HPV Testing Behaviors and Willingness to Use HPV Self-sampling at Home Among African American (AA) and Sub-Saharan African Immigrant (SAI) Women.
HPV Testing Behaviors and Willingness to Use HPV Self-sampling at Home Among African American (AA) and Sub-Saharan African Immigrant (SAI) Women.
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DOI：
10.1007/s40615-021-01184-4
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发表时间：
2022-12
影响因子：
3.9
通讯作者：
Dignan, Mark
中科院分区：
文献类型：
--
作者：
Adegboyega, Adebola;Wiggins, Amanda T;Williams, Lovoria B;Dignan, Mark
HPV自检是一种新兴的HPV检测方法，可以可靠地识别宫颈癌前病变和癌组织。为了确定HPV自我采样在美国的可行性，需要了解妇女使用HPV检测的情况和使用自我采样的意愿，特别是在非洲裔美国人(AA)和撒哈拉以南非洲移民(SAI)妇女等不同群体中。这项研究的目的是检查在AA和SAI妇女中至少有一次HPV检测和愿意使用HPV自我采样的相关因素。从社区招募的AA和SAI妇女(n=91)完成了一项横断面研究中的调查。数据包括社会人口学、HPV和HPV检测知识，以及在家中使用HPV自我抽样检测的意愿。进行Logistic回归分析，以评估接受过HPV检测和愿意使用自我采样的相关性。受访者的平均年龄为38.2岁(SD=12.6)，65%为SAI。大多数人(84%)报告至少做过一次巴氏试验，(36%)至少做过一次HPV检测。67%的人愿意在家自检。年龄、教育程度和HPV检测知识与做过HPV检测有关。如果推荐的话，没有保险和接受巴氏检测的可能性与愿意在家中使用自我采样进行HPV检测有关。根据目前的指导方针，卫生保健提供者在推荐宫颈癌筛查方面发挥着重要作用。HPV自我采样可能是一种很有前途的策略，可以接触到年龄较大、受教育程度较低、没有保险和保险不足的黑人女性。
HPV self-sampling is an emerging HPV testing method that offers reliable identification of cervical precancer and cancer. To determine the feasibility of HPV self-sampling in the USA, information is needed regarding women’s use of HPV test and willingness to use self-sampling, especially among disparate groups such as African American (AA) and sub-Saharan African immigrant (SAI) women. The purpose of this study was to examine factors associated with having had at least one HPV test and willingness to use HPV self-sampling among AA and SAI women. AA and SAI women (n = 91) recruited from community settings completed a survey in a cross-sectional study. Data included sociodemographics, HPV and HPV testing knowledge, and willingness to use a HPV self-sampling test at home. Logistic regressions were performed to evaluate associations with having had a HPV test and willingness to use self-sampling. Respondents mean age was 38.2 years (SD = 12.6) and 65% were SAIs. The majority (84%) reported having had at least one Pap test and (36%) had at least one HPV test. Sixty-seven percent were willing to self-sample at home. Age, education, and HPV testing knowledge were associated with having had a HPV test. Being uninsured and likelihood to accept a Pap test if recommended were associated with willingness to use self-sampling at home for an HPV test. Health care providers have an important role in recommending cervical cancer screening according to current guidelines. HPV self-sampling may be a promising strategy to reach older, less educated, uninsured, and underinsured Black women.