School of Health Systems and Public Health, University of Pretoria Faculty of Health Sciences, Pretoria, South Africa
School of Health Systems and Public Health, University of Pretoria Faculty of Health Sciences, Pretoria, South Africa.
BMJ Open. 2023 Apr 21;13(4):e062090. doi: 10.1136/bmjopen-2022-062090.
The objective of this scoping review was to map evidence on the acceptability of self-sampling for human papillomavirus testing (HPVSS) for cervical cancer screening among women in the sub-Saharan Africa region.
Scoping review.
Using Arksey and O'Malley's framework, we searched Scopus, PubMed, Medline Ovid, Cochrane and Web of Science databases for evidence on the acceptability of HPVSS among women aged 25 years and older published between January 2011 and July 2021. We included studies that reported evidence on the acceptability of HPVSS for cervical cancer screening. Review articles and protocols were excluded. We also searched for evidence from grey literature sources such as dissertations/theses, conference proceedings, websites of international organisations such as WHO and relevant government reports. Two reviewers independently performed the extraction using a pre-designed Excel spreadsheet and emerging themes were narratively summarised.
The initial search retrieved 1018 articles. Of these, 19 articles were eligible and included in the review. The following themes emerged from the included articles: acceptability of HPVSS; lack of self-efficacy to perform HPVSS, complications when performing HPVSS, preferences for provider sampling or assistance; setting of HPVSS; HPVSS by vulnerable populations.
Evidence shows that HPVSS is highly acceptable for cervical cancer screening in sub-Saharan Africa. Further research exploring the acceptability of HPVSS among women residing in rural areas is required, as well as studies to determine women's preferences for HPVSS intervention including the preferred type of sampling devices. Knowledge on the acceptability and preferences for HPVSS is important in designing women-centred interventions that have the potential to increase screening coverage and participation in cervical cancer screening programmes.
本范围综述旨在绘制撒哈拉以南非洲地区妇女对人乳头瘤病毒自我采样（HPVSS）用于宫颈癌筛查的可接受性证据。
范围综述。
使用 Arksey 和 O'Malley 的框架，我们在 Scopus、PubMed、Medline Ovid、Cochrane 和 Web of Science 数据库中搜索了 2011 年 1 月至 2021 年 7 月期间发表的关于年龄在 25 岁及以上的妇女 HPVSS 可接受性的证据。我们纳入了报告 HPVSS 用于宫颈癌筛查可接受性证据的研究。排除综述文章和方案。我们还从灰色文献来源（如论文、会议记录、国际组织（如世卫组织）的网站和相关政府报告）中搜索证据。两位评审员独立使用预设计的 Excel 电子表格进行提取，并对出现的主题进行叙述性总结。
最初的搜索共检索到 1018 篇文章。其中，19 篇文章符合纳入标准并纳入综述。纳入文章中出现了以下主题：HPVSS 的可接受性；自我效能感不足进行 HPVSS、HPVSS 时出现并发症、对提供者采样或协助的偏好；HPVSS 的设置；HPVSS 由弱势群体进行。
证据表明，HPVSS 非常适用于撒哈拉以南非洲的宫颈癌筛查。需要进一步研究探索居住在农村地区的妇女对 HPVSS 的可接受性，以及研究确定妇女对 HPVSS 干预措施的偏好，包括首选的采样设备类型。了解 HPVSS 的可接受性和偏好对于设计以妇女为中心的干预措施至关重要，这些干预措施有可能提高筛查覆盖率并促进参与宫颈癌筛查计划。
