Understanding the cervical cancer self-collection preferences of women living in urban and rural Rwanda.
Cervical cancer is a leading cause of cancer among women in low- and middle-income countries. Women in Rwanda have high rates of cervical cancer due to limited access to effective screening methods. Research in other low-resource settings similar to Rwanda has shown that HPV-based self-collection is...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2023-01-01
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| Series: | PLOS Global Public Health |
| Online Access: | https://doi.org/10.1371/journal.pgph.0002135 |
| _version_ | 1797665957910413312 |
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| author | Varun Nair Hallie Dau Marianne Vidler Maryam AboMoslim Barbra Mutamba McKerron Scott Zoey Nesbitt John Deodatha Schadrack Danson Byiringiro Charles Niyotwiringiye Nadia Mithani Laurie Smith Gina Ogilvie Stephen Rulisa |
| author_facet | Varun Nair Hallie Dau Marianne Vidler Maryam AboMoslim Barbra Mutamba McKerron Scott Zoey Nesbitt John Deodatha Schadrack Danson Byiringiro Charles Niyotwiringiye Nadia Mithani Laurie Smith Gina Ogilvie Stephen Rulisa |
| author_sort | Varun Nair |
| collection | DOAJ |
| description | Cervical cancer is a leading cause of cancer among women in low- and middle-income countries. Women in Rwanda have high rates of cervical cancer due to limited access to effective screening methods. Research in other low-resource settings similar to Rwanda has shown that HPV-based self-collection is an effective cervical cancer screening method. This study aims to compare the preferences of Rwandan women in urban and rural settings toward self-collection and to report on factors related to self-collection amenability. A cross-sectional survey was conducted from June 1-9, 2022. Women were recruited from one urban and one rural clinic in Rwanda. Women were eligible for the study if they were ≥ 18 years and spoke Kinyarwanda or English. The survey consisted of 51 questions investigating demographics and attitudes towards self-collection for cervical cancer screening. We reported descriptive statistics stratified by urban and rural sites. In total, 169 urban and 205 rural women completed the survey. The majority of respondents at both sites had a primary school or lower education and were in a relationship. Both urban and rural respondents were open to self-collection; however, rates were higher in the rural site (79.9% urban and 95.6% rural; p-value<0.001). Similarly, women in rural areas were more likely to report feeling unembarrassed about self-collection (65.3% of urban, 76.8% of rural; p-value<0.001). Notably, almost all urban and rural respondents (97.6% urban and 98.5% rural) stated they would go for a cervical cancer pelvic examination to a nearby health center if their self-collected results indicated any concern (p-value = 0.731). Rwandan women in both urban and rural areas largely support self-collection for cervical cancer screening. Further research is needed to better understand how to implement self-collection screening services in Rwanda. |
| first_indexed | 2024-03-11T19:51:29Z |
| format | Article |
| id | doaj.art-91266020bbde4e9e8928b3b7833314cd |
| institution | Directory Open Access Journal |
| issn | 2767-3375 |
| language | English |
| last_indexed | 2024-03-11T19:51:29Z |
| publishDate | 2023-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLOS Global Public Health |
| spelling | doaj.art-91266020bbde4e9e8928b3b7833314cd2023-10-05T05:59:26ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752023-01-0139e000213510.1371/journal.pgph.0002135Understanding the cervical cancer self-collection preferences of women living in urban and rural Rwanda.Varun NairHallie DauMarianne VidlerMaryam AboMoslimBarbra MutambaMcKerron ScottZoey NesbittJohn DeodathaSchadrack Danson ByiringiroCharles NiyotwiringiyeNadia MithaniLaurie SmithGina OgilvieStephen RulisaCervical cancer is a leading cause of cancer among women in low- and middle-income countries. Women in Rwanda have high rates of cervical cancer due to limited access to effective screening methods. Research in other low-resource settings similar to Rwanda has shown that HPV-based self-collection is an effective cervical cancer screening method. This study aims to compare the preferences of Rwandan women in urban and rural settings toward self-collection and to report on factors related to self-collection amenability. A cross-sectional survey was conducted from June 1-9, 2022. Women were recruited from one urban and one rural clinic in Rwanda. Women were eligible for the study if they were ≥ 18 years and spoke Kinyarwanda or English. The survey consisted of 51 questions investigating demographics and attitudes towards self-collection for cervical cancer screening. We reported descriptive statistics stratified by urban and rural sites. In total, 169 urban and 205 rural women completed the survey. The majority of respondents at both sites had a primary school or lower education and were in a relationship. Both urban and rural respondents were open to self-collection; however, rates were higher in the rural site (79.9% urban and 95.6% rural; p-value<0.001). Similarly, women in rural areas were more likely to report feeling unembarrassed about self-collection (65.3% of urban, 76.8% of rural; p-value<0.001). Notably, almost all urban and rural respondents (97.6% urban and 98.5% rural) stated they would go for a cervical cancer pelvic examination to a nearby health center if their self-collected results indicated any concern (p-value = 0.731). Rwandan women in both urban and rural areas largely support self-collection for cervical cancer screening. Further research is needed to better understand how to implement self-collection screening services in Rwanda.https://doi.org/10.1371/journal.pgph.0002135 |
| spellingShingle | Varun Nair Hallie Dau Marianne Vidler Maryam AboMoslim Barbra Mutamba McKerron Scott Zoey Nesbitt John Deodatha Schadrack Danson Byiringiro Charles Niyotwiringiye Nadia Mithani Laurie Smith Gina Ogilvie Stephen Rulisa Understanding the cervical cancer self-collection preferences of women living in urban and rural Rwanda. PLOS Global Public Health |
| title | Understanding the cervical cancer self-collection preferences of women living in urban and rural Rwanda. |
| title_full | Understanding the cervical cancer self-collection preferences of women living in urban and rural Rwanda. |
| title_fullStr | Understanding the cervical cancer self-collection preferences of women living in urban and rural Rwanda. |
| title_full_unstemmed | Understanding the cervical cancer self-collection preferences of women living in urban and rural Rwanda. |
| title_short | Understanding the cervical cancer self-collection preferences of women living in urban and rural Rwanda. |
| title_sort | understanding the cervical cancer self collection preferences of women living in urban and rural rwanda |
| url | https://doi.org/10.1371/journal.pgph.0002135 |
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