Barriers and Advantages of Self-Sampling Tests, for HPV Diagnosis: A Qualitative Field Experience Before Implementation in a Rural Community in Ecuador

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dc.contributor.authorDelgado Lopez, Dayanara Alejandra
dc.contributor.authorNeira Molina, Vivian Alejandra
dc.contributor.authorVega Crespo, Bernardo José
dc.contributor.authorGuerra Astudillo, Gabriela Mireya
dc.date.accessioned2024-06-04T16:02:59Z
dc.date.available2024-06-04T16:02:59Z
dc.date.issued2024
dc.descriptionIntroduction: Cervical cancer screening has demonstrated high efficacy in reducing cervical cancer mortality worldwide. However, clinician sampling is often perceived as an uncomfortable procedure that could reduce screening uptake. Self-sampling methods for HPV diagnosis have shown high sensitivity, which could increase acceptance and screening rates among women. Purpose: This study aims to identify the perceived barriers and advantages of self-sampling methods versus clinician sampling for cervical cancer screening in a rural setting in Ecuador. Patients and Methods: A qualitative study was conducted. Seven focus group discussions took place in the rural Parish of El Valle in Azuay Province, Cuenca, Ecuador. Women native to this rural area were included in the study. FGDs were recorded and transcribed, and content analysis was performed to categorize and analyze the data. Results: A total of 45 women participated in the study. Clinician sampling was perceived as a painful and intrusive method. However, participants believed that it is more reliable compared to self-sampling methods, attributing this to the direct visualization of the cervix, which facilitates the detection of cervical pathologies. The perceived advantages of self-sampling included increased comfort, pain reduction, time savings, the ability to perform the test at home, and the potential for widespread availability through pharmacies or local traditional healers. Nevertheless, doubts about the test’s reliability as well as the user’s proficiency in self-testing posed barriers to the adoption of this technique. Conclusion: Self-sampling methods offer several advantages over clinician sampling, such as enhanced privacy, comfort, and accessibility to cancer screening. Barriers primarily revolved around users’ proficiency in performing the test and the reliability of the results. Providing training for using self-sampling tests could address these barriers. Keywords: cervical cancer, self-sampling, acceptance, barriers and facilitators.
dc.identifier.doi10.2147/IJWH.S455118
dc.identifier.issn1179-1411
dc.identifier.urihttp://dspace.ucuenca.edu.ec/handle/123456789/44745
dc.identifier.urihttps://pubmed.ncbi.nlm.nih.gov/38827925/#:~:text=Conclusion%3A%20Self%2Dsampling%20methods%20offer,the%20reliability%20of%20the%20results.
dc.language.isoes_ES
dc.sourceInternational Journal of Women's Health
dc.subjectBarriers and facilitators
dc.subjectCervical cáncer
dc.subjectSelf-sampling
dc.subjectAcceptance
dc.titleBarriers and Advantages of Self-Sampling Tests, for HPV Diagnosis: A Qualitative Field Experience Before Implementation in a Rural Community in Ecuador
dc.title.alternative
dc.typeARTÍCULO
dc.ucuenca.afiliacionNeira, V., Universidad de Cuenca, Departamento de Biociencias, Cuenca, Ecuador
dc.ucuenca.afiliacionVega, B., Universidad de Cuenca, VLIR, Cuenca, Ecuador; Vega, B., Universidad de Cuenca, Facultad de Ciencias Médicas, Cuenca, Ecuador
dc.ucuenca.afiliacionGuerra, G., Universidad de Cuenca, Facultad de Ciencias Médicas, Cuenca, Ecuador
dc.ucuenca.afiliacionDelgado, D., Universidad de Cuenca, Facultad de Ciencias Médicas, Cuenca, Ecuador
dc.ucuenca.areaconocimientofrascatiamplio3. Ciencias Médicas y de la Salud
dc.ucuenca.areaconocimientofrascatidetallado3.3.9 Enfermedades Infecciosas
dc.ucuenca.areaconocimientofrascatiespecifico3.3 Ciencias de la Salud
dc.ucuenca.areaconocimientounescoamplio09 - Salud y Bienestar
dc.ucuenca.areaconocimientounescodetallado0912 - Medicina
dc.ucuenca.areaconocimientounescoespecifico091 - Salud
dc.ucuenca.correspondenciaVega Crespo, Bernardo Jose, bernardo.vegac@ucuenca.edu.ec
dc.ucuenca.cuartilQ1
dc.ucuenca.factorimpacto0.756
dc.ucuenca.idautor0104726195
dc.ucuenca.idautor0102146917
dc.ucuenca.idautor0301630802
dc.ucuenca.idautor0105954861
dc.ucuenca.indicebibliograficoSCOPUS
dc.ucuenca.numerocitaciones0
dc.ucuenca.urifuentehttps://www.ncbi.nlm.nih.gov/pmc/journals/1312/
dc.ucuenca.versionVersión publicada
dc.ucuenca.volumenVolumen 2024, número 16

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