Mullins Robyn, Scalzo Katherine, Sultana Farhana
Cancer Council Victoria, Centre for Behavioural Research in Cancer.
Cancer Council Victoria, Centre for Behavioural Research in Cancer
J Med Screen. 2014 Dec;21(4):201-6. doi: 10.1177/0969141314555247. Epub 2014 Oct 13.
To determine which groups of women would be most likely to take part in self-sampling for cervical screening, and what they perceive as the key barriers and benefits to self-sampling.
A random sample of 3000 women aged 18-69 in Victoria, Australia, were asked questions about "taking their own Pap test" in a telephone survey about cervical screening; 2526 answered the questions about self-sampling. The terminology "Pap test" was used in questions, due to the very low understanding of HPV and its link to cervical cancer.
One-third of women (34.0%) indicated they would prefer to self-sample, 57.2% would not and 8.7% were unsure. Preference for self-sampling was significantly stronger among women who had not had a Pap test for more than three years (64.8%, p < .001) or who had never had one (62.1%, p < .001), compared with those up-to-date (27.0%). Convenience was a key benefit (37.8%), as was less embarrassment (31.5%). For those who did not want to self-sample or were unsure, key factors included professionals being more skilled (53.4% and 28.2% respectively), and doubts about being able to do it properly (28.9% and 23.6%).
Self-sampling was most popular among women who needed to have a Pap test, and could potentially reach some women who are not participating appropriately in cervical screening. Key barriers to participation could be addressed by providing information about the test being for HPV, and being easier to do properly than a Pap test.
确定哪些女性群体最有可能参与宫颈筛查的自我采样，以及她们认为自我采样的主要障碍和益处是什么。
在澳大利亚维多利亚州，对3000名年龄在18至69岁的女性进行随机抽样，在一项关于宫颈筛查的电话调查中询问她们关于“自行进行巴氏试验”的问题；2526人回答了关于自我采样的问题。由于对人乳头瘤病毒（HPV）及其与宫颈癌的联系了解甚少，问题中使用了“巴氏试验”这一术语。
三分之一的女性（34.0%）表示她们更愿意自我采样，57.2%的女性不愿意，8.7%的女性不确定。与定期进行巴氏试验的女性（27.0%）相比，超过三年未进行巴氏试验的女性（64.8%，p <.001）或从未进行过巴氏试验的女性（62.1%，p <.001）对自我采样的偏好明显更强。便利性是一个关键益处（37.8%），减少尴尬也是如此（31.5%）。对于那些不想自我采样或不确定的人来说，关键因素包括专业人员更有技能（分别为53.4%和28.2%），以及对能否正确操作存在疑虑（28.9%和23.6%）。
自我采样在需要进行巴氏试验的女性中最受欢迎，并且有可能覆盖到一些未适当参与宫颈筛查的女性。可以通过提供有关该检测是针对HPV以及比巴氏试验更容易正确操作的信息来解决参与的主要障碍。
