- Volume 17 Issue 5
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Knowledge and Attitudes of Bangkok Metropolitan Women towards HPV and Self-Sampled HPV Testing
- Kittisiam, Thannaporn (Department of Obstetrics and Gynecology, Faculty of Medicine Vajira Hospital, Navamindradhiraj University) ;
- Tangjitgamol, Siriwan (Department of Obstetrics and Gynecology, Faculty of Medicine Vajira Hospital, Navamindradhiraj University) ;
- Chaowawanit, Woraphot (Department of Obstetrics and Gynecology, Faculty of Medicine Vajira Hospital, Navamindradhiraj University) ;
- Khunnarong, Jakkapan (Department of Obstetrics and Gynecology, Faculty of Medicine Vajira Hospital, Navamindradhiraj University) ;
- Srijaipracharoen, Sunamchok (Department of Obstetrics and Gynecology, Faculty of Medicine Vajira Hospital, Navamindradhiraj University) ;
- Thavaramara, Thaowalai (Department of Obstetrics and Gynecology, Faculty of Medicine Vajira Hospital, Navamindradhiraj University) ;
- Pataradool, Kamol (Department of Obstetrics and Gynecology, Faculty of Medicine Vajira Hospital, Navamindradhiraj University)
- Published : 2016.05.01
Background: To evaluate knowledge of Bangkok women regarding HPV and self-sampled HPV testing, and their attitudes towards testing. Materials and Methods: Thai women who had lived in Bangkok for more than 5 years, aged 25-to-65 years old, were invited to join the study. Participating women were asked to a complete self-questionnaire (Thai language), with literate assistance as needed. The questionnaire was divided into 3 parts: (I) demographic data, (II) knowledge and (III) attitudes towards self-sampled HPV testing. Before proceeding to Part III of the questionnaire, a 15-minute educational video of self-sampled HPV testing was presented to all participants. Results: Among 2,810 women who answered the questionnaires, 33.7% reported that they did not know about HPV. The characteristic features of these women were older age (> 50 years), lower income (< 600 USD/month), unemployed status, and non-attendees at cervical cancer screening. Only small numbers of women (4.6%) responded that they had heard about self-sampled HPV testing. After having information, 59.6% would not use the self-sampled HPV testing as a method of cervical cancer screening (non-acceptance). Factors significantly associated with the non-acceptance were older age, lower income, having no knowledge about HPV or self-collected HPV testing, a perception that the testing was unreliable and a concern that they might not be able to perform it correctly. Conclusions: Nearly half and almost all Bangkok women did not know about HPV and self-sampled HPV testing, respectively. Approximately 60% of Bangkok women refused to do the self-sampled HPV testing. Significant negative attitudes were concerns that the testing would be unreliable and a lack of confidence to perform the procedure correctly. Education about HPV and self-sampled HPV testing, ease of the procedure, or the testing models may increase rate of acceptability or positive attitudes.
