Acceptability of cervical-vaginal self-collection in cervical cancer screening in the state of Pernambuco, Brazil
Aceitabilidade da autocoleta cérvico-vaginal no rastreio do câncer do colo uterino no estado de Pernambuco, Brasil
Palavras-chave:
HPV, Cervical cancer, Self-sampling, Liquid-based cytologyResumo
Cervical cancer is the second most common cancer in the Northern, North-East and Central East regions of Brazil. It is estimated that in 2023, there were 770 cases per 100,000 inhabitants in the State of Pernambuco. This study has sought to correlate conventional cytology with vaginal self-sampling by making an assessment of means of socio-demographic, socio-cultural and clinical factors. A survey was conducted of 404 women in Pernambuco through self-sampling to ensure that the screening method for cancer was secure. The data showed that 79.9% adopted the self-sampling method with little or no discomfort or pain and without any embarrassment or fear of hurting themselves. Self-sampling was regarded as more practical because it means that the women can decide to remain at home or attend a laboratory without the usual discomfort of a conventional examination. Thus self-sampling had a high rate of acceptance among the women who were examined and this suggests that it might be an effective alternative for the screening of cervical cancer.
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Referências
ABUELO, C.E. et al. The Peru Cervical Cancer Screening Study (PERCAPS): design and implementation of a screening, treatment and vaccination program for mothers/daughters in the Peruvian jungle. Journal of Community Health, v.39, n.3, p. 409-15, jun. 2014.
ARBYN, M. et al. Accuracy of human papillomavirus testing on self-collected versus clinician-collected samples: a meta-analysis. The Lancet. Oncology, v.15, n. 2, p.172-83, feb. 2014.
ARROSSI, S. et al. Effect of HPV DNA self-collection offered by community health workers in home visits on adherence to cervical cancer screening (EMA study): a population-based cluster randomized trial. The Lacent. Global Health, v.3, n.2, p.85-94, feb. 2015.
AWUA, A.K. et al. A personalized community sample collection strategy increased uptake of cervical cancer screening in a cross-sectional study in Ghana. BMC Public Health, v.18, n.1, p.80, ago. 2017.
BISHOP,E; KATZ, M.L; REITER, P.L. Acceptability of human papillomavirus self-sampling among a national sample of women in the United States. BioResearch Open Access, v.8, n.1, p.65-73, apr. 2019.
BOGGAN, J.C. et al. Vaginal Self-Sampling for Human Papillomavirus Infection as a Primary Cervical Cancer Screening Tool in a Haitian Population. Sexually Transmitted Diseases, v.42, n.11, p.655-9, nov. 2015.
BOSH, F.X. et al. The causal relation between human papiloma vírus and cervical cancer. Journal of Clinical Pathology, v.55, n.4, p. 244-65, 2022.
BRAZIL. National Cancer Institute, 2020. Avaliable in: http://www.inca.gov.br. Acesso em: 4 feb. 2023.
BRAZIL. National Cancer Institute. INCA website, 2022. Cancer, What is cancer? How does cancer arise? Types of cancer, Cancer treatment, Guidance for patients and families, Cancer numbers. Available in: http://www.inca.gov.br. Acess at: 4 feb. 2023.
BRAZIL. National Cancer Institute. INCA website, 2023. Estimate 2020. Incidence of cancer in Brazil. Available in: http://www.inca.gov.br. Acess at: 4 fev. 2023.
BRAZIL. Ministry of Health. Virtual Health Library, 2023. INCA launches the 2023 estimate – Incidence of cancer in Brazil. Available in: INCA launches the 2023 Estimate – Cancer Incidence in Brazil | MS Virtual Health Library (saude.gov.br). Access at: 4 feb. 2023.
BRINK, A.A.T.P. et al. High agreement of test results for human papillomavirus in cervico-vaginal samples collected by two methods, with comparison of a new self-sampling device with a conventional endocervical brush. Journal of Clinical Microbiology, v.44, n.7, p.2518-23, jun. 2006. Disponível em: https://pubmed.ncbi.nlm.nih.gov/16825374/. Acesso em 14 fev. 2023.
BROBERG, G. et al. Increase participation in cervical cancer screening: offering an HPV self-test to people who have not participated for a long time in RACOMIP, a Swedish randomized clinical trial. International Journal of Cancer, v.134, n. 9, p.2223-30, may. 2014.
BRUNI, L. et al. ICO/IARC Information Centre on HPV and Cancer (HPV Information Centre). Human Papillomavirusand Related Diseases in the World. Summary Report 10 March 2023, 2023. Disponível em: World: Human Papillomavirus and Related Diseases, Summary Report 2023 (hpvcentre.net). Acesso em: 4 fev. 2023.
