TY - JOUR
T1 - “Well, that Was Pretty Clever!”—Ethnic Minority Women’s Views on HPV Self-Sampling Devices for Cervical Cancer Screening
T2 - Attitudes to Brushes, First-Void Urine, and Menstrual Blood Devices
AU - Hald, Signe Ruby
AU - Tatari, Camilla Rahr
AU - Kirkegaard, Pia
AU - Tranberg, Mette
AU - Andersen, Berit
AU - Nielsen, Camilla Palmhøj
N1 - Publisher Copyright:
© The Author(s) 2024.
PY - 2024
Y1 - 2024
N2 - Background: Ethnic minority women are less likely to participate in cervical cancer uteri (CCU) screening compared to native women. Human Papillomavirus (HPV) self-sampling kits for CCU screening may be a potential strategy to increase participation. This study aimed to explore views and attitudes on four different types of self-sampling kits (two brushes, a first-void urine device, and a menstrual blood device) among non-Western ethnic minority women living in Denmark. Methods: The study was a social science single case study based on focus group interviews with 30 women aged 32–54 with non-Western background from a deprived area. A phenomenological approach was applied to describe the phenomenon “self-sampling” as seen from the women’s lifeworlds. The interviews were transcribed verbatim and analysed using systematic text condensation. Results: The women expressed significant interest in the possibility of using HPV self-sampling kits as an alternative to being screened by their general practitioner. They were particularly motivated to use the non-invasive self-sampling kits for CCU screening as they were deemed suitable for addressing cultural beliefs related to their bodies and virginity. The women expressed interest in the use of the invasive self-sampling kits but were cautious, primarily due to lack of confidence in correctly performing self-sampling with a brush and due to cultural beliefs. Conclusion: The use of non-invasive self-sampling kits, such as a first-void urine collection device and menstrual blood pad, represents a promising solution to overcome cultural barriers and promote greater equality in CCU screening participation among non-Western ethnic minority women.
AB - Background: Ethnic minority women are less likely to participate in cervical cancer uteri (CCU) screening compared to native women. Human Papillomavirus (HPV) self-sampling kits for CCU screening may be a potential strategy to increase participation. This study aimed to explore views and attitudes on four different types of self-sampling kits (two brushes, a first-void urine device, and a menstrual blood device) among non-Western ethnic minority women living in Denmark. Methods: The study was a social science single case study based on focus group interviews with 30 women aged 32–54 with non-Western background from a deprived area. A phenomenological approach was applied to describe the phenomenon “self-sampling” as seen from the women’s lifeworlds. The interviews were transcribed verbatim and analysed using systematic text condensation. Results: The women expressed significant interest in the possibility of using HPV self-sampling kits as an alternative to being screened by their general practitioner. They were particularly motivated to use the non-invasive self-sampling kits for CCU screening as they were deemed suitable for addressing cultural beliefs related to their bodies and virginity. The women expressed interest in the use of the invasive self-sampling kits but were cautious, primarily due to lack of confidence in correctly performing self-sampling with a brush and due to cultural beliefs. Conclusion: The use of non-invasive self-sampling kits, such as a first-void urine collection device and menstrual blood pad, represents a promising solution to overcome cultural barriers and promote greater equality in CCU screening participation among non-Western ethnic minority women.
KW - Cervical cancer screening
KW - Emigrants and immigrants
KW - Human Papillomavirus testing
KW - Qualitative research
KW - Self-sampling
KW - Social inequality
UR - http://www.scopus.com/inward/record.url?scp=85187417375&partnerID=8YFLogxK
U2 - 10.1007/s40615-024-01963-9
DO - 10.1007/s40615-024-01963-9
M3 - Journal article
C2 - 38472631
AN - SCOPUS:85187417375
SN - 2196-8837
JO - Journal of Racial and Ethnic Health Disparities
JF - Journal of Racial and Ethnic Health Disparities
ER -