HPV self-collection for cervical cancer screening among survivors of sexual trauma: a qualitative study.

Madding, Rachel A; Currier, Jessica J; Yanit, Keenan; Hedges, Madeline; Bruegl, Amanda

Madding, Rachel A; Currier, Jessica J; Yanit, Keenan; Hedges, Madeline; Bruegl, Amanda.

Afiliación

Madding RA; Department of Obstetrics & Gynecology, Oregon Health & Sciences University, 3181 SW Sam Jackson Park Rd, L466, Portland, OR, 97239, USA. madding@ohsu.edu.
Currier JJ; Knight Cancer Institute, Oregon Health & Sciences University, Portland, OR, USA.
Yanit K; Department of Obstetrics & Gynecology, Oregon Health & Sciences University, 3181 SW Sam Jackson Park Rd, L466, Portland, OR, 97239, USA.
Hedges M; University of Arizona, Tucson, AZ, USA.
Bruegl A; Department of Obstetrics & Gynecology, Oregon Health & Sciences University, 3181 SW Sam Jackson Park Rd, L466, Portland, OR, 97239, USA.

BMC Womens Health ; 24(1): 509, 2024 Sep 13.

Article en En | MEDLINE | ID: mdl-39272185

ABSTRACT

ABSTRACT

Intimate partner violence affects 20-30% of women in the United States. Disparities in routine cervical cancer surveillance have been demonstrated in certain populations, including victims of intimate partner violence (IPV). This study examined and assessed the acceptability of high-risk HPV (hrHPV) self-collection among individuals who have experienced IPV. We conducted an observational study using qualitative data collection and analysis. We interviewed individuals with a history of IPV and who currently reside in Oregon. This study identified key themes describing knowledge and attitudes towards cervical cancer screening for individuals who have experienced IPV. They include guideline knowledge, prior office-based cervical cancer screening experience, barriers to cervical cancer screening, at-home hrHPV self-collection experience, and testing confidence. Participants experienced fewer barriers and expressed increased comfort and control with hrHPV self-collection process. Individuals with a history of IPV have lower rates of cervical cancer screening adherence and higher rates of cervical dysplasia and cancer than other populations. The patient-centered approach of hrHPV self-collection for cervical cancer screening can reduce barriers related to the pelvic exam and empower patients to reduce their risks of developing cervical cancer by enabling greater control of the testing process.

Asunto(s)

Detección Precoz del Cáncer; Investigación Cualitativa; Neoplasias del Cuello Uterino; Humanos; Femenino; Neoplasias del Cuello Uterino/diagnóstico; Adulto; Detección Precoz del Cáncer/métodos; Detección Precoz del Cáncer/psicología; Persona de Mediana Edad; Infecciones por Papillomavirus/diagnóstico; Conocimientos, Actitudes y Práctica en Salud; Violencia de Pareja/psicología; Violencia de Pareja/estadística & datos numéricos; Manejo de Especímenes/métodos; Oregon; Autocuidado/métodos; Autocuidado/psicología; Sobrevivientes/psicología; Frotis Vaginal/métodos; Frotis Vaginal/psicología; Aceptación de la Atención de Salud/psicología; Aceptación de la Atención de Salud/estadística & datos numéricos; Adulto Joven

Palabras clave

Cervical cancer screening; HPV self-collection; Health knowledge; Human papillomavirus (HPV); Intimate partner violence; Sexual trauma

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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias del Cuello Uterino / Investigación Cualitativa / Detección Precoz del Cáncer Límite: Adult / Female / Humans / Middle aged País/Región como asunto: America do norte Idioma: En Revista: BMC Womens Health Asunto de la revista: SAUDE DA MULHER Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido

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