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Fullerton MM, Ford C, D'Silva C, Chiang B, Onobrakpor SI, Dievert H, Yang H, Cabaj J, Ivers N, Davidson S, Hu J. HPV self-sampling implementation strategies to engage under screened communities in cervical cancer screening: a scoping review to inform screening programs. Front Public Health 2024; 12:1430968. [PMID: 39257941 PMCID: PMC11384595 DOI: 10.3389/fpubh.2024.1430968] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2024] [Accepted: 08/14/2024] [Indexed: 09/12/2024] Open
Abstract
Introduction Human papillomavirus (HPV) testing as a method of cervical cancer screening can be performed by healthcare providers or by patients through self-sampling directly in the community, removing several barriers experienced by under screened populations. The objective of this scoping review was to determine which HPV self-sampling implementation and engagement strategies have been used to engage under screened populations (i.e., Indigenous, newcomer, and rural and remote communities) in cervical cancer screening. Methods A scoping review was conducted searching MEDLINE, CINAHL, EMBASE, Cochrane Library, and SocINDEX from inception to August 2023. The inclusion criteria were: (1) Indigenous, newcomer, and rural and remote communities; (2) countries identified as members of the Organization for Economic Co-operation and Development; and (3) intervention included HPV self-sampling. The review was registered prior to conducting the search (https://osf.io/zfvp9). Results A total of 26 studies out of 2,741 studies met the inclusion criteria. In-person engagement with trusted community leaders was the most widely used and accepted recruitment and engagement strategy across all three populations. Six out of seven studies with Indigenous communities distributed HPV self-sampling kits to eligible participants in person in a clinical setting for collection on site or at home. Similarly, nine of the identified studies that engaged newcomers recruited participants in person through the community, where eligible participants were either given a kit (n = 7) or received one in the mail (n = 2). Lastly, of the 10 identified studies engaging rural and remote participants in HPV self-sampling, six recruited eligible participants in person at various community locations and four used electronic medical records or registries to identify and mail kits to participants. Discussion HPV self-sampling through in person kit distribution and mail out of HPV self-sampling kits is an effective way to increase participation rates amongst under screened populations.
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Affiliation(s)
- Madison M Fullerton
- Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
- 19 to Zero Inc., Calgary, AB, Canada
| | | | | | - Bonnie Chiang
- Alberta Cervical Cancer Screening Program, Alberta Health Services, Calgary, AB, Canada
| | | | - Holly Dievert
- Alberta Cervical Cancer Screening Program, Alberta Health Services, Calgary, AB, Canada
| | - Huiming Yang
- Alberta Cervical Cancer Screening Program, Alberta Health Services, Calgary, AB, Canada
| | - Jason Cabaj
- Population and Public Health, Alberta Health Services, Calgary, AB, Canada
- Community Health Sciences, University of Calgary, Calgary, AB, Canada
| | - Noah Ivers
- Women's College Hospital Institute of Virtual Care and Systems Solutions, Toronto, ON, Canada
- Department of Family and Community Medicine and Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada
| | - Sandra Davidson
- Faculty of Nursing, University of Calgary, Calgary, AB, Canada
| | - Jia Hu
- 19 to Zero Inc., Calgary, AB, Canada
- Community Health Sciences, University of Calgary, Calgary, AB, Canada
- Faculty of Nursing, University of Calgary, Calgary, AB, Canada
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Buck DiSilvestro J, Ulmer KK, Hedges M, Kardonsky K, Bruegl AS. Cervical Cancer: Preventable Deaths Among American Indian/Alaska Native Communities. Obstet Gynecol Clin North Am 2024; 51:125-141. [PMID: 38267123 DOI: 10.1016/j.ogc.2023.11.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2024]
Abstract
American Indian/Alaska Native (AI/AN) individuals have twice the mortality rate of cervical cancer than the general US population. Participation in prevention programs such as cervical cancer screening and human papillomavirus (HPV) vaccination are under-utilized in this population. There are high rates of established cervical cancer risk factors among this community, with AI/AN people having a higher likelihood of infection with high-risk HPV strains not included in the 9-valent vaccine. There is a need for more robust and urgent prevention and treatment efforts in regard to cervical cancer in the AI/AN community.
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Affiliation(s)
- Jessica Buck DiSilvestro
- Brown University, Providence, RI, USA; Women & Infants Hospital, 101 Dudley Street, Providence, RI 02905, USA.
| | - Keely K Ulmer
- University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242, USA
| | | | - Kimberly Kardonsky
- Department of Family Medicine, University of Washington School of Medicine, Heath Sciences Center, E-304 Box 356391, Seattle, WA 98195, USA
| | - Amanda S Bruegl
- Division of Gynecologic Oncology, Oregon Health and Science University, 3181 SW Sam Jackson Park Road, Mailstop L466, Portland, OR 97239, USA
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Lawton B, Clarke MJ, Gibson-Helm M, Boyle JA. The lives of women and babies matter: A call for action in Indigenous and First Nations women's health and wellbeing. Int J Gynaecol Obstet 2021; 155:167-169. [PMID: 34651699 DOI: 10.1002/ijgo.13929] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Affiliation(s)
- Beverley Lawton
- Te Tātai Hauora o Hine - Centre for Women's Health Research, Faculty of Health, Victoria University of Wellington, Wellington, New Zealand
| | - Marilyn J Clarke
- Coffs Harbour Health Campus, New South Wales Health, Coffs Harbour, New South Wales, Australia
| | - Melanie Gibson-Helm
- Te Tātai Hauora o Hine - Centre for Women's Health Research, Faculty of Health, Victoria University of Wellington, Wellington, New Zealand.,Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
| | - Jacqueline A Boyle
- Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia
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