Anna Adcock1, Fiona Cram2, Beverley Lawton1, Stacie Geller3, Merilyn Hibma4, Peter Sykes5, E Jane MacDonald1, Wendy Dallas-Katoa6, Bronwyn Rendle7, Tracey Cornell8, Tania Mataki9, Tania Rangiwhetu9, Naieta Gifkins9, Selah Hart10. 1. Centre for Women's Health Research, Faculty of Health, Victoria University of Wellington, Wellington, New Zealand. 2. Katoa Ltd, Auckland, New Zealand. 3. Center for Research on Women & Gender, University of Illinois College of Medicine, Chicago, Illinois, USA. 4. Department of Pathology, University of Otago Dunedin School of Medicine, Dunedin, New Zealand. 5. Department of Obstetrics and Gynaecology, University of Otago, Christchurch, New Zealand. 6. Private Consultant, Christchurch, New Zealand. 7. National Screening Unit, Ministry of Health, Wellington, New Zealand. 8. Te Poutokomanawa, Māori Health Services Directorate, Northland District Health Board, Whangarei, New Zealand. 9. Te Puna Oranga (Kaupapa Māori Services), Christchurch, New Zealand. 10. He Kamaka Waiora, Waitemata and Auckland District Health Board, Auckland, New Zealand.
Abstract
BACKGROUND: Human papillomavirus (HPV), the causative agent of cervical cancer, can be screened for using self-collected vaginal samples (self-testing). This may overcome barriers to screening for Māori women who suffer a greater burden of cervical disease than New Zealand European women. AIMS: This study aimed to explore the potential acceptability of HPV self-testing for never/under-screened (self-reported no cervical screen in 4+ years, aged 25+) Māori women by Kaupapa Māori (by, with and for Māori) mixed methods, involving hui (focus groups/interviews) and survey. MATERIALS AND METHODS: Community-based researchers ran hui with women in four regions (N = 106) and supported hui participants to collect survey data (N = 397). Healthcare providers (HCPs) were also interviewed (N = 17). Hui data were thematically analysed. Survey data were analysed by age group, rural/urban, primary health organisation (PHO) enrolment, and time since last cervical screen. RESULTS: Most survey participants were PHO-enrolled (87.15%) and attended regularly (71.79%), but did not attend regular cervical screening. A desire for bodily autonomy, including whakamā (embarrassment/shyness/reticence), was the most frequently cited barrier. Three in four women reported being likely/very likely to do an HPV self-test. Nine in ten women reported being likely/very likely to attend follow up if they receive a positive HPV test result. Women and HCPs in the hui emphasised the importance of health literacy, cultural competence and empathetic support. CONCLUSION: The findings indicate that with a culturally competent introduction of HPV self-testing, many currently never/under-screened Māori women would be willing to be screened and followed up if necessary. HPV self-testing has the potential to save lives.
BACKGROUND:Human papillomavirus (HPV), the causative agent of cervical cancer, can be screened for using self-collected vaginal samples (self-testing). This may overcome barriers to screening for Māori women who suffer a greater burden of cervical disease than New Zealand European women. AIMS: This study aimed to explore the potential acceptability of HPV self-testing for never/under-screened (self-reported no cervical screen in 4+ years, aged 25+) Māori women by Kaupapa Māori (by, with and for Māori) mixed methods, involving hui (focus groups/interviews) and survey. MATERIALS AND METHODS: Community-based researchers ran hui with women in four regions (N = 106) and supported hui participants to collect survey data (N = 397). Healthcare providers (HCPs) were also interviewed (N = 17). Hui data were thematically analysed. Survey data were analysed by age group, rural/urban, primary health organisation (PHO) enrolment, and time since last cervical screen. RESULTS: Most survey participants were PHO-enrolled (87.15%) and attended regularly (71.79%), but did not attend regular cervical screening. A desire for bodily autonomy, including whakamā (embarrassment/shyness/reticence), was the most frequently cited barrier. Three in four women reported being likely/very likely to do an HPV self-test. Nine in ten women reported being likely/very likely to attend follow up if they receive a positive HPV test result. Women and HCPs in the hui emphasised the importance of health literacy, cultural competence and empathetic support. CONCLUSION: The findings indicate that with a culturally competent introduction of HPV self-testing, many currently never/under-screened Māori women would be willing to be screened and followed up if necessary. HPV self-testing has the potential to save lives.
Authors: Naomi Brewer; Karen Bartholomew; Jane Grant; Anna Maxwell; Georgina McPherson; Helen Wihongi; Collette Bromhead; Nina Scott; Sue Crengle; Sunia Foliaki; Chris Cunningham; Jeroen Douwes; John D Potter Journal: Lancet Reg Health West Pac Date: 2021-09-07
Authors: Tamara L Butler; Kate Anderson; John R Condon; Gail Garvey; Julia M L Brotherton; Joan Cunningham; Allison Tong; Suzanne P Moore; Clare M Maher; Jacqueline K Mein; Eloise F Warren; Lisa J Whop Journal: PLoS One Date: 2020-06-15 Impact factor: 3.240
Authors: Benjamin W Barrett; Valerie A Paz-Soldan; Diana Mendoza-Cervantes; Graciela Meza Sánchez; Jhonny J Córdova López; Patti E Gravitt; Anne F Rositch Journal: JCO Glob Oncol Date: 2020-08