Correlates of Self-Sampling Willingness for HPV-DNA Testing among Medically Underserved Rural Kenyan Women: A Mixed Methods Study
Rattachement africain : us, Kenya. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Abstract Introduction Cervical cancer is the leading cause of cancer-related deaths among Sub-Saharan African women, particularly in rural areas where screening rates are lower due to limited access to highly sensitive tests. This study aimed to investigate factors that might influence rural Kenyan women’s willingness to self-collect samples for HPV-DNA testing. Methods This study utilized data from a mixed-methods study in Bomet and Kericho Counties, including survey responses from 174 women and semi-structured interviews with a subset of 21 participants. Logistic regression was used to analyze quantitative data and theoretical thematic analysis for qualitative data. Results The surveyed women had a mean age of 45.2 years, were mainly uninsured (76%) and from low-income households (88.4%). Most participants had heard of cervical cancer (83.2%), yet only 6.4% had ever been screened. However, 76.9% expressed willingness to self-collect samples for HPV-DNA testing. Factors significantly associated with increased self-sampling willingness were cervical cancer awareness (OR=3.49, 95% CI=1.50-8.11), having health workers (OR=1.88, CI=1.23-2.86) and the news media (radio and television) (OR=2.63, CI=1.27-5.48) as primary sources of health information, and ever hearing about cervical cancer from the news media (OR=2.43, CI=1.07-5.51). Conversely, high cervical cancer stigma (OR=0.71, CI=0.57-0.88) and longer travel time of 30 to 120 minutes to the nearest health facility (OR=0.44, CI=0.20-0.93) were associated with decreased willingness. Interview data corroborated these findings. Conclusions Cervical cancer screening uptake is notably low among rural Kenyan women in Bomet and Kericho Counties. Sample self-collection for HPV-DNA testing appears widely acceptable. A comprehensive approach involving educational outreach, health worker recommendation, and mass media campaigns could enhance cervical cancer screening via self- sampling, potentially reducing the burden of cervical cancer. Future research should employ implementation science methodologies to explore cervical cancer screening uptake via self- sampling, to inform population-based implementation strategies in Kenya.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Correlates of Self-Sampling Willingness for HPV-DNA Testing among Medically Underserved Rural Kenyan Women: A Mixed Methods Study
- Date Crossref
- 24/09/2024
- Éditeur
- openRxiv
- Type
- posted-content
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Johns Hopkins University Institute of Clinical and Translational Research pays non établi dans la noticeUniversité ou école supérieure
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Johns Hopkins Medicine pays non établi dans la noticeÉtablissement de santé
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University of Nairobi Department of Nursing Sciences University of Nairobi, Kenya (code pays fourni par la source)Université ou école supérieure
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Michigan State University Department of Media and Information pays non établi dans la noticeUniversité ou école supérieure
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Masinde Muliro University of Science and Technology Department of Public Health Kakamega, Kenya (code pays fourni par la source)Université ou école supérieure
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School of Nursing pays non établi dans la noticeUniversité ou école supérieure
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Department of Reproductive Nairobi, Kenya (pays nommé en fin d’affiliation)Institution
Institute of Clinical and Translational Research — Johns Hopkins University, Johns Hopkins Medicine et Department of Nursing Sciences — University of Nairobi (University of Nairobi, Kenya), avec 4 autres affiliations. Pays d’affiliation : Kenya.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.