Leahy Willow, Abomoslim Maryam, Booth Amy, Gottschlich Anna, Mwandacha Nelly, Dau Hallie, Naguti Priscilla, Payne Beth, Smith Laurie, Nakisige Carolyn, Ogilvie Gina
Queen's University, Kingston, Canada.
Women's Health Research Institute, Vancouver, Canada.
BMC Glob Public Health. 2024 Feb 5;2(1):8. doi: 10.1186/s44263-024-00038-5.
The World Health Organization (WHO) call for cervical cancer elimination includes increasing global cervical screening coverage. HPV-based self-collection (HPV-SC) is a promising screening model for low- and middle-income countries (LMICs), and while digital technology, such as cellphones, can be used to streamline HPV-SC, there is limited data on digital technology penetration in LMICs. Determining women's cellphone access is critical to understanding the feasibility of using cellphones to support HPV-SC.
This study is a secondary analysis of a larger clinical trial. Participants of a cluster-randomized trial comparing HPV-SC models in Uganda completed a survey, including questions about demographics, cellphone access/ownership, prior cervical cancer screening (CCS), and willingness to receive CCS information by text. A logistic regression model was used to determine adjusted rates of cellphone ownership using survey variables as factors.
Of 2019 participants, 76.1% owned a cellphone. In non-cellphone owners (n = 483), 82.4% had daily cellphone access and 7.3% had no access. Compared to non-cellphone owners, cellphone owners were significantly older, more educated, closer to major health centers, more likely to have prior CCS, and more willing to receive a CCS text. In the logistic regression model, the aforementioned variables were all significantly associated with the odds of owning a cellphone.
As health care systems consider adopting HPV-SC, it is imperative to understand digital technology penetration. The majority of participants were cellphone owners and were willing to receive CCS information by text; however, significant socioeconomic and demographic differences remain between cellphone owners and non-owners. Further investigation is needed to understand whether HPV-SC using cellphones is feasible in similar settings.
ISRCTN, 12767014 .
gov, NCT04000503 .
世界卫生组织（WHO）消除宫颈癌的呼吁包括提高全球宫颈癌筛查覆盖率。基于人乳头瘤病毒（HPV）的自我采样（HPV-SC）是中低收入国家（LMICs）一种很有前景的筛查模式，虽然手机等数字技术可用于简化HPV-SC，但关于数字技术在中低收入国家的普及情况的数据有限。确定女性对手机的使用情况对于了解使用手机支持HPV-SC的可行性至关重要。
本研究是一项更大规模临床试验的二次分析。一项在乌干达比较HPV-SC模式的整群随机试验的参与者完成了一项调查，包括有关人口统计学、手机使用/拥有情况、既往宫颈癌筛查（CCS）以及通过短信接收CCS信息的意愿等问题。使用逻辑回归模型，以调查变量为因素来确定手机拥有的校正率。
在2019名参与者中，76.1%拥有手机。在非手机拥有者（n = 483）中，82.4%每天使用手机，7.3%无法使用手机。与非手机拥有者相比，手机拥有者年龄显著更大、受教育程度更高、距离主要医疗中心更近、更有可能进行过既往CCS，并且更愿意接收CCS短信。在逻辑回归模型中，上述变量均与拥有手机的几率显著相关。
随着医疗保健系统考虑采用HPV-SC，了解数字技术的普及情况至关重要。大多数参与者是手机拥有者，并且愿意通过短信接收CCS信息；然而，手机拥有者和非拥有者之间仍然存在显著的社会经济和人口统计学差异。需要进一步调查以了解在类似环境中使用手机进行HPV-SC是否可行。
ISRCTN，12767014 。
gov，NCT04000503 。
