Women’s perspectives on human papillomavirus self-sampling in the context of the UK cervical screening programme

Williams, Denitza ORCID: https://orcid.org/0000-0002-2874-9270, Davies, Myfanwy, Fiander, Alison Nina, Farewell, Daniel ORCID: https://orcid.org/0000-0002-8871-1653, Hillier, Sharon and Brain, Katherine Emma ORCID: https://orcid.org/0000-0001-9296-9748 2017. Women’s perspectives on human papillomavirus self-sampling in the context of the UK cervical screening programme. Health Expectations 10.1111/hex.12544

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Abstract

Background: Testing for human papillomavirus (HPV) is being incorporated into the cervical screening programme, with the probable future introduction of HPV as a primary test and a possibility of HPV self-sampling. In anticipation of this development, we sought to inform future policy and practice by identifying potential barriers to HPV self-sampling. Methods: A cross-sectional survey of 194 women aged 20-64 years was conducted. Logistic regression analysis was used to identify determinants of self-sampling intentions. A purposive subsample of 19 women who reported low self-sampling intentions were interviewed. Interviews were framework-analysed. Results: Most survey participants (N=133, 69.3%) intended to HPV self-sample. Lower intention was associated with lower self-efficacy (OR=24.96, P≤.001), lower education (OR=6.06, P≤.05) and lower perceived importance of HPV as a cause of cervical cancer (OR=2.33, P≤.05). Interviews revealed personal and system-related barriers. Personal barriers included a lack of knowledge about HPV self-sampling, women’s low confidence in their ability to self-sample correctly and low confidence in the subsequent results. System-related factors included a lack of confidence in the rationale for modifying the current cervical screening programme, and concerns about sample contamination and identity theft. Conclusions: Insights gained from this research can be used to guide further enquiry into the possibility of HPV self-sampling and to help inform future policy and practice. Personal and system-related barriers including low confidence in the reasons for changing current cervical screening provision need to be addressed, should HPV self-sampling be incorporated into the cervical screening programme.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Medicine
Subjects:	R Medicine > R Medicine (General) R Medicine > RG Gynecology and obstetrics
Publisher:	Wiley-Blackwell
ISSN:	1369-6513
Funders:	Medical Research Council
Date of First Compliant Deposit:	13 February 2017
Date of Acceptance:	17 January 2017
Last Modified:	19 Nov 2023 15:53
URI:	https://orca.cardiff.ac.uk/id/eprint/98252

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