School of Nursing, The George Washington University, Washington, DC 20006, USA.
Department of Prevention and Community Health, Milken Institute School of Public Health, The George Washington University, Washington, DC 20052, USA.
Curr Oncol. 2022 Jan 26;29(2):516-533. doi: 10.3390/curroncol29020047.
Routine cervical cancer screening is important for women living with HIV (WLH) due to the greater incidence and persistence of high-risk HPV (HR-HPV) infection. HR-HPV self-sampling has been proposed to overcome barriers to in-office cervical cancer screening in underserved populations. However, little is known about baseline knowledge of HR-HPV and the acceptability of HR-HPV self-sampling among WLH. This paper describes WLH's experiences and needs regarding cervical cancer screening, specifically HR-HPV self-sampling, and seeks to reconcile their experiences with the views of their providers. In total, 10 providers and 39 WLH participated in semi-structured interviews and group discussions, respectively. Knowledge of cervical cancer and HR-HPV was generally limited among WLH; when present, it was often due to personal experience of or proximity to someone affected by cervical cancer. Most WLH were not familiar with HR-HPV self-sampling but, despite some of the providers' skepticism, expressed their willingness to participate in a mail-based HR-HPV self-sampling intervention and highlighted convenience, ease of use, and affordability as facilitators to the uptake of HR-HPV self-sampling. The experiences identified can be used to guide patient-centered communication aimed at improving cervical cancer knowledge and to inform interventions, such as HR-HPV self-sampling, designed to increase cervical cancer screening among under-screened WLH.
由于艾滋病毒（HIV）感染者（WLH）中高危型人乳头瘤病毒（HR-HPV）感染的发生率和持续存在率较高，因此对 WLH 进行常规宫颈癌筛查很重要。HR-HPV 自我采样被提议用于克服服务不足人群中进行办公室宫颈癌筛查的障碍。然而，对于 WLH 对 HR-HPV 的基本知识和对 HR-HPV 自我采样的可接受性知之甚少。本文描述了 WLH 在宫颈癌筛查方面的经历和需求，特别是 HR-HPV 自我采样，并试图调和他们的经历与提供者的观点。共有 10 名提供者和 39 名 WLH 分别参加了半结构化访谈和小组讨论。WLH 对宫颈癌和 HR-HPV 的知识通常很有限；当存在时，通常是因为个人经历或与宫颈癌患者的接触。大多数 WLH 不熟悉 HR-HPV 自我采样，但尽管一些提供者持怀疑态度，他们仍表示愿意参与基于邮件的 HR-HPV 自我采样干预，并强调便利性、易用性和负担能力是接受 HR-HPV 自我采样的促进因素。确定的经验可用于指导以患者为中心的沟通，旨在提高宫颈癌知识，并为旨在增加筛查不足的 WLH 进行宫颈癌筛查的干预措施提供信息，例如 HR-HPV 自我采样。
