Determinants of women%26apos;s likelihood of vaginal self-sampling for human papillomavirus to screen for cervical cancer in Taiwan: a cross-sectional study

作者：Chen Shu Ling; Hsieh Pao Chun; Chou Chia Hui; Tzeng Ya Ling^*

来源：BMC Women's Health, 2014, 14(1): 139.

DOI：10.1186/s12905-014-0139-0

• Cervical cancer
• Pap smear
• Human Papillomavirus
• Self-sampling

Background: Many Taiwanese women (43.8%) did not participate in regular cervical screening in 2011. An alternative to cervical screening, self-sampling for human papillomavirus (HPV), has been available at no cost under Taiwan%26apos;s National Health Insurance since 2010, but the extent and likelihood of HPV self-sampling were unknown. %26lt;br%26gt;Methods: A cross-sectional study was performed to explore determinants of women%26apos;s likelihood of HPV self-sampling. Data were collected by questionnaire from a convenience sample of 500 women attending hospital gynecologic clinics in central Taiwan from June to October 2012. Data were analyzed by descriptive statistics, chi-square test, and logistic regression. %26lt;br%26gt;Results: Of 500 respondents, 297 (59.4%) had heard of HPV; of these 297 women, 69 (23%) had self-sampled for HPV. Among the 297women who had heard of HPV, 234 (78.8%) considered cost a priority for HPV self-sampling. Likelihood of HPV self-sampling was determined by previous Pap testing, high perceived risk of cervical cancer, willingness to self-sample for HPV, high HPV knowledge, and cost as a priority consideration. %26lt;br%26gt;Conclusions: Outreach efforts to increase the acceptability of self-sampling for HPV testing rates should target women who have had a Pap test, perceive themselves at high risk for cervical cancer, are willing to self-sample for HPV, have a high level of HPV knowledge, and for whom the cost of self-sampling covered by health insurance is a priority.

• 出版日期2014-11-25
• 单位中国医科大学