Self-collection for HPV-based cervical screening: a qualitative evidence meta-synthesis.
Self-collection for HPV-based cervical screening: a qualitative evidence meta-synthesis.
复制标题
DOI：
10.1186/s12889-021-11554-6
复制
发表时间：
2021-08-04
影响因子：
4.5
通讯作者：
Kelly-Hanku A
中科院分区：
文献类型：
--
作者：
Camara H;Zhang Y;Lafferty L;Vallely AJ;Guy R;Kelly-Hanku A
宫颈癌是影响全球妇女的第四大常见癌症，估计85%的负担发生在低收入和中等收入国家（LMIC）的妇女中。宫颈癌筛查的最新发展包括一种新的自我收集方法，用于检测所收集样本中的致癌HPV菌株。本综述的目的是综合定性研究自我收集HPV为基础的检测宫颈癌筛查，并确定策略，以提高可接受性和可行性，在不同的设置，以减轻疾病的负担。该综述包括1986年至2020年期间发表的定性研究。在2018年8月至2020年5月期间，共检索了10个数据库，以确定定性研究，重点是从妇女、医护人员和其他主要利益相关者（即，政策制定者）。两位作者独立评估了研究的纳入，质量和框架专题综合结果。使用社会生态模型（SEM）来综合初步研究。共识别出1889篇出版物，其中包括31篇定性研究。使用一个改编版的SEM，10个子主题被确定和分类下的每一个改编模型的结构：（a）个人，（B）人际关系，（c）卫生系统/公共政策。在自我（或个人）结构下包含的一些主题包括自我效能的重要性，以及归因于自我收集的价值观。在自我建构下，研究结果围绕着自我收集的使用及其对社会关系的影响。卫生系统的最后一个结构侧重于确保获得自我采集的需要，对文化敏感的方案以提高卫生知识的需要，以及持续护理的需要。本综述介绍了HPV检测自我采集的全球定性证据，并详细介绍了解决社会文化和结构性障碍的潜在策略以及使用自我采集的促进因素。如果在设计基于HPV的宫颈癌筛查检测干预计划时加以解决，这些策略可以显著提高干预的可接受性和可行性，并为全球妇女提供更有效和可持续的宫颈筛查服务。在线版本包含补充材料，可通过10.1186/s12889-021-11554-6获得。
Cervical cancer is the fourth most common cancer affecting women worldwide, with 85% of the burden estimated to occur among women in low and middle-income countries (LMICs). Recent developments in cervical cancer screening include a novel self-collection method for the detection of oncogenic HPV strains in the collected samples. The purpose of this review is to synthesise qualitative research on self-collection for HPV-based testing for cervical screening and identify strategies to increase acceptability and feasibility in different settings, to alleviate the burden of disease. This review includes qualitative studies published between 1986 and 2020. A total of 10 databases were searched between August 2018 and May 2020 to identify qualitative studies focusing on the perspectives and experiences of self-collection for HPV-based cervical screening from the point of view of women, health care workers and other key stakeholders (i.e., policymakers). Two authors independently assessed studies for inclusion, quality, and framework thematic synthesis findings. The Socio-Ecological Model (SEM) was used to synthesize the primary studies. A total of 1889 publications were identified, of which 31 qualitative studies were included. Using an adapted version of SEM, 10 sub-themes were identified and classified under each of the adapted model’s constructs: (a) intrapersonal, (b) interpersonal, and (c) health systems/public policy. Some of the themes included under the intrapersonal (or individual) construct include the importance of self-efficacy, and values attributed to self-collection. Under the intrapersonal construct, the findings centre around the use of self-collection and its impact on social relationships. The last construct of health systems focuses on needs to ensure access to self-collection, the need for culturally sensitive programs to improve health literacy, and continuum of care. This review presents the global qualitative evidence on self-collection for HPV-based testing and details potential strategies to address socio-cultural and structural barriers and facilitators to the use of self-collection. If addressed during the design of an HPV-based cervical cancer screening testing intervention program, these strategies could significantly increase the acceptability and feasibility of the intervention and lead to more effective and sustainable access to cervical screening services for women worldwide. The online version contains supplementary material available at 10.1186/s12889-021-11554-6.
登录
查看更多内容
影响因子：
1.7
作者：
Camara H;Zhang Y;Lafferty L;Vallely A;Guy R;Kelly-Hanku A
通讯作者：
Kelly-Hanku A
影响因子：
2.6
作者：
Gill, P.;Stewart, K.;Chadwick, B.
通讯作者：
Chadwick, B.
影响因子：
5.4
作者：
Fitzgerald, Amanda;Heary, Caroline;Shevlin, Mark
通讯作者：
Shevlin, Mark
影响因子：
34.3
作者：
Arbyn, Marc;Weiderpass, Elisabete;Bray, Freddie
通讯作者：
Bray, Freddie
影响因子：
3.6
作者：
Garrow, SC;Smith, DW;Harnett, GB
通讯作者：
Harnett, GB