Cancer Research UK Centre for Epidemiology, Mathematics and Statistics, Wolfson Institute of Preventive Medicine, Charterhouse Square, London EC1M 6BQ, UK.
J Med Screen. 2009;16(4):193-8. doi: 10.1258/jms.2009.009069.
We explored Muslim women's attitudes to self-sampling for human papillomavirus (HPV) in the context of cervical cancer screening and their responses to two self-sampling devices.
A Muslim community centre in north-east London.
Following a talk given on the subject of cervical cancer and HPV at the community centre, 28 women were recruited to take part in three focus group discussions. The discussion covered cervical screening, self-sampling and HPV testing. Women were also asked for their responses to a swab self-sampling kit and a cervico-vaginal lavage device. Discussions were recorded and transcribed verbatim and the qualitative data were analysed using Framework Analysis.
Participants were generally positive about cervical screening but acknowledged that some women in their community were reluctant to attend because of embarrassment, language difficulties, fear or because they were unmarried and did not want to communicate implicit messages about being sexually active. Self-sampling met a mixed response - women were concerned about not doing the test correctly, but thought that it might overcome barriers to screening for some women. HPV testing itself was thought to raise potentially difficult issues relating to trust and fidelity within marriages. Although most women said they would prefer to continue to have screening by a health professional, if they were to perform self-sampling, there was overwhelming preference for the swab over the lavage kit.
There was limited enthusiasm for self-sampling in this group of Muslim women who had mostly attended for cervical screening, but a clear preference for a swab rather than a cervico-vaginal lavage.
在宫颈癌筛查背景下，探讨穆斯林妇女对人乳头瘤病毒（HPV）自我采样的态度及其对两种自我采样装置的反应。
伦敦东北部的一个穆斯林社区中心。
在社区中心举办了关于宫颈癌和 HPV 的讲座后，招募了 28 名妇女参加了 3 次焦点小组讨论。讨论涵盖了宫颈癌筛查、自我采样和 HPV 检测。还询问了女性对拭子自我采样套件和宫颈阴道灌洗器的反应。讨论被记录下来并逐字转录，使用框架分析对定性数据进行分析。
参与者对宫颈癌筛查普遍持积极态度，但承认他们社区中的一些女性因为尴尬、语言障碍、恐惧或因为未婚而不愿参加，因为她们不想传达关于性行为活跃的隐含信息。自我采样的反应喜忧参半——女性担心不能正确进行测试，但认为这可能会克服一些女性对筛查的障碍。HPV 检测本身被认为会引发与婚姻中的信任和忠诚度相关的潜在问题。尽管大多数女性表示她们更愿意继续由医疗保健专业人员进行筛查，但如果她们要进行自我采样，绝大多数人更倾向于使用拭子而不是宫颈阴道灌洗器。
在这群大多数因宫颈癌筛查而参加的穆斯林妇女中，对自我采样的兴趣有限，但对拭子有明显的偏好，而不是宫颈阴道灌洗器。
