拉丁美洲人乳头瘤病毒（HPV）阴道自我采样用于宫颈癌筛查的可接受性：一项系统评价
The acceptability of HPV vaginal self-sampling for cervical cancer screening in Latin America: A systematic review.
作者信息
Narvaez Luisa, Viviano Manuela, Dickson Cheryl, Jeannot Emilien
机构信息
Institute of Global Health - Faculty of Medicine, Chemin de Mines 9, 1202, Geneva, Switzerland.
Gynecology Division, Department of Obstetrics and Gynecology, Geneva University Hospitals, Boulevard de la Cluse 30, 1205, Geneva, Switzerland.
出版信息
Public Health Pract (Oxf). 2023 Jul 31;6:100417. doi: 10.1016/j.puhip.2023.100417. eCollection 2023 Dec.
OBJECTIVE
This review summarizes women's acceptability of vaginal self-sampling for cervical cancer screening in Latin America.
STUDY DESIGN
Systematic review.
METHOD
A systematic literature search was performed in PubMed, Web of Science, and Embase regarding the acceptance of HPV vaginal self-sampling by women over 18 years old. Articles were selected for research that was conducted in Latin America and published between January 1st, 1993, and December 31st, 2022.
RESULTS
Fifteen publications were included. Eight publications reported an acceptance of HPV self-sampling as high as 80%, six papers found an acceptance rate between 50 and 80% and only one found an acceptance rate of less than 50%. Based on non-standardized questionnaires, women considered self-sampling more comfortable, easier, and less painful than conventional cytology. The procedure was associated with less embarrassment and a greater sense of privacy.
CONCLUSION
HPV vaginal-self sampling appears to be an acceptable screening method amongst eligible Latin American women.
目的
本综述总结了拉丁美洲女性对宫颈癌筛查阴道自我采样的接受程度。
研究设计
系统综述。
方法
在PubMed、科学网和Embase中对18岁以上女性对人乳头瘤病毒（HPV）阴道自我采样的接受情况进行了系统的文献检索。选取了1993年1月1日至2022年12月31日期间在拉丁美洲开展并发表的研究文章。
结果
纳入了15篇出版物。8篇报告称HPV自我采样的接受率高达80%，6篇论文发现接受率在50%至80%之间，只有1篇发现接受率低于50%。基于非标准化问卷，女性认为自我采样比传统细胞学检查更舒适、更容易且痛苦更小。该程序带来的尴尬更少，隐私感更强。
结论
HPV阴道自我采样似乎是符合条件的拉丁美洲女性可接受的筛查方法。
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