HPV Self-sampling in Indigenous Communities: A Scoping Review

Indigenous women have higher rates of cervical cancer and cervical cancer mortality compared to non-Indigenous women, as well as unique challenges to accessing screening services. Human papillomavirus (HPV) self-sampling has been demonstrated as an effective measure to reach under-screened women. A...

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Bibliographic Details
Published in:Journal of immigrant and minority health 2020-08, Vol.22 (4), p.852-859
Main Authors: Styffe, Claire, Tratt, Elyse, Macdonald, Mary Ellen, Brassard, Paul
Format: Article
Language:English
Subjects:
Alphapapillomavirus - isolation & purification
Cancer
Cervical cancer
Cervix
Community
Comparative Law
Gender Role
Human papillomavirus
Humans
Indigenous peoples
Indigenous Peoples - psychology
International & Foreign Law
Mass Screening
Medical screening
Medicine
Medicine & Public Health
Mortality rates
Original Paper
Papanicolaou Test
Privacy
Private International Law
Public Health
Sampling
Selection criteria
Self Care - methods
Self Efficacy
Sexuality
Sociology
Specimen Handling - methods
Systematic review
Tests
Women
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Summary:Indigenous women have higher rates of cervical cancer and cervical cancer mortality compared to non-Indigenous women, as well as unique challenges to accessing screening services. Human papillomavirus (HPV) self-sampling has been demonstrated as an effective measure to reach under-screened women. A scoping review identified 19 sources matching selection criteria through a systematic search of PubMed and Scopus completed in May 2018. Analysis revealed that this is a limited field of research; albeit one that has undergone growth in the last 7 years. HPV self-sampling is identified as easy, convenient, comfortable and private and is often preferred over Papanicolaou (Pap) testing. Despite largely positive experiences, several studies indicated that some women lacked confidence in their ability to adequately self-sample. HPV self-sampling may be an effective intervention where Pap testing adherence is low but should include supporting resources and community input so as to best tailor implementations to each community.
ISSN:1557-1912
1557-1920
DOI:10.1007/s10903-019-00954-x