Dr Susan Sherman s.m.sherman@keele.ac.uk
Human Papillomavirus self-testing among un- and under-screened Maori, Pasifika, and Asian women in Aotearoa New Zealand: a preference survey among responders and interviews with clinical-trial non-responders
Sherman, Susan M.; Brewer, Naomi; Bartholomew, Karen; Bromhead, Collette; Crengle, Sue; Cunningham, Chris; Douwes, Jeroen; Foliaki, Sunia; Grant, Jane; Maxwell, Anna; McPherson, Georgina; Scott, Nina; Wihongi, Helen; Potter, John D.
Authors
Naomi Brewer
Karen Bartholomew
Collette Bromhead
Sue Crengle
Chris Cunningham
Jeroen Douwes
Sunia Foliaki
Jane Grant
Anna Maxwell
Georgina McPherson
Nina Scott
Helen Wihongi
John D. Potter
Abstract
Introduction
Maori, Pasifika, and Asian women are less likely to attend cervical screening and Maori and Pasifika women are more likely to be diagnosed with later-stage cervical cancer than other women in Aotearoa New Zealand. This study – with under-screened women taking part in a randomised controlled trial comparing self-testing and standard screening – explored the acceptability of an HPV self-test kit and the preferred method for receiving it.
Methods
Maori, Pasifika, and Asian women (N=376) completed a cross-sectional postal questionnaire. Twenty-six women who had not accepted the trial invitation were interviewed to understand their reasons for non-participation.
Results
Most women found the self-test kit easy and convenient to use and reported that they did not find it painful, uncomfortable, or embarrassing. This was reflected in the preference for a self-test over a future smear test on the same grounds. Most women preferred to receive the kit by mail and take the test themselves, rather than having it done by a doctor or nurse. There was a range of preferences relating to how to return the kit. Phone calls with non-responders revealed that, although most had received the test kit, the reasons for not choosing to be involved included not wanting to, being too busy, or forgetting.
Conclusion
HPV self-testing was acceptable for Maori, Pasifika, and Asian women in Aotearoa New Zealand. HPV self-testing has considerable potential to reduce the inequities in the current screening programme and should be made available with appropriate delivery options as soon as possible.
Patient or Public Contribution
This study explored the acceptability of HPV self-testing and their preferences for engaging with it among Maori, Pasifika, and Asian women. Thus, women from these underserved communities were the participants and focus of this study.
Journal Article Type | Article |
---|---|
Acceptance Date | Aug 22, 2022 |
Online Publication Date | Sep 26, 2022 |
Publication Date | 2022-12 |
Publicly Available Date | Mar 29, 2024 |
Journal | Health Expectations |
Print ISSN | 1369-6513 |
Publisher | Wiley |
Volume | 25 |
Issue | 6 |
Pages | 2914-2923 |
DOI | https://doi.org/10.1111/hex.13599 |
Keywords | Public Health, Environmental and Occupational Health |
Publisher URL | https://onlinelibrary.wiley.com/doi/10.1111/hex.13599 |
Files
NZ self testing acceptability survey and interviews HEX Revision 1 Author Accepted Copy clean.docx
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Health Expectations - 2022 - Sherman - Human papillomavirus self‐testing among unscreened and under‐screened M ori .pdf
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Publisher Licence URL
https://creativecommons.org/licenses/by-nc/4.0/
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