Sherman, S, Brewer, N, Bartholomew, K, Bromhead, C, Crengle, S, Cunningham, C, Douwes, J, Foliaki, S, Grant, J, Maxwell, A, McPherson, G, Scott, N, Wihongi, H and Potter, JD (2022) Human Papillomavirus self-testing among un- and under-screened Māori, Pasifika, and Asian women in Aotearoa New Zealand: a preference survey among responders and interviews with clinical-trial non-responders. Health Expectations. ISSN 1369-6513 (In Press)

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Abstract

Introduction
Māori, Pasifika, and Asian women are less likely to attend cervical screening and Māori 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
Māori, 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 Māori, 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 Māori, Pasifika, and Asian women. Thus, women from these underserved communities were the participants and focus of this study.

Item Type: Article
Additional Information: The final version of this article and all relevant information related to it, including copyrights, can be found on the publisher website upon publication.
Subjects: R Medicine > R Medicine (General)
R Medicine > RA Public aspects of medicine
Depositing User: Symplectic
Date Deposited: 23 Aug 2022 11:33
Last Modified: 23 Aug 2022 11:33
URI: https://eprints.keele.ac.uk/id/eprint/11339

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