Self-sampling in cervical cancer screening : comparison of a brush-based and a lavage-based cervicovaginal self-sampling device

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http://hdl.handle.net/10138/161142

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Karjalainen , L , Anttila , A , Nieminen , P , Luostarinen , T & Virtanen , A 2016 , ' Self-sampling in cervical cancer screening : comparison of a brush-based and a lavage-based cervicovaginal self-sampling device ' BMC Cancer , vol. 16 , 221 . DOI: 10.1186/s12885-016-2246-9

Title: Self-sampling in cervical cancer screening : comparison of a brush-based and a lavage-based cervicovaginal self-sampling device
Author: Karjalainen, Liisa; Anttila, Ahti; Nieminen, Pekka; Luostarinen, Tapio; Virtanen, Anni
Contributor: University of Helsinki, Clinicum
Date: 2016-03-15
Language: eng
Number of pages: 10
Belongs to series: BMC Cancer
ISSN: 1471-2407
URI: http://hdl.handle.net/10138/161142
Abstract: Background: High coverage and attendance is essential for cervical cancer screening success. We investigated whether the previous positive experiences on increasing screening attendance by self-sampling in Finland are sampler device dependent. Methods: All women identified to cervical cancer screening in 2013 in 28 Finnish municipalities were randomised to receive a lavage- (n = 6030) or a brush type of self-sampling device (n = 6045) in case of non-attendance after two invitation letters. Seven hundred seventy non-attending women in the lavage device group and 734 in the brush group received the self-sampling offer. Women's experiences were enquired with an enclosed questionnaire. Results: Total attendance in the lavage group increased from 71.0 to 77.7 % by reminder letters and further to 80.5 % by self-sampling. Respective increase in the brush group was from 72.2 to 78.6 % and then to 81.5 %. The participation by self-sampling was 21.7 % (95 % CI 18.8-24.6) in the lavage group and 23.8 % (95 % CI 20.8-26.9) in the brush group. Women's self-sampling experiences were mainly positive and the sampler devices were equally well accepted by the women. Conclusion: Our study shows that the lavage device and brush device perform similarly in terms of uptake by non-attending women and user comfort. If self-sampling is integrated to the routine screening program in Finland, either of the devices can be chosen without the fear of losing participants due to a less acceptable device.
Subject: Cervical cancer screening
HPV
Self-sampling
Socio-demographic factors
Acceptability
HUMAN-PAPILLOMAVIRUS
COLLECTED SAMPLES
NON-ATTENDEES
PAP TEST
WOMEN
FINLAND
ACCEPTABILITY
PROGRAM
POPULATION
3123 Gynaecology and paediatrics
3122 Cancers
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