BUDGE, M. et al. Comparison of a self-administered ThinPrep patch test with conventional for cervical cytology. The Australian & New Zealand Journal of obstetrics gynaecology, v.45, n.3, p.215-9, jun. 2005. Available in: https://pubmed.ncbi.nlm.nih.gov/15904447/. Acess at: 14 fev. 2023.
CERIGO, H. et al. Dry self-sampling versus provider-sampling of cervicovaginal specimens for detection of human papillomavirus in the Inuit population of Nunavik, Quebec. Journal of Medical Screening, v.19, n.1, p.42-8, mar. 2012.
CROFTS, V. et al. Education efforts may contribute to wider acceptance of human papillomavirus self-sampling. International Journal of Women’s Health, v.7, n.7, p. 149-54, feb. 2015.
DARENG, E.O. et al. Influence of Spirituality and Modesty on Acceptance of Self-Sampling for Cervical Cancer Screening. PluS One, v.10, n.11, e0141679, nov.2015.
FARGNOLI, V. et al. To what extent will women accept HPV self-sampling for cervical cancer screening? A qualitative study conducted in Switzerland, International Journal of Women’s Health, v.4, n.7, p.883-8, nov. 2015.
FERLAY, J. et al. Global cancer observatory. Cancer Today, Lyon, France, 2020. Disponível em: https://gco.iarc.fr/today/home. Acess at: 27 jan. 2023.
FIELDER, R.L. et al. Acceptability of Sexually Transmitted Infection Testing Using Self-collected Vaginal Swabs Among College Women. Journal of American College Health, v.61, n.1, p.41-53, 2013.
FITZPATRICK, M.B. et al. Cervical cancer screening knowledge, attitudes and practices among HIV-positive and HIV-negative women participating in human papillomavirus screening in rural Zimbabwe. BMC Women’s Health, v.20, n.1, p.153, jul. 2020.
FITZPATRICK, M.B. et al. Community-based self-collected human papillomavirus screening in rural Zimbabwe. BMC Public Health, v.29, n.12, Sup.1, p.603, may. 2019.
GARCIA, F. et al. Cross-sectional study of cervical cytology collected by patients and physicians and human papillomavirus. Obstetrics and ginecology, v.102, n. 2, p.266-72, ago. 2003. Avaliable in: Cross-sectional study of patient- and physician-collected cervical cytology and human papillomavirus - PubMed (nih.gov). Acess at: 14 feb. 2023.
GINSBURG, O. et al. Change global policy to provide safe, equitable and affordable women's cancer care.. Lancet., v.389, n.10071, p.871-80, feb. 2017.
HUCHKO, M..J. et al. Cervical cancer screening through human papillomavirus testing in community health campaigns versus health facilities in rural western Kenya. International Journal of Gyneacology and Obstetrics, v.141, n.1, p.63-69, apr. 2018.
IVANUS, U. et al. The impact of the COVID-19 pandemic on organized cervical cancer screening: first results from the Slovenian cervical screening program and registry.The Lancet Regional Health Europe, v.5, 2021.
KAMATH, A.; WITHERS, M. Human papillomavirus self-sampling performance in low- and middle-income countries. BMC Women’s Health, v.21, n.1, p.12, jan. 2021.
KUGUYO, O. et al. Cervical cancer in Zimbabwe: a situation analysis. The Pan African Medical Journal, v.21, n.27, p.215, jul.2017.
LOOPIK, D.L. et al. Reflex cytology for screening self-sampled material positive for high-risk human papillomavirus in cervical cancer screening: a prospective cohort study. BJOG: an international journal of obstetrics gynaecology, v.127, n.13, p.1656-63, dec. 2020.
LORENZI, N.P.C. et al. Age-related acceptability of vaginal self-sampling in cervical cancer screening at two university hospitals: a pilot cross-sectional study. BCM Public Health, v.19, n.963, 2019.
MITCHELL, S. et al. Assessing women's willingness to collect their own cervical samples for HPV testing as part of the ASPIRE cervical cancer screening project in Uganda. Journal of Obstetrics and Gynaecology, v.114, n.2, p.111-5, 2011.
MONTEALEGRE, J.R. et al. Feasibility of cervical cancer screening using self-specimen human papillomavirus testing among Mexican immigrant women in Harris County, Texas: a pilot study. Journal of Immigrant and Minority Health, v.17, n.3, p.704-12, jun. 2015.
MOSES, E. et al. Adoption of community-based self-collected HPV testing versus visual inspection with acetic acid for cervical cancer screening in Kampala, Uganda: preliminary results from a randomized controlled trial. Tropical Medicine & International Health, v.20, n.10, p. 1355-67, oct. 2015.
