Abstract
Introduction: Cervical cancer is the fourth most prevalent cancer among women globally. In Malaysia, it is estimated that 1,740 women are diagnosed with cervical cancer and 991 patients die of the disease every year. Human papillomavirus (HPV) 16 or 18 infection is linked to about 88.7% of cervical cancer cases, and about 1% of women in the general population carry these viruses. Hence, the World Health Organization (WHO) recommends HPV self-testing as an addition to the existing cervical cancer cytology screening method. This systematic review assesses the acceptance of HPV self-testing as a cervical cancer screening method among women in communities worldwide and provides a reference for cervical cancer prevention programs.
Methods: Peer-reviewed articles on HPV self-testing among women in communities around the world were searched using the Patient, Intervention, Comparison and Outcome (PICO) strategy in PubMed, Ovid, and Ebscohost databases within the past five years (2018-2022). Selected articles were reviewed by two authors and critically appraised by using the Mixed Method Assessment Tool 2018. Findings and data gathered from selected articles were descriptively and thematically analyzed. Results: A total of 12 articles were included in this review (N=5,278), comprising nine quantitative and three qualitative studies. Most articles were from the United States (n=5), two from Kenya, and one each from Sweden, Ethiopia, China, Thailand, and Malaysia. Most women had positive thoughts about HPV self-testing and found it highly acceptable (n=4974, 67.2%). Knowledge of cervical cancer and screening procedures, as well as the confidence and logistical convenience of self-sampling, were frequently mentioned as facilitators of acceptance and willingness to participate. Among the issues raised pertaining to HPV self-testing were test accuracy and reliability. Discussion: HPV self-testing can be used in addition to the existing trained healthcare worker dependent cytology testing, in order to increase screening coverage and the detection rate of cervical cancer and, potentially, lower the disease burden. Interventions should be focused on empowering local community by creating awareness of cervical cancer disease prognosis and screening procedures, with the aim to increase knowledge and confidence, and thus increasing acceptance among the targeted group.
Links
- https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-P-10.pdf
- https://apcph.cphm.my/wp-content/uploads/wpforms/1176-1e04940bb5d885bf8711ed1909[...]
BibTeX (Download)
@proceedings{APCPH2022-P-10,
title = {Acceptance of HPV Self-Testing as a Cervical Cancer Screening Method Among Women in the Community: A Systematic Review},
author = {Sharifah Fazlinda Syed Nor and Ellyana Mohamad Selamat and Mohd Shahrol Abd Wahil and Muhammad Alimin Mat Reffien},
url = {https://apcph.cphm.my/wp-content/uploads/2022/07/APCPH2022-P-10.pdf
https://apcph.cphm.my/wp-content/uploads/wpforms/1176-1e04940bb5d885bf8711ed19095a89ed/PosterConferenceHPV-c8930ed7192fabeed9c118ca967a392f.pdf},
year = {2022},
date = {2022-08-02},
urldate = {2022-08-02},
issue = {7},
abstract = {Introduction: Cervical cancer is the fourth most prevalent cancer among women globally. In Malaysia, it is estimated that 1,740 women are diagnosed with cervical cancer and 991 patients die of the disease every year. Human papillomavirus (HPV) 16 or 18 infection is linked to about 88.7% of cervical cancer cases, and about 1% of women in the general population carry these viruses. Hence, the World Health Organization (WHO) recommends HPV self-testing as an addition to the existing cervical cancer cytology screening method. This systematic review assesses the acceptance of HPV self-testing as a cervical cancer screening method among women in communities worldwide and provides a reference for cervical cancer prevention programs.
Methods: Peer-reviewed articles on HPV self-testing among women in communities around the world were searched using the Patient, Intervention, Comparison and Outcome (PICO) strategy in PubMed, Ovid, and Ebscohost databases within the past five years (2018-2022). Selected articles were reviewed by two authors and critically appraised by using the Mixed Method Assessment Tool 2018. Findings and data gathered from selected articles were descriptively and thematically analyzed. Results: A total of 12 articles were included in this review (N=5,278), comprising nine quantitative and three qualitative studies. Most articles were from the United States (n=5), two from Kenya, and one each from Sweden, Ethiopia, China, Thailand, and Malaysia. Most women had positive thoughts about HPV self-testing and found it highly acceptable (n=4974, 67.2%). Knowledge of cervical cancer and screening procedures, as well as the confidence and logistical convenience of self-sampling, were frequently mentioned as facilitators of acceptance and willingness to participate. Among the issues raised pertaining to HPV self-testing were test accuracy and reliability. Discussion: HPV self-testing can be used in addition to the existing trained healthcare worker dependent cytology testing, in order to increase screening coverage and the detection rate of cervical cancer and, potentially, lower the disease burden. Interventions should be focused on empowering local community by creating awareness of cervical cancer disease prognosis and screening procedures, with the aim to increase knowledge and confidence, and thus increasing acceptance among the targeted group.},
howpublished = {published online at https://apcph.cphm.my},
note = {Type: POSTER PRESENTATION; Organisation: Kuala Langat District Health Office, Ministry of Health Malaysia; Planning Division, Ministry of Health Malaysia; Disease Control Division, Ministry of Health Malaysia; Johor Bahru District Health Office, Ministry of Health Malaysia},
keywords = {acceptance, cervical cancer, facilitator, HPV, self-testing},
pubstate = {published},
tppubtype = {proceedings}
}