Cervical Cancer Prevention and High-Risk HPV Self-Sampling Awareness and Acceptability among Women Living with HIV: A Qualitative Investigation from the Patients’ and Providers’ Perspectives
Routine cervical cancer screening is important for women living with HIV (WLH) due to the greater incidence and persistence of high-risk HPV (HR-HPV) infection. HR-HPV self-sampling has been proposed to overcome barriers to in-office cervical cancer screening in underserved populations. However, lit...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-01-01
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| Series: | Current Oncology |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1718-7729/29/2/47 |
| _version_ | 1797481403213938688 |
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| author | Daisy Le Annie Coriolan Ciceron Min Jeong Jeon Laura Isabel Gonzalez Jeanne A. Jordan Jose Bordon Beverly Long |
| author_facet | Daisy Le Annie Coriolan Ciceron Min Jeong Jeon Laura Isabel Gonzalez Jeanne A. Jordan Jose Bordon Beverly Long |
| author_sort | Daisy Le |
| collection | DOAJ |
| description | Routine cervical cancer screening is important for women living with HIV (WLH) due to the greater incidence and persistence of high-risk HPV (HR-HPV) infection. HR-HPV self-sampling has been proposed to overcome barriers to in-office cervical cancer screening in underserved populations. However, little is known about baseline knowledge of HR-HPV and the acceptability of HR-HPV self-sampling among WLH. This paper describes WLH’s experiences and needs regarding cervical cancer screening, specifically HR-HPV self-sampling, and seeks to reconcile their experiences with the views of their providers. In total, 10 providers and 39 WLH participated in semi-structured interviews and group discussions, respectively. Knowledge of cervical cancer and HR-HPV was generally limited among WLH; when present, it was often due to personal experience of or proximity to someone affected by cervical cancer. Most WLH were not familiar with HR-HPV self-sampling but, despite some of the providers’ skepticism, expressed their willingness to participate in a mail-based HR-HPV self-sampling intervention and highlighted convenience, ease of use, and affordability as facilitators to the uptake of HR-HPV self-sampling. The experiences identified can be used to guide patient-centered communication aimed at improving cervical cancer knowledge and to inform interventions, such as HR-HPV self-sampling, designed to increase cervical cancer screening among under-screened WLH. |
| first_indexed | 2024-03-09T22:14:04Z |
| format | Article |
| id | doaj.art-2cac83289da34c32aca2a326bc329015 |
| institution | Directory Open Access Journal |
| issn | 1198-0052 1718-7729 |
| language | English |
| last_indexed | 2024-03-09T22:14:04Z |
| publishDate | 2022-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Current Oncology |
| spelling | doaj.art-2cac83289da34c32aca2a326bc3290152023-11-23T19:26:33ZengMDPI AGCurrent Oncology1198-00521718-77292022-01-0129251653310.3390/curroncol29020047Cervical Cancer Prevention and High-Risk HPV Self-Sampling Awareness and Acceptability among Women Living with HIV: A Qualitative Investigation from the Patients’ and Providers’ PerspectivesDaisy Le0Annie Coriolan Ciceron1Min Jeong Jeon2Laura Isabel Gonzalez3Jeanne A. Jordan4Jose Bordon5Beverly Long6School of Nursing, The George Washington University, Washington, DC 20006, USASchool of Nursing, The George Washington University, Washington, DC 20006, USASchool of Nursing, The George Washington University, Washington, DC 20006, USADepartment of Prevention and Community Health, Milken Institute School of Public Health, The George Washington University, Washington, DC 20052, USADistrict of Columbia Center for AIDS Research (DC CFAR), Washington, DC 20052, USAWashington Health Institute, Washington, DC 20017, USACollege of Medicine, Florida State University, Tallahassee, FL 32304, USARoutine cervical cancer screening is important for women living with HIV (WLH) due to the greater incidence and persistence of high-risk HPV (HR-HPV) infection. HR-HPV self-sampling has been proposed to overcome barriers to in-office cervical cancer screening in underserved populations. However, little is known about baseline knowledge of HR-HPV and the acceptability of HR-HPV self-sampling among WLH. This paper describes WLH’s experiences and needs regarding cervical cancer screening, specifically HR-HPV self-sampling, and seeks to reconcile their experiences with the views of their providers. In total, 10 providers and 39 WLH participated in semi-structured interviews and group discussions, respectively. Knowledge of cervical cancer and HR-HPV was generally limited among WLH; when present, it was often due to personal experience of or proximity to someone affected by cervical cancer. Most WLH were not familiar with HR-HPV self-sampling but, despite some of the providers’ skepticism, expressed their willingness to participate in a mail-based HR-HPV self-sampling intervention and highlighted convenience, ease of use, and affordability as facilitators to the uptake of HR-HPV self-sampling. The experiences identified can be used to guide patient-centered communication aimed at improving cervical cancer knowledge and to inform interventions, such as HR-HPV self-sampling, designed to increase cervical cancer screening among under-screened WLH.https://www.mdpi.com/1718-7729/29/2/47human papillomavirusHR-HPV self-samplingwomen living with HIVcervical cancer screeningcervical cancercancer prevention |
| spellingShingle | Daisy Le Annie Coriolan Ciceron Min Jeong Jeon Laura Isabel Gonzalez Jeanne A. Jordan Jose Bordon Beverly Long Cervical Cancer Prevention and High-Risk HPV Self-Sampling Awareness and Acceptability among Women Living with HIV: A Qualitative Investigation from the Patients’ and Providers’ Perspectives Current Oncology human papillomavirus HR-HPV self-sampling women living with HIV cervical cancer screening cervical cancer cancer prevention |
| title | Cervical Cancer Prevention and High-Risk HPV Self-Sampling Awareness and Acceptability among Women Living with HIV: A Qualitative Investigation from the Patients’ and Providers’ Perspectives |
| title_full | Cervical Cancer Prevention and High-Risk HPV Self-Sampling Awareness and Acceptability among Women Living with HIV: A Qualitative Investigation from the Patients’ and Providers’ Perspectives |
| title_fullStr | Cervical Cancer Prevention and High-Risk HPV Self-Sampling Awareness and Acceptability among Women Living with HIV: A Qualitative Investigation from the Patients’ and Providers’ Perspectives |
| title_full_unstemmed | Cervical Cancer Prevention and High-Risk HPV Self-Sampling Awareness and Acceptability among Women Living with HIV: A Qualitative Investigation from the Patients’ and Providers’ Perspectives |
| title_short | Cervical Cancer Prevention and High-Risk HPV Self-Sampling Awareness and Acceptability among Women Living with HIV: A Qualitative Investigation from the Patients’ and Providers’ Perspectives |
| title_sort | cervical cancer prevention and high risk hpv self sampling awareness and acceptability among women living with hiv a qualitative investigation from the patients and providers perspectives |
| topic | human papillomavirus HR-HPV self-sampling women living with HIV cervical cancer screening cervical cancer cancer prevention |
| url | https://www.mdpi.com/1718-7729/29/2/47 |
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