Hospital Universitario (HU-USP), Universidade de São Paulo, Sao Paulo, SP, Brazil.
Center for Translational Investigation in Oncology, Instituto do Câncer do Estado de São Paulo (ICESP), Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brazil.
BMC Public Health. 2019 Jul 18;19(1):963. doi: 10.1186/s12889-019-7292-1.
To determine whether age is a barrier against acceptability of cervicovaginal self-sampling in screening for cervical cancer at two gynecology outpatient clinics.
This is a cross-sectional study involving 116 women over 21 years of age with an abnormal Pap smear. Clinical and laboratorial data were recorded in electronic files. Women received detailed self-collection instructions. After the self-sampling procedure (Evalyn Brush®), women were instructed to answer a questionnaire about vaginal self-sampling acceptability that consisted of seven multiple-choice items. The participants were divided into three age brackets: 21 to 29 years, 30 to 49 years, and 50 years and over. Chi-square, Fischer exact, Kolmogorov-Smirnov and Kruskal-Wallis tests were used.
The analysis of the participants' perception of the procedure stratified according to age groups showed a decline in the fear of hurting oneself during the procedure as age increased. Most participants reported that it was very easy to understand how to use the self-sampling brush and that it was easy to use it. Most of them were neither embarrassed nor afraid of getting hurt during the procedure. The majority preferred self-sampling to collection by a healthcare professional. The main reason was practicality: the possibility of choosing the place and time for sampling.
The participating women found self-collection simple to understand and easy to accept regardless of age. The younger women indicated more fear and discomfort in self-sampling, which points to the need for attraction strategies that are more appealing to the younger generations.
为了确定年龄是否会成为接受在两家妇科门诊进行宫颈癌筛查的宫颈阴道自我采样的障碍。
这是一项涉及 116 名年龄在 21 岁以上且巴氏涂片异常的女性的横断面研究。临床和实验室数据记录在电子文件中。女性接受了详细的自我采集说明。在自我采样程序（Evalyn Brush®）后，女性被指示回答一份关于阴道自我采样可接受性的问卷，问卷包含七个多项选择题。参与者被分为三个年龄组：21 至 29 岁、30 至 49 岁和 50 岁及以上。使用卡方检验、Fisher 精确检验、Kolmogorov-Smirnov 检验和 Kruskal-Wallis 检验。
根据年龄组对参与者对该程序的看法进行分析，发现随着年龄的增长，在该过程中伤害自己的恐惧有所下降。大多数参与者表示，非常容易理解如何使用自我采样刷，并且使用起来也很容易。他们大多数人在该过程中既不尴尬也不害怕受伤。大多数人更喜欢自我采样而不是由医疗保健专业人员进行采集。主要原因是实用性：选择采样地点和时间的可能性。
参与的女性发现自我采集既简单易懂又容易接受，无论年龄大小。年轻女性在自我采样中表示更多的恐惧和不适，这表明需要更吸引年轻一代的吸引力策略。
