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Acceptability of cervical cancer screening using visual inspection among women attending a childhood immunization clinic in Uganda
To evaluate the acceptability and performance of cervical cancer (CC) screening using visual inspection with acetic acid (VIA) integrated into a rural immunization clinic in Uganda. We conducted a cross-sectional pilot study in rural Uganda. We explored associations between women's characterist...
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| Published in: | Papillomavirus research 2017-12, Vol.4, p.17-21 |
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| container_end_page | 21 |
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| container_title | Papillomavirus research |
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| creator | Li, Meng Nyabigambo, Agnes Navvuga, Patricia Nuwamanya, Elly Nuwasiima, Afra Kaganda, Paschal Asiimwe, Francis T. Vodicka, Elisabeth Mugisha, Noleb M. Mukose, Aggrey Kwesiga, Doris K. Lubinga, Solomon J. Garrison, Louis P. Babigumira, Joseph B. |
| description | To evaluate the acceptability and performance of cervical cancer (CC) screening using visual inspection with acetic acid (VIA) integrated into a rural immunization clinic in Uganda.
We conducted a cross-sectional pilot study in rural Uganda. We explored associations between women's characteristics and acceptance of VIA testing. We collected samples for Papanicolaou (Pap) smear testing in a random subset of women and used results from this test as a comparator for assessing VIA performance.
We enrolled 625 women of whom 571 (91.4%) accepted and 54 (8.6%) refused CC screening. In the univariate model, age (Odds Ratio (OR)=1.10; p-value |
| doi_str_mv | 10.1016/j.pvr.2017.06.004 |
| format | article |
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We conducted a cross-sectional pilot study in rural Uganda. We explored associations between women's characteristics and acceptance of VIA testing. We collected samples for Papanicolaou (Pap) smear testing in a random subset of women and used results from this test as a comparator for assessing VIA performance.
We enrolled 625 women of whom 571 (91.4%) accepted and 54 (8.6%) refused CC screening. In the univariate model, age (Odds Ratio (OR)=1.10; p-value<0.001) and employment status (OR 2.00; p-value=0.019) were significantly associated with acceptance of VIA screening. In the multivariate model, no characteristic was independently associated with acceptance of VIA screening after adjusting for other factors. Compared to reference Pap smear, CC screening with VIA had a sensitivity of 50% and a specificity of 97.7%.
CC screening with VIA is highly acceptable in the setting of rural immunization clinics in Uganda. Studies to assess which screening method would be the most effective and cost-effective are needed before stakeholders can consider adopting screening programs at scale.</description><identifier>ISSN: 2405-8521</identifier><identifier>EISSN: 2405-8521</identifier><identifier>DOI: 10.1016/j.pvr.2017.06.004</identifier><identifier>PMID: 29179864</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Adult ; Ambulatory Care Facilities ; Colposcopy ; Cross-Sectional Studies ; Early Detection of Cancer - methods ; Female ; Humans ; Immunization ; Mass Screening - methods ; Papanicolaou Test ; Papillomavirus Infections - diagnosis ; Papillomavirus Infections - epidemiology ; Papillomavirus Infections - virology ; Patient Acceptance of Health Care ; Pilot Projects ; Pregnancy ; Sensitivity and Specificity ; Uganda - epidemiology ; Uterine Cervical Neoplasms - diagnosis ; Uterine Cervical Neoplasms - epidemiology ; Uterine Cervical Neoplasms - virology ; Vaginal Smears ; Visual Fields</subject><ispartof>Papillomavirus research, 2017-12, Vol.4, p.17-21</ispartof><rights>2017</rights><rights>Copyright © 2017. Published by Elsevier B.V.</rights><rights>2017 Published by Elsevier B.V. 2017</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c517t-c14302d1e917e8a089507ce9ba13ba9f028ca604fc112d5a0efc832ee19ca3273</citedby><cites>FETCH-LOGICAL-c517t-c14302d1e917e8a089507ce9ba13ba9f028ca604fc112d5a0efc832ee19ca3273</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5883247/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S240585211630074X$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,3549,27924,27925,45780,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29179864$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Li, Meng</creatorcontrib><creatorcontrib>Nyabigambo, Agnes</creatorcontrib><creatorcontrib>Navvuga, Patricia</creatorcontrib><creatorcontrib>Nuwamanya, Elly</creatorcontrib><creatorcontrib>Nuwasiima, Afra</creatorcontrib><creatorcontrib>Kaganda, Paschal</creatorcontrib><creatorcontrib>Asiimwe, Francis T.</creatorcontrib><creatorcontrib>Vodicka, Elisabeth</creatorcontrib><creatorcontrib>Mugisha, Noleb M.</creatorcontrib><creatorcontrib>Mukose, Aggrey</creatorcontrib><creatorcontrib>Kwesiga, Doris K.</creatorcontrib><creatorcontrib>Lubinga, Solomon J.</creatorcontrib><creatorcontrib>Garrison, Louis P.</creatorcontrib><creatorcontrib>Babigumira, Joseph B.</creatorcontrib><title>Acceptability of cervical cancer screening using visual inspection among women attending a childhood immunization clinic in Uganda</title><title>Papillomavirus research</title><addtitle>Papillomavirus Res</addtitle><description>To evaluate the acceptability and performance of cervical cancer (CC) screening using visual inspection with acetic acid (VIA) integrated into a rural immunization clinic in Uganda.
