To compare attitudes toward self-sampling for human papillomavirus (HPV) testing before and after specimen collection in women undergoing colposcopy. The factors associated with the pre-sampling attitude were also studied. Methods This prospective study enrolled women with abnormal cervical cytology and/or positive high-risk HPV who attended colposcopy clinics at 10 cancer centers in Thailand between October 2021 and May 2022. Prior to colposcopy, the attitudes of the women toward self-sampling were surveyed through a questionnaire. Written and verbal instructions for self-sampling were provided before the process and subsequent colposcopy. The attitudes toward self-sampling were reassessed after the actual self-sampling. Factors associated with the attitudes were analyzed. Results A total of 499 women were included in this study. The mean age was 39.28±11.36 years. A total of 85.3% were premenopause, and 98.8% had sexual experience. With the full score of 45, the attitude score after self-sampling was significantly higher than the attitude score before self-sampling (39.69±5.16 vs. 37.76±5.71; P<0.001). On univariate analysis, the factors associated with attitude before HPV self-sampling were age, menopausal status, sexual activity, education level, income, knowledge regarding HPV, and prior high-grade squamous intraepithelial lesion histology. The remaining significant factor on multivariate analysis was sexual activity within the past year (B=0.105, 95% confidence interval, 0.014-2.870; P=0.048). Conclusion Attitudes toward self-sampling improved after the actual self-sampling process, as evidenced by higher attitude scores. Sexual activity was the only independent factor related to the attitude before self-sampling.
참고문헌 (29)
- Sung H, "Global cancer statistics 2020 : GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries", CA Cancer J Clin, 71, pp.209~249 (2021)
- Yun BS, "Incidence and survival of gynecologic cancer including cervical, uterine, ovarian, vaginal, vulvar cancer and gestational trophoblastic neoplasia in Korea, 1999-2019 : Korea Central Cancer Registry", Obstet Gynecol Sci, 66, pp.545~561 (2023)
- Canfell K, "Mortality impact of achieving WHO cervical cancer elimination targets : a comparative modelling analysis in 78 low-income and lower-middle-income countries", Lancet, 395, pp.591~603 (2020)
- Vaccarella S, "Worldwide trends in cervical cancer incidence : impact of screening against changes in disease risk factors", Eur J Cancer, 49, pp.3262~3273 (2013)
- Cohen PA, "Cervical cancer", Lancet, 393, pp.169~182 (2019)
- Fontham ETH, "Cervical cancer screening for individuals at average risk : 2020 guideline update from the American Cancer Society", CA Cancer J Clin, 70, pp.321~346 (2020)
- Jareemit N, "Human papillomavirus genotype distribution in low-grade squamous intraepithelial lesion cytology, and its immediate risk for high-grade cervical lesion or cancer : a single-center, cross-sectional study", Obstet Gynecol Sci, 65, pp.335~345 (2022)
- Khuhaprema T, "Organization and evolution of organized cervical cytology screening in Thailand", Int J Gynaecol Obstet, 118, pp.107~111 (2012)
- Darlin L, "Comparison of use of vaginal HPV selfsampling and offering flexible appointments as strategies to reach long-term non-attending women in organized cervical screening", J Clin Virol, 58, pp.155~160 (2013)
- Scarinci IC, "Acceptability and usability of self-collected sampling for HPV testing among African-American women living in the Mississippi Delta", Womens Health Issues, 23, pp.e123~e130 (2013)
- Szarewski A, "Exploring the acceptability of two self-sampling devices for human papillomavirus testing in the cervical screening context : a qualitative study of Muslim women in London", J Med Screen, 16, pp.193~198 (2009)
- Kritpetcharat O, "The coverage of cervical cancer screening in Khon Kaen, northeast Thailand", Asian Pac J Cancer Prev, 4, pp.103~105 (2003)
- Thanapprapasr D, "Cervical cancer screening behaviours among Thai women : results from a crosssectional survey of 2112 healthcare providers at Ramathibodi Hospital, Thailand", Eur J Cancer Care(Engl), 21, pp.542~547 (2012)
- Chaowawanit W, "Knowledge, attitudes and behavior of bangkok metropolitan women regarding cervical cancer screening", Asian Pac J Cancer Prev, 17, pp.945~952 (2016)
- Arbyn M, "Accuracy of human papillomavirus testing on self-collected versus clinician-collected samples : a meta-analysis", Lancet Oncol, 15, pp.172~183 (2014)
- Nishimura H, "HPV self-sampling for cervical cancer screening : a systematic review of values and preferences", BMJ Glob Health, 6, pp.e003743~ (2021)
- Nelson EJ, "The acceptability of self-sampled screening for HPV DNA : a systematic review and meta-analysis", Sex Transm Infect, 93, pp.56~61 (2017)
- Kamath Mulki A, "Human papilloma virus self-sampling performance in low-and middle-income countries", BMC Womens Health, 21, pp.12~ (2021)
- Phoolcharoen N, "Acceptability of self-sample human papillomavirus testing among Thai women visiting a colposcopy clinic", J Community Health, 43, pp.611~615 (2018)
- Serrano B, "Worldwide use of HPV self-sampling for cervical cancer screening", Prev Med, 154, pp.106900~ (2022)
- Kittisiam T, "Knowledge and attitudes of Bangkok metropolitan women towards HPV and self-sampled HPV testing", Asian Pac J Cancer Prev, 17, pp.2445~2451 (2016)
- Wong EL, "Acceptability and feasibility of HPV self-sampling as an alternative primary cervical cancer screening in under-screened population groups : a cross-sectional study", Int J Environ Res Public Health, 17, pp.6245~ (2020)
- Trope LA, "Feasibility of community-based careHPV for cervical cancer prevention in rural Thailand", J Low Genit Tract Dis, 17, pp.315~319 (2013)
- De Pauw H, "Cervical cancer screening using HPV tests on self-samples : attitudes and preferences of women participating in the VALHUDES study", Arch Public Health, 79, pp.155~ (2021)
- Oranratanaphan S, "Acceptability of self-sampling HPV testing among Thai women for cervical cancer screening", Asian Pac J Cancer Prev, 15, pp.7437~7441 (2014)
- Kraut RY, "Attitudes toward human papillomavirus self-sampling in regularly screened women in edmonton, Canada : a cross-sectional study", J Low Genit Tract Dis, 25, pp.199~204 (2021)
- Oranratanaphan S, "Knowledge, attitudes and practices about the Pap smear among medical workers in Naresuan University Hospital, Thailand", Asian Pac J Cancer Prev, 11, pp.1727~1730 (2010)
- Chen SL, "Determinants of women’s likelihood of vaginal self-sampling for human papillomavirus to screen for cervical cancer in Taiwan : a cross-sectional study", BMC Womens Health, 14, pp.139~ (2014)
- Likitdee N, "Knowledge and attitude toward human papillomavirus infection and vaccination among Thai women : a nationwide social media survey", Asian Pac J Cancer Prev, 21, pp.2895~2902 (2020)