J Obstet Gynecol Neonatal Nurs. 2023 Sep;52(5):364-373. doi: 10.1016/j.jogn.2023.05.114. Epub 2023 Jun 21.
To examine associations among women's preferred locations for human papillomavirus (HPV) self-sampling in relation to their demographic, social, and health characteristics and their perceived benefits and concerns regarding this procedure.
Cross-sectional, descriptive survey.
Online distribution between March 2022 and April 2022.
People who were assigned female sex at birth and were eligible for cervical cancer screening (N = 367: cis-gender women, n = 364; another gender identity, n = 3).
We used quota sampling to obtain a racially and ethnically diverse sample. We conducted bivariate analyses to examine differences in participants' preferred locations for HPV self-sampling by sociodemographic and health characteristics. We used a multinomial logistic regression model to examine the associations between preferred HPV self-sampling location, characteristics of participants, and perceived benefits and concerns regarding this procedure.
In our sample, 43% (n = 158) of participants preferred HPV self-sampling at the office of a health care provider, 50% (n = 182) preferred HPV self-sampling anywhere (office or home), and 7% (n = 27) did not feel comfortable with HPV self-sampling anywhere. Participants 39 to 45 years of age were more likely to prefer HPV self-sampling anywhere (office or home) than participants 27 to 32 years of age, OR = 2.47, 95% confidence interval (CI) [1.21, 5.06]. Participants who preferred HPV self-sampling anywhere perceived greater benefit related to limited geographic access to a clinic compared to those who preferred office only, OR = 1.82, 95% CI [1.08, 3.07]. Participants who preferred HPV self-sampling anywhere had less concern related to performing the procedure accurately than those who preferred office only, OR = 0.44, 95% CI [0.31, 0.62].
HPV self-sampling is an alternative strategy to increase cervical cancer screening. As providers consider implementation of HPV self-sampling, our findings suggest that office and home-based collection strategies should be considered to increase access to cervical cancer screening.
探讨女性对人乳头瘤病毒（HPV）自我采样地点的偏好与人口统计学、社会和健康特征的关系，以及她们对这一过程的益处和顾虑。
横断面描述性调查。
2022 年 3 月至 4 月间在线发布。
出生时被指定为女性且有资格接受宫颈癌筛查的人群（N=367：顺性别女性，n=364；另一种性别认同，n=3）。
我们采用配额抽样法获得了种族和民族多样化的样本。我们进行了单变量分析，以检查参与者的 HPV 自我采样偏好地点在社会人口学和健康特征方面的差异。我们使用多项逻辑回归模型来检验 HPV 自我采样首选地点、参与者特征以及对该过程的益处和顾虑之间的关联。
在我们的样本中，43%（n=158）的参与者更喜欢在医疗保健提供者的办公室进行 HPV 自我采样，50%（n=182）更喜欢在任何地方（办公室或家中）进行 HPV 自我采样，7%（n=27）不喜欢在任何地方进行 HPV 自我采样。39 岁至 45 岁的参与者比 27 岁至 32 岁的参与者更有可能更喜欢在任何地方（办公室或家中）进行 HPV 自我采样，OR=2.47，95%置信区间（CI）[1.21,5.06]。与只选择在办公室采样相比，更喜欢在任何地方（办公室或家中）采样的参与者认为在诊所接受有限的地理访问更有益，OR=1.82，95%CI[1.08,3.07]。与只选择在办公室采样相比，更喜欢在任何地方采样的参与者对准确进行该程序的担忧较小，OR=0.44，95%CI[0.31,0.62]。
HPV 自我采样是增加宫颈癌筛查的一种替代策略。随着提供者考虑实施 HPV 自我采样，我们的研究结果表明，应考虑采用办公室和家庭采集策略，以增加宫颈癌筛查的机会。
