Audrey R. Murchland|Anna Gottschlich|Kristin Bevilacqua|Andrés M. Pineda|Berner Andrée Sandoval-Ramírez|Christian S. Álvarez|Gina Ogilvie|Thomas E. Carey|Mark Prince|Michael Dean|Carlos Mendoza Montano|Alvaro Rivera?Andrade|Rafael Meza
HPV self-sampling acceptability in rural and indigenous communities in Guatemala: a cross-sectional study
University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|National Center for Chronic Disease Prevention and Health Promotion|Instituto de Investigaciones Científicas y Servicios de Alta Tecnología|Universidad Rovira i Virgili|Hospital Universitari Sant Joan de Reus|University of Michigan–Ann Arbor|Center for Prevention Services|BC Centre for Disease Control|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|National Center for Chronic Disease Prevention and Health Promotion|Instituto de Investigaciones Científicas y Servicios de Alta Tecnología|National Center for Chronic Disease Prevention and Health Promotion|Instituto de Investigaciones Científicas y Servicios de Alta Tecnología|University of Michigan–Ann Arbor
introduction cervical cancer disproportionately burdens lowincome middleincome countries lmics guatemala selfcollection testing human papillomavirus hpv suggested form cervical cancer screening facilitate access lmics study assessed compared acceptability selfcollection hpv testing two rural indigenous ethnically distinct communities guatemala santiago atitln solol livingston izabal methods participants women ages 18 60 completed questionnaire eligible participants also asked selfcollect vaginal sample complete questionnaire regarding comfort acceptability selfcollected samples tested highrisk hpv using realtime pcr hybribio kit results indigenous community santiago atitln 438 ageeligible participants 94 completed selfcollection 81 found comfortable 98 willing use form screening multiethnic afrocaribbean indigenous community livingston 322 ageeligible participants 53 chose selfcollect among took test 83 found comfortable 95 willing use form screening livingston literacy read andor write vs cannot read write higher women chose selfcollect prevalence ratio 225 95 ci 138 368 ethnicity history screening reproductive history associated willingness selfcollect livingston women santiago reported less prior use healthcare women livingston overall 19 106549 samples tested positive highrisk hpv conclusion among women willing selfcollect rural indigenous communities guatemala selfcollection hpv testing highly acceptable however willingness try selfcollection might vary across communities settings women community used less healthcare likely choose selfcollection research necessary determine factors influence womans choice selfcollect