We conducted a cross-sectional pilot study in rural Uganda. We explored associations between women's characteristics and acceptance of VIA testing. We collected samples for Papanicolaou (Pap) smear testing in a random subset of women and used results from this test as a comparator for assessing VIA performance.
We enrolled 625 women of whom 571 (91.4%) accepted and 54 (8.6%) refused CC screening. In the univariate model, age (Odds Ratio (OR)=1.10; p-value<0.001) and employment status (OR 2.00; p-value=0.019) were significantly associated with acceptance of VIA screening. In the multivariate model, no characteristic was independently associated with acceptance of VIA screening after adjusting for other factors. Compared to reference Pap smear, CC screening with VIA had a sensitivity of 50% and a specificity of 97.7%.
CC screening with VIA is highly acceptable in the setting of rural immunization clinics in Uganda. Studies to assess which screening method would be the most effective and cost-effective are needed before stakeholders can consider adopting screening programs at scale.</description><subject>Adult</subject><subject>Ambulatory Care Facilities</subject><subject>Colposcopy</subject><subject>Cross-Sectional Studies</subject><subject>Early Detection of Cancer - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Immunization</subject><subject>Mass Screening - methods</subject><subject>Papanicolaou Test</subject><subject>Papillomavirus Infections - diagnosis</subject><subject>Papillomavirus Infections - epidemiology</subject><subject>Papillomavirus Infections - virology</subject><subject>Patient Acceptance of Health Care</subject><subject>Pilot Projects</subject><subject>Pregnancy</subject><subject>Sensitivity and Specificity</subject><subject>Uganda - epidemiology</subject><subject>Uterine Cervical Neoplasms - diagnosis</subject><subject>Uterine Cervical Neoplasms - epidemiology</subject><subject>Uterine Cervical Neoplasms - virology</subject><subject>Vaginal Smears</subject><subject>Visual Fields</subject><issn>2405-8521</issn><issn>2405-8521</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNp9Uk1v1DAQjRCIVqU_gAvKkcuGsfNpISFVFS2VKnGhZ2t2PNn1KrEXOwkqR3453m6p2gsXezTz5vn5zWTZewGFANF82hX7JRQSRFtAUwBUr7JTWUG96mopXj-LT7LzGHcAIOqyVqJ-m51IJVrVNdVp9ueCiPcTru1gp_vc9zlxWCzhkBO6FOeRArOzbpPP8XAuNs6pal3cM03WuxxHn_K__MgpniZ25oDDnLZ2MFvvTW7HcXb2Nz7AabDOUiLI7zboDL7L3vQ4RD5_vM-yu6uvPy6_rW6_X99cXtyuqBbttCJRlSCN4KSdO4RO1dASqzWKco2qB9kRNlD1JIQ0NQL31JWSWSjCUrblWXZz5DUed3of7IjhXnu0-iHhw0ZjmCwNrIVZG-BWCVX3VcOgAFtJLJOH3LS9SFxfjlz7eT2yIXZTwOEF6cuKs1u98Yuuu6SpOoj5-EgQ_M-Z46RHG4mHAR37OWqhGqXKUjWQoOIIpeBjDNw_PSNAH1ZBp98sQR9WQUOj0yqkng_P9T11_Bt8Anw-Ajg5vlgOOpLlNHBjQxprssT-h_4vzcXH2g</recordid><startdate>20171201</startdate><enddate>20171201</enddate><creator>Li, Meng</creator><creator>Nyabigambo, Agnes</creator><creator>Navvuga, Patricia</creator><creator>Nuwamanya, Elly</creator><creator>Nuwasiima, Afra</creator><creator>Kaganda, Paschal</creator><creator>Asiimwe, Francis T.</creator><creator>Vodicka, Elisabeth</creator><creator>Mugisha, Noleb M.</creator><creator>Mukose, Aggrey</creator><creator>Kwesiga, Doris K.</creator><creator>Lubinga, Solomon J.</creator><creator>Garrison, Louis P.</creator><creator>Babigumira, Joseph B.</creator><general>Elsevier B.V</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20171201</creationdate><title>Acceptability of cervical cancer screening using visual inspection among women attending a childhood immunization clinic in Uganda</title><author>Li, Meng ; Nyabigambo, Agnes ; Navvuga, Patricia ; Nuwamanya, Elly ; Nuwasiima, Afra ; Kaganda, Paschal ; Asiimwe, Francis T. ; Vodicka, Elisabeth ; Mugisha, Noleb M. ; Mukose, Aggrey ; Kwesiga, Doris K. ; Lubinga, Solomon J. ; Garrison, Louis P. ; Babigumira, Joseph B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c517t-c14302d1e917e8a089507ce9ba13ba9f028ca604fc112d5a0efc832ee19ca3273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Ambulatory Care Facilities</topic><topic>Colposcopy</topic><topic>Cross-Sectional Studies</topic><topic>Early Detection of Cancer - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Immunization</topic><topic>Mass Screening - methods</topic><topic>Papanicolaou Test</topic><topic>Papillomavirus Infections - diagnosis</topic><topic>Papillomavirus Infections - epidemiology</topic><topic>Papillomavirus Infections - virology</topic><topic>Patient Acceptance of Health Care</topic><topic>Pilot Projects</topic><topic>Pregnancy</topic><topic>Sensitivity and Specificity</topic><topic>Uganda - epidemiology</topic><topic>Uterine Cervical Neoplasms - diagnosis</topic><topic>Uterine Cervical Neoplasms - epidemiology</topic><topic>Uterine Cervical Neoplasms - virology</topic><topic>Vaginal Smears</topic><topic>Visual Fields</topic><toplevel>online_resources</toplevel><creatorcontrib>Li, Meng</creatorcontrib><creatorcontrib>Nyabigambo, Agnes</creatorcontrib><creatorcontrib>Navvuga, Patricia</creatorcontrib><creatorcontrib>Nuwamanya, Elly</creatorcontrib><creatorcontrib>Nuwasiima, Afra</creatorcontrib><creatorcontrib>Kaganda, Paschal</creatorcontrib><creatorcontrib>Asiimwe, Francis T.</creatorcontrib><creatorcontrib>Vodicka, Elisabeth</creatorcontrib><creatorcontrib>Mugisha, Noleb M.</creatorcontrib><creatorcontrib>Mukose, Aggrey</creatorcontrib><creatorcontrib>Kwesiga, Doris K.</creatorcontrib><creatorcontrib>Lubinga, Solomon J.</creatorcontrib><creatorcontrib>Garrison, Louis P.</creatorcontrib><creatorcontrib>Babigumira, Joseph B.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>Papillomavirus research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Li, Meng</au><au>Nyabigambo, Agnes</au><au>Navvuga, Patricia</au><au>Nuwamanya, Elly</au><au>Nuwasiima, Afra</au><au>Kaganda, Paschal</au><au>Asiimwe, Francis T.</au><au>Vodicka, Elisabeth</au><au>Mugisha, Noleb M.</au><au>Mukose, Aggrey</au><au>Kwesiga, Doris K.</au><au>Lubinga, Solomon J.</au><au>Garrison, Louis P.</au><au>Babigumira, Joseph B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acceptability of cervical cancer screening using visual inspection among women attending a childhood immunization clinic in Uganda</atitle><jtitle>Papillomavirus research</jtitle><addtitle>Papillomavirus Res</addtitle><date>2017-12-01</date><risdate>2017</risdate><volume>4</volume><spage>17</spage><epage>21</epage><pages>17-21</pages><issn>2405-8521</issn><eissn>2405-8521</eissn><abstract>To evaluate the acceptability and performance of cervical cancer (CC) screening using visual inspection with acetic acid (VIA) integrated into a rural immunization clinic in Uganda.
We conducted a cross-sectional pilot study in rural Uganda. We explored associations between women's characteristics and acceptance of VIA testing. We collected samples for Papanicolaou (Pap) smear testing in a random subset of women and used results from this test as a comparator for assessing VIA performance.
We enrolled 625 women of whom 571 (91.4%) accepted and 54 (8.6%) refused CC screening. In the univariate model, age (Odds Ratio (OR)=1.10; p-value<0.001) and employment status (OR 2.00; p-value=0.019) were significantly associated with acceptance of VIA screening. In the multivariate model, no characteristic was independently associated with acceptance of VIA screening after adjusting for other factors. Compared to reference Pap smear, CC screening with VIA had a sensitivity of 50% and a specificity of 97.7%.
CC screening with VIA is highly acceptable in the setting of rural immunization clinics in Uganda. Studies to assess which screening method would be the most effective and cost-effective are needed before stakeholders can consider adopting screening programs at scale.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>29179864</pmid><doi>10.1016/j.pvr.2017.06.004</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Papillomavirus research, 2017-12, Vol.4, p.17-21 |
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| source | ScienceDirect (Online service); PubMed Central |
| subjects | Adult Ambulatory Care Facilities Colposcopy Cross-Sectional Studies Early Detection of Cancer - methods Female Humans Immunization Mass Screening - methods Papanicolaou Test Papillomavirus Infections - diagnosis Papillomavirus Infections - epidemiology Papillomavirus Infections - virology Patient Acceptance of Health Care Pilot Projects Pregnancy Sensitivity and Specificity Uganda - epidemiology Uterine Cervical Neoplasms - diagnosis Uterine Cervical Neoplasms - epidemiology Uterine Cervical Neoplasms - virology Vaginal Smears Visual Fields |
| title | Acceptability of cervical cancer screening using visual inspection among women attending a childhood immunization clinic in Uganda |
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