Broquet Céline, Triboullier Deborah, Untiet Sarah, Schafer Sonja, Petignat Patrick, Vassilakos Pierre
Faculty of Medicine, University of Geneva, Geneva, Switzerland.
Department of Gynecology and Obstetrics, Geneva University Hospitals, Geneva, Switzerland.
Afr Health Sci. 2015 Sep;15(3):755-61. doi: 10.4314/ahs.v15i3.8.
To evaluate the acceptability of self-collected vaginal samples for HPV testing in women living in rural and urban areas of Madagascar.
Participants were recruited in a health care center (urban group) and smaller affiliated dispensaries (rural group). They were invited to perform unsupervised self-sampling for HPV testing and to answer a questionnaire on socio-demographic information, cervical cancer knowledge and self-sampling acceptability.
A total of 300 women were recruited. Median age was 44.1 years (range 29-65 years) in the urban group and 40.9 years (range 29-65 years) in the rural group. Urban women had improved knowledge on HPV, cervical cancer and cervical cancer screening (p<0.05) as compared to rural women. Urban women lived closer to a health care center (P<0.05), had fewer different sexual partners (P<0.05) and later first sexual intercourse (p=0.07). Unlike urban women, most rural women were married (p<0.05).
Acceptability of self-sampling for HPV testing was similarly excellent in both groups despite their difference in terms of socio-demographic factors and knowledge about cervical cancer.
评估在马达加斯加农村和城市地区生活的女性中，自我采集阴道样本用于人乳头瘤病毒（HPV）检测的可接受性。
在一个医疗保健中心（城市组）和较小的附属诊所（农村组）招募参与者。邀请她们进行无人监督的自我采样以进行HPV检测，并回答一份关于社会人口统计学信息、宫颈癌知识和自我采样可接受性的问卷。
共招募了300名女性。城市组的中位年龄为44.1岁（范围29 - 65岁），农村组为40.9岁（范围29 - 65岁）。与农村女性相比，城市女性对HPV、宫颈癌和宫颈癌筛查的知识有所提高（p<0.05）。城市女性居住得离医疗保健中心更近（P<0.05），有较少的不同性伴侣（P<0.05）且首次性行为较晚（p = 0.07）。与城市女性不同，大多数农村女性已婚（p<0.05）。
尽管两组在社会人口统计学因素和宫颈癌知识方面存在差异，但HPV检测自我采样的可接受性在两组中同样出色。
