Fersiynau electronig


Dangosydd eitem ddigidol (DOI)

  • Denitza Williams
    School of Healthcare Sciences, Cardiff University
  • Myfanwy Davies
  • Alison Fiander
    Royal College of Obstetricians and Gynaecologists
  • Daniel Farewell
    School of Healthcare Sciences, Cardiff University
  • Sharon Hillier
    Public Health Wales
  • Kate Brain
    School of Healthcare Sciences, Cardiff University

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 sub-sample 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.


Iaith wreiddiolSaesneg
Tudalennau (o-i)1031-1040
Nifer y tudalennau20
CyfnodolynHealth Expectations
Rhif y cyfnodolyn5
Dyddiad ar-lein cynnar10 Chwef 2017
Dynodwyr Gwrthrych Digidol (DOIs)
StatwsCyhoeddwyd - Hyd 2017

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