Human papillomavirus self‐testing among unscreened and under‐screened Māori, Pasifika and Asian women in Aotearoa New Zealand: A preference survey among responders and interviews with clinical‐trial nonresponders
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 randomized‐...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2022-12-01
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| Series: | Health Expectations |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/hex.13599 |
| _version_ | 1797987111179124736 |
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| author | Susan M. Sherman Naomi Brewer Karen Bartholomew Collette Bromhead Sue Crengle Chris Cunningham Jeroen Douwes Sunia Foliaki Jane Grant Anna Maxwell Georgina McPherson Nina Scott Helen Wihongi John D. Potter |
| author_facet | Susan M. Sherman Naomi Brewer Karen Bartholomew Collette Bromhead Sue Crengle Chris Cunningham Jeroen Douwes Sunia Foliaki Jane Grant Anna Maxwell Georgina McPherson Nina Scott Helen Wihongi John D. Potter |
| author_sort | Susan M. Sherman |
| collection | DOAJ |
| description | 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 randomized‐controlled trial comparing self‐testing and standard screening—explored the acceptability of a human papillomavirus (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 nonparticipation. 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 nonresponders 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. |
| first_indexed | 2024-04-11T07:43:38Z |
| format | Article |
| id | doaj.art-25e58cac557940069bd20b2a98131bfc |
| institution | Directory Open Access Journal |
| issn | 1369-6513 1369-7625 |
| language | English |
| last_indexed | 2024-04-11T07:43:38Z |
| publishDate | 2022-12-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Expectations |
| spelling | doaj.art-25e58cac557940069bd20b2a98131bfc2022-12-22T04:36:23ZengWileyHealth Expectations1369-65131369-76252022-12-012562914292310.1111/hex.13599Human papillomavirus self‐testing among unscreened and under‐screened Māori, Pasifika and Asian women in Aotearoa New Zealand: A preference survey among responders and interviews with clinical‐trial nonrespondersSusan M. Sherman0Naomi Brewer1Karen Bartholomew2Collette Bromhead3Sue Crengle4Chris Cunningham5Jeroen Douwes6Sunia Foliaki7Jane Grant8Anna Maxwell9Georgina McPherson10Nina Scott11Helen Wihongi12John D. Potter13School of Psychology Keele University Keele UKResearch Centre for Hauora and Health Massey University Wellington Aotearoa New ZealandWaitematā District Health Board (DHB) Auckland New ZealandSchool of Health Sciences Massey University Wellington Aotearoa New ZealandDepartment of Preventive and Social Medicine University of Otago Dunedin Aotearoa New ZealandResearch Centre for Hauora and Health Massey University Wellington Aotearoa New ZealandResearch Centre for Hauora and Health Massey University Wellington Aotearoa New ZealandResearch Centre for Hauora and Health Massey University Wellington Aotearoa New ZealandWaitematā District Health Board (DHB) Auckland New ZealandWaitematā District Health Board (DHB) Auckland New ZealandWaitematā District Health Board (DHB) Auckland New ZealandWaitematā District Health Board (DHB) Auckland New ZealandWaitematā District Health Board (DHB) Auckland New ZealandResearch Centre for Hauora and Health Massey University Wellington Aotearoa New ZealandAbstract 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 randomized‐controlled trial comparing self‐testing and standard screening—explored the acceptability of a human papillomavirus (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 nonparticipation. 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 nonresponders 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.https://doi.org/10.1111/hex.13599acceptabilityAsian womenHPVMāori womenPasifika womenself‐sample |
| spellingShingle | Susan M. Sherman Naomi Brewer Karen Bartholomew Collette Bromhead Sue Crengle Chris Cunningham Jeroen Douwes Sunia Foliaki Jane Grant Anna Maxwell Georgina McPherson Nina Scott Helen Wihongi John D. Potter Human papillomavirus self‐testing among unscreened and under‐screened Māori, Pasifika and Asian women in Aotearoa New Zealand: A preference survey among responders and interviews with clinical‐trial nonresponders Health Expectations acceptability Asian women HPV Māori women Pasifika women self‐sample |
| title | Human papillomavirus self‐testing among unscreened and under‐screened Māori, Pasifika and Asian women in Aotearoa New Zealand: A preference survey among responders and interviews with clinical‐trial nonresponders |
| title_full | Human papillomavirus self‐testing among unscreened and under‐screened Māori, Pasifika and Asian women in Aotearoa New Zealand: A preference survey among responders and interviews with clinical‐trial nonresponders |
| title_fullStr | Human papillomavirus self‐testing among unscreened and under‐screened Māori, Pasifika and Asian women in Aotearoa New Zealand: A preference survey among responders and interviews with clinical‐trial nonresponders |
| title_full_unstemmed | Human papillomavirus self‐testing among unscreened and under‐screened Māori, Pasifika and Asian women in Aotearoa New Zealand: A preference survey among responders and interviews with clinical‐trial nonresponders |
| title_short | Human papillomavirus self‐testing among unscreened and under‐screened Māori, Pasifika and Asian women in Aotearoa New Zealand: A preference survey among responders and interviews with clinical‐trial nonresponders |
| title_sort | human papillomavirus self testing among unscreened and under screened maori pasifika and asian women in aotearoa new zealand a preference survey among responders and interviews with clinical trial nonresponders |
| topic | acceptability Asian women HPV Māori women Pasifika women self‐sample |
| url | https://doi.org/10.1111/hex.13599 |
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