NDEJJO,R. et al. Adoption of cervical cancer screening and associated factors among women in rural Uganda: a cross-sectional study. PloS One, v.11, n.2, e0149696, fev. 2016.
ORTIZ, A.P.et al. Acceptability of cervical and anal HPV self-sampling in a sample of Hispanic women in Puerto Rico. Puerto Rico Health Scienses Journal, v.31, n.4, p.205-12, dec. 2012.
PENARANDA, E. et al. Women's attitudes toward cervicovaginal self-sampling for high-risk HPV infection at the US-Mexico border. Journal of Lower Genital Tract Disease, v.19, n.4, p.323-8, 2015.
PENARANDA, E. et al. Attitudes toward self-sampling for cervical cancer screening among primary care participants living on the US-Mexico border. Southern Medical Journal, v.107, n.7, p.426-32, 2014.
QUINCY, B. L. et al. Acceptability of self-collected human papillomavirus specimens as primary screening for cervical cancer. Journal of Obstetrics and Gynaecology, v.32, n.1, p.87-91, 2012.
RACEY, C.S. et al. Randomized Intervention of Self-Collected Sampling for Human Papillomavirus Testing in Under-Screened Rural Women: Uptake of Screening and Acceptability. Journal of Women's Health, v. 25, n.5, p. 489–97, may. 2016.
SANCHO-GARNIER, H. et al. HPV Self-Sampling or Pap Smearing: A Randomized Study Among Cervical Examination Non-Participants from Lower Socioeconomic Groups in France. International Journal of Cancer, v.133, n.11, p.2681-7, jul. 2013.
SAWAYA, G.F; SMITH-MCCUNE, K. Cervical cancer Screening. Obstetrics and gynaecology, v.124, n.3, p.457-67, mar. 2016. Disponível em: Cervical Cancer Screening - PubMed (nih.gov). Acesso em: 4 feb. 2023.
SINGLA, A.A; KOMESAROFF, P. Self-collected Pap smears can provide an acceptable and effective method of cervical cancer screening. Representante Científico da Saúde, v.1, n.3, 2018.
SNIJDERS, P.J.F. et al. High-risk HPV testing in self-sampled versus clinician-collected samples: a review of clinical accuracy and impact on population participation in cervical cancer screening. International Journal of Cancer, v.132, n. 10, p.2223-36, may. 2013.
SULTANA, F. et al. Rationale and design of the iPap trial: a randomized controlled trial of home-based HPV self-sampling for improving participation in cervical screening by never- and under-screened women in Australia. BMC Cancer, v.19, n.14, p.207, mar. 2014.
SULTANA, F. et al. Women's experience with home-based self-sampling for human papillomavirus testing. BMC Cancer, v.4, n.15, p.849, nov. 2015.
SUNG, H. et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: A Cancer Journal for Clinicians, v.71, n.3, p. 191-280, maio. 2021. Disponível em: https://acsjournals.onlinelibrary.wiley.com/doi/epdf/10.3322/caac.21660. Acesso em: 4 fev. 2023.
SZAREWSKI, A. et al. Exploring the acceptability of two self-sampling devices for human papillomavirus testing in the cervical screening context: a qualitative study of Muslim women in London. Journal of Medical Screening, v. 16, n.4, p.193-8, 2009.
SZAREWSKI, A. et al. HPV self-sampling as an alternative strategy in non-attenders for cervical screening – a randomised controlled trial. British Journal of Cancer, v.104, n.6, p.915-20, 2011.
VANDERPOOL, R.C. et al. . Cervical-vaginal specimen self-collection for cervical cancer screening: an exploratory study of acceptability among medically underserved women in rural Appalachia. Gynecologic Oncology, v.132, supl.1, S.21-5, 2014.
WHO. Site do World Health Organization, 2020. Cervical cancer. Disponível em: https://www.who.int/news-room/fact-sheets/detail/cervical-cancer. Acess at: 4 fev. 2023.
WINER, R. L. et al. Effect of mailed human papillomavirus test kits versus usual care reminders on adherence to cervical cancer screening, precancer detection, and treatment: a randomized controlled trial. JAMA Network Open, v.2, n.11, e1914729, nov. 2019.
WONG, E.L.Y. et al. Evaluation of the Impact of Human Papillomavirus DNA Self-sampling on the Uptake of Cervical Cancer Screening. Cancer Nursing, v.39, n.1, e1-e11, jan-feb. 2016.
YEH, P.T. et al. Self-sampling for human papillomavirus (HPV) testing: a systematic review and meta-analysis. BMJ Global Health, v.4,n.3, e001351, may. 2019.
ZUR HAUSEN, H. Papilloma vírus infections-a major cause of human cancers. Biochimica et Biophysica Acta. v.1288, n.2, p. 55-78, 1996.