HPV;self-sampled HPV testing;attitude;barriers;unreliability
Supported by : Faculty of Medicine Vajira Hospital
- Arbyn M, Verdoodt F, Snijders PJ, et al (2014). Accuracy of human papillomavirus testing on self-collected versus clinician-collected samples: a meta-analysis. Lancet Oncol, 15, 172-83. https://doi.org/10.1016/S1470-2045(13)70570-9
- Bernstein A, Vitner S, Webber JM (1985). Evaluation of a new tampon device for cytologic autocollection and mass screening of cervical cancer and its precursors. Am J Obstet Gynecol, 151, 351-5. https://doi.org/10.1016/0002-9378(85)90302-3
- Bidus MA, Zahn CM, Maxwell GL, et al (2005). The role of self-collection devices for cytology and human papillomavirus DNA testing in cervical cancer screening. Clin Obstet Gynecol, 48, 127-32. https://doi.org/10.1097/01.grf.0000151569.46072.34
- Budge M, Halford J, Haran M, Mein J, Wright G (2005). Comparison of a self-administered tampon ThinPrep test with conventional pap smears for cervical cytology. Aust N Z J Obstet Gynaecol, 45, 215-9. https://doi.org/10.1111/j.1479-828X.2005.00392.x
- Budkaew J, Chumworathayi B (2014). Factors associated with decisions to attend cervical cancer screening among women aged 30-60 years in Chatapadung contracting medical unit, Thailand. Asian Pac J Cancer Prev, 15, 4903-7. https://doi.org/10.7314/APJCP.2014.15.12.4903
- Castell S, Krause G, Schmitt M, et al (2014). Feasibility and acceptance of cervicovaginal self-sampling within the German National Cohort (Pretest 2). Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz, 57, 1270-6. https://doi.org/10.1007/s00103-014-2054-9
- Chaowawanit W, Tangjitgamol S, Kantathavorn N, et al (2016). Knowledge, attitudes and behavior of Bangkok metropolitan women regarding cervical cancer screening. Asian Pac J Cancer Prev, 17, 945-52. https://doi.org/10.7314/APJCP.2016.17.3.945
- Chen SL, Hsieh PC, Chou CH, Tzeng YL (2014). Determinants of women's likelihood of vaginal self-sampling for human papillomavirus to screen for cervical cancer in Taiwan: a cross-sectional study. BMC Womens Health, 14, 139.
- Chumworathayi B, Yuenyao P, Luanratanakorn S, et al (2007). Can an appointment-letter intervention increase pap smear screening in Samliem, Khon Kaen, Thailand? Asian Pac J Cancer Prev, 8, 353-6.
- Everett T, Bryant A, Griffin MF, et al (2011). Interventions targeted at women to encourage the uptake of cervical screening. Cochrane Database Syst Rev, 5, 2834.
- Fargnoli, V., Petignat, P., & Burton-Jeangros, C. (2015). To what extent will women accept HPV self-sampling for cervical cancer screening? A qualitative study conducted in Switzerland. Int J Womens Health, 7, 883-8.
- Gakidou E, Nordhagen S, Obermeyer Z (2008). Coverage of cervical cancer screening in 57 countries: low average levels and large inequalities. PLoS Med, 5, 132. https://doi.org/10.1371/journal.pmed.0050132
- Huh WK, Ault KA, Chelmow D, et al (2015). Use of primary high-risk human papillomavirus testing for cervical cancer screening: interim clinical guidance. Gynecol Oncol, 136, 178-82. https://doi.org/10.1016/j.ygyno.2014.12.022
- Khuhaprema T, Attasara P, Srivatanakul P, et al (2012). Organization and evolution of organized cervical cytology screening in Thailand. Int J Gynaecol Obstet, 118, 107-11. https://doi.org/10.1016/j.ijgo.2012.03.031
- Kritpetcharat O, Suwanrungruang K, Sriamporn, S, et al(2003). The coverage of cervical cancer screening in Khon Kaen, northeast Thailand. Asian Pac J Cancer Prev, 4, 103-105.
- Lee B, Cho HY, Jeon KJ, et al (2016). Detection of high-risk human papillomavirus using menstrual blood in women with high-grade squamous intraepithelial lesions or high-risk human papillomavirus infections: A pilot study. J Obstet Gynaecol Res, 42, 319-24. https://doi.org/10.1111/jog.12888
- Lee HY, Koopmeiners JS, Rhee TG, Raveis VH, Ahluwalia JS (2014). Mobile phone text messaging intervention for cervical cancer screening: changes in knowledge and behavior pre-post intervention. J Med Internet Res, 16, 196. https://doi.org/10.2196/jmir.3576
- Oranratanaphan S, Termrungruanglert W, Khemapech N (2014). Acceptability of self-sampling HPV testing among Thai women for cervical cancer screening. Asian Pac J Cancer Prev, 15, 7437-41. https://doi.org/10.7314/APJCP.2014.15.17.7437
- Othman NH, Mohamad Zaki FH (2014). Self-collection tools for routine cervical cancer screening: a review. Asian Pac J Cancer Prev, 15, 8563-9. https://doi.org/10.7314/APJCP.2014.15.20.8563
- Penaranda E, Molokwu J, Flores S, et al (2015). Women's attitudes toward cervicovaginal self-sampling for high-risk HPV Infection on the US-mexico border. J Low Genit Tract Dis, 19, 323-8. https://doi.org/10.1097/LGT.0000000000000134
- Pengsaa P, Sriamporn S, Kritpetcharat O, et al (2003). A comparison of cytology with Pap smears taken by a gynecologist and with a self-sampling device. Asian Pac J Cancer Prev, 4, 99-102.
