Community-Based Screening for Cervical Cancer: A Feasibility Study of Rural Appalachian Women

Details

• Alternative Title:
  Sex Transm Dis
• Personal Author:
  Crosby, Richard A. ; Hagensee, Michael E. ; Vanderpool, Robin ; Nelson, Nia ; Parrish, Adam ; Collins, Tom ; Jones, Nebraska
• Description:
  Objectives ; To describe women’s comfort levels and perceptions about their experience self-collecting cervico-vaginal swabs for HPV testing; to determine whether nurse-guided patient navigation increases the odds of women receiving a traditional Pap test after HPV screening; and to test the hypothesis that women testing positive for oncogenic HPV would be more likely to have a subsequent Pap test than those testing negative. ; Methods ; 400 women were recruited from eight rural Appalachian counties, in 2013 and 2014. After completing a survey, women were provided instructions for self-collecting a cervico-vaginal swab. Specimens were tested for 13 oncogenic HPV types. Simultaneously, women were notified of their test results and offered initial navigation for Pap testing. Chart-verified Pap testing within the next six months served as the endpoint. ; Results ; Comfort levels with self-collection were high: 89.2% indicated they would be more likely to self-collect a specimen for testing, on a regular basis, compared to Pap testing. Thirty women (7.5%) had a follow-up Pap test. Women receiving added nurse-guided navigation efforts were significantly less likely to have a subsequent test (P = .01). Women testing positive for oncogenic HPV were no more likely than those testing negative to have a subsequent Pap test (P = .27). Data were analyzed in 2014. ; Conclusions ; Rural Appalachian women are comfortable self-collecting cervico-vaginal swabs for HPV testing. Further, efforts to re-contact women who have received an oncogenic HPV test result and an initial navigation contact may not be useful. Finally, testing positive for oncogenic HPV may not be a motivational factor for subsequent Pap testing.
• Subjects:
  • Article
  • Cervical cancer screening
  • HPV testing
  • self-collection
  • Appalachia
  • rural
  • Adult
  • Appalachian Region
  • DNA, Viral
  • Early Detection of Cancer
  More +
• Source:
  Sex Transm Dis. 42(11):607-611.
• Pubmed ID:
  26462184
• Pubmed Central ID:
  PMC4608378
• Document Type:
  Journal Article
• Funding:
  R01 MH092226/MH/NIMH NIH HHS/United States ; U48 DP001932/DP/NCCDPHP CDC HHS/United States ; U48 DP005014/DP/NCCDPHP CDC HHS/United States ; 1U48DP001932-01/DP/NCCDPHP CDC HHS/United States
• Volume:
  42
• Issue:
  11
• Download URL:
  https://stacks.cdc.gov/view/cdc/34986/cdc_34986_DS1.pdf
• File Type:
  [PDF - 171.48 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:5c7c7ab4adfc11b7187de66138220afadfec188d413d612911960ee10b496929