Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Exploring Factors Associated with Patients Who Prefer Clinician-Sampling to HPV Self-Sampling: A Study Conducted in a Low-Resource Setting

Version 1 : Received: 12 November 2021 / Approved: 15 November 2021 / Online: 15 November 2021 (10:55:02 CET)

How to cite: Sormani, J.; Kenfack, B.; Wisniak, A.; Moukam Datchoua, A.; Lemoupa Makajio, S.; Schmidt, N.C.; Vassilakos, P.; Petignat, P. Exploring Factors Associated with Patients Who Prefer Clinician-Sampling to HPV Self-Sampling: A Study Conducted in a Low-Resource Setting. Preprints 2021, 2021110249 (doi: 10.20944/preprints202111.0249.v1). Sormani, J.; Kenfack, B.; Wisniak, A.; Moukam Datchoua, A.; Lemoupa Makajio, S.; Schmidt, N.C.; Vassilakos, P.; Petignat, P. Exploring Factors Associated with Patients Who Prefer Clinician-Sampling to HPV Self-Sampling: A Study Conducted in a Low-Resource Setting. Preprints 2021, 2021110249 (doi: 10.20944/preprints202111.0249.v1).

Abstract

Human papillomavirus (HPV) self-sampling (Self-HPV) is a promising strategy to improve cervical cancer screening coverage in low-income countries. However, issues associated with women who prefer conventional HPV clinical-sampling over HPV self-sampling may affect screening participation. To address this issue, our study assessed factors associated with women’s preferences related to Self-HPV. This study was embedded in a large clinical trial recruiting women aged 30–49 years in a primary HPV-based study termed “3T-Approach” (for Test-Triage-Treatment), launched in 2018 at Dschang District Hospital, West Cameroon. Participants were invited to perform a Self-HPV. After the sampling and before receiving the results, participants completed a questionnaire about cervical cancer screening and their preferences and perceptions around Self-HPV. The median age of the 2201 participants was 40.6 (IQR 35–45) years. Most (1693 (76.9%)) preferred HPV self-sampling or had no preference for either method and 508 (23.1%) preferred clinician-sampling. Factors associated with an increased likelihood of reporting a clinician-sampling preference were tertiary educational level (14.4% CI: 12.8–16.1 vs 29.5% CI: 25.6–33.6) and being an employee with higher grade professional or managerial occupations (5.5% CI: 3.8–7.9 vs 2.6% CI: 2.3–2.8). The main reported reason for women preferring clinician-sampling was a lack of “self-expertise”. Most women (>99%) would agree to repeat HPV self-sampling and would recommend it to their relatives. HPV self-sampling in the cultural context of central Africa was well accepted by participants, but some participants would prefer to undergo clinician sampling. Health systems should support well-educated women to increase self-confidence in using HPV self-sampling.

Keywords

cervical cancer screening; HPV self-sampling; sub-Saharan Africa; preference

Subject

MEDICINE & PHARMACOLOGY, Obstetrics & Gynaecology

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