- Quincy BL, Turbow DJ, Dabinett LN (2012). Acceptability of self-collected human papillomavirus specimens as a primary screen for cervical cancer. J Obstet Gynaecol, 32, 87-91. https://doi.org/10.3109/01443615.2011.625456
- Sahasrabuddhe VV, Gravitt PE, Dunn ST, et al (2014). Comparison of human papillomavirus detections in urine, vulvar, and cervical samples from women attending a colposcopy clinic. J Clin Microbiol, 52, 187-192. https://doi.org/10.1128/JCM.01623-13
- Scarinci IC, Litton AG, Garces-Palacio IC., et al (2013). Acceptability and usability of self-collected sampling for HPV testing among African-American women living in the Mississippi Delta. Womens Health Issues, 23, 123-30. https://doi.org/10.1016/j.whi.2012.12.003
- Sriplung H, Singkham P, Iamsirithaworn S, Jiraphongsa C, Bilheem S (2014). Success of a cervical cancer screening program: trends in incidence in songkhla, southern Thailand, 1989-2010, and prediction of future incidences to 2030. Asian Pac J Cancer Prev, 15, 10003-8. https://doi.org/10.7314/APJCP.2014.15.22.10003
- Sultana F, Mullins R, Murphy M, et al (2015). Women's views on human papillomavirus self-sampling: focus groups to assess acceptability, invitation letters and a test kit in the Australian setting. Sex Health, 12, 279-86.
- Szarewski A, Cadman L, Mesher D, et al (2011). HPV self-sampling as an alternative strategy in non-attenders for cervical screening - a randomised controlled trial. Br J Cancer, 104, 915-20. https://doi.org/10.1038/bjc.2011.48
- Thanapprapasr D, Deesamer S, Sujintawong S, Udomsubpayakul U, Wilailak S (2012). Cervical cancer screening behaviours among Thai women: results from a cross-sectional survey of 2112 healthcare providers at Ramathibodi Hospital, Thailand. Eur J Cancer Care (Engl), 21, 542-7. https://doi.org/10.1111/j.1365-2354.2012.01333.x
- Torre, L. A., Bray, F., Siegel, R. L., Ferlay, J., Lortet-Tieulent, J., & Jemal, A. (2015). Global cancer statistics, 2012. CA Cancer J Clin, 65, 87-108. https://doi.org/10.3322/caac.21262
- Virtanen, A., Anttila, A., & Nieminen, P. (2015). The costs of offering HPV-testing on self-taken samples to non-attendees of cervical screening in Finland. BMC Womens Health, 15, 99. https://doi.org/10.1186/s12905-015-0261-7
- WHO (2013). Guidelines for screening and treatment of precancerous lesions for cervical cancer prevention. Geneva.
- Wongwatcharanukul L, Promthet S, Bradshaw P, Jirapornkul C, Tungsrithong N (2014). Factors affecting cervical cancer screening uptake by Hmong hilltribe women in Thailand. Asian Pac J Cancer Prev, 15, 3753-3756. https://doi.org/10.7314/APJCP.2014.15.8.3753