Feasibility of self-collection of specimens for human papillomavirus testing in hard-to-reach women
To study the feasibility of self-collected specimens for testing human papillomavirus (HPV) status among hard-to-reach women, outreach nurses recruited women in women's centres, shelters and alleys in Vancouver's Downtown Eastside. Of the 151 participants for whom samples were available, 4...
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Veröffentlicht in: | Canadian Medical Association journal 2007-08, Vol.177 (5), p.480-483 |
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creator | Ogilvie, Gina, MD MSc Krajden, Mel, MD Maginley, Juanita, RN Isaac-Renton, Judy, MD Hislop, Greg, MDCM MSc Elwood-Martin, Ruth, MD Sherlock, Chris, MB Taylor, Darlene, BSN Rekart, Michael, MD |
description | To study the feasibility of self-collected specimens for testing human papillomavirus (HPV) status among hard-to-reach women, outreach nurses recruited women in women's centres, shelters and alleys in Vancouver's Downtown Eastside. Of the 151 participants for whom samples were available, 43 (28.5%) tested positive for high-risk HPV. Outreach nurses were able to recontact 81.4% of the participants who tested positive and referred them for further testing. About 14% (21/151) of participants had never received a Papanicolaou smear in British Columbia, as compared with 8.3% (608/7336) of women in the BC general population (p < 0.05). This difference suggests that self-collection of specimens for HPV testing is a feasible method to reach women who have not previously participated in cervical cancer screening programs. |
doi_str_mv | 10.1503/cmaj.070013 |
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Of the 151 participants for whom samples were available, 43 (28.5%) tested positive for high-risk HPV. Outreach nurses were able to recontact 81.4% of the participants who tested positive and referred them for further testing. About 14% (21/151) of participants had never received a Papanicolaou smear in British Columbia, as compared with 8.3% (608/7336) of women in the BC general population (p < 0.05). This difference suggests that self-collection of specimens for HPV testing is a feasible method to reach women who have not previously participated in cervical cancer screening programs.</description><identifier>ISSN: 0008-4409</identifier><identifier>ISSN: 0820-3946</identifier><identifier>EISSN: 1488-2329</identifier><identifier>DOI: 10.1503/cmaj.070013</identifier><identifier>PMID: 17724326</identifier><identifier>CODEN: CMAJAX</identifier><language>eng</language><publisher>Canada: Can Med Assoc</publisher><subject>Adolescent ; Adult ; British Columbia - epidemiology ; Central business districts ; Diagnosis ; DNA, Viral - isolation & purification ; Feasibility Studies ; Female ; Human papillomavirus ; Humans ; Logistic Models ; Mass Screening - methods ; Medical screening ; Methods ; Papanicolaou Test ; Papillomavirus infections ; Papillomavirus Infections - diagnosis ; Predictive Value of Tests ; Risk Factors ; Self-examination, Medical ; Specimen Handling ; Urban Population ; Uterine Cervical Neoplasms - prevention & control ; Uterine Cervical Neoplasms - virology ; Vaginal smears ; Vaginal Smears - statistics & numerical data ; Women</subject><ispartof>Canadian Medical Association journal, 2007-08, Vol.177 (5), p.480-483</ispartof><rights>COPYRIGHT 2007 CMA Impact Inc.</rights><rights>Copyright Canadian Medical Association Aug 28, 2007</rights><rights>2007 Canadian Medical Association</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c671t-d211fe3dc83fcaf1d1827b23ff03cb6e0735241a8a32e623ea9464e23f28a0a43</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1950166/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1950166/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17724326$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ogilvie, Gina, MD MSc</creatorcontrib><creatorcontrib>Krajden, Mel, MD</creatorcontrib><creatorcontrib>Maginley, Juanita, RN</creatorcontrib><creatorcontrib>Isaac-Renton, Judy, MD</creatorcontrib><creatorcontrib>Hislop, Greg, MDCM MSc</creatorcontrib><creatorcontrib>Elwood-Martin, Ruth, MD</creatorcontrib><creatorcontrib>Sherlock, Chris, MB</creatorcontrib><creatorcontrib>Taylor, Darlene, BSN</creatorcontrib><creatorcontrib>Rekart, Michael, MD</creatorcontrib><title>Feasibility of self-collection of specimens for human papillomavirus testing in hard-to-reach women</title><title>Canadian Medical Association journal</title><addtitle>CMAJ</addtitle><description>To study the feasibility of self-collected specimens for testing human papillomavirus (HPV) status among hard-to-reach women, outreach nurses recruited women in women's centres, shelters and alleys in Vancouver's Downtown Eastside. Of the 151 participants for whom samples were available, 43 (28.5%) tested positive for high-risk HPV. Outreach nurses were able to recontact 81.4% of the participants who tested positive and referred them for further testing. About 14% (21/151) of participants had never received a Papanicolaou smear in British Columbia, as compared with 8.3% (608/7336) of women in the BC general population (p < 0.05). This difference suggests that self-collection of specimens for HPV testing is a feasible method to reach women who have not previously participated in cervical cancer screening programs.</description><subject>Adolescent</subject><subject>Adult</subject><subject>British Columbia - epidemiology</subject><subject>Central business districts</subject><subject>Diagnosis</subject><subject>DNA, Viral - isolation & purification</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Human papillomavirus</subject><subject>Humans</subject><subject>Logistic Models</subject><subject>Mass Screening - methods</subject><subject>Medical screening</subject><subject>Methods</subject><subject>Papanicolaou Test</subject><subject>Papillomavirus infections</subject><subject>Papillomavirus Infections - diagnosis</subject><subject>Predictive Value of Tests</subject><subject>Risk Factors</subject><subject>Self-examination, Medical</subject><subject>Specimen Handling</subject><subject>Urban Population</subject><subject>Uterine Cervical Neoplasms - prevention & control</subject><subject>Uterine Cervical Neoplasms - virology</subject><subject>Vaginal smears</subject><subject>Vaginal Smears - statistics & numerical data</subject><subject>Women</subject><issn>0008-4409</issn><issn>0820-3946</issn><issn>1488-2329</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqV0tuL1DAUB-AiiruuPvkuxYcFkY65NW1fhGVxdWFR8PIcMulJmyFNukm74_73ZpzBmZEFkT4UTr78cjtZ9hKjBS4RfacGuVqgCiFMH2WnmNV1QShpHmenCKG6YAw1J9mzGFcIpTpiT7MTXFWEUcJPM3UFMpqlsWa6z73OI1hdKG8tqMl497s0gjIDuJhrH_J-HqTLRzkaa_0g70yYYz5BnIzrcuPyXoa2mHwRQKo-X_s08Xn2REsb4cXuf5b9uPrw_fJTcfPl4_XlxU2heIWnoiUYa6CtqqlWUuMW16RaEqo1omrJAVW0JAzLWlICnFCQDeMMEiC1RJLRs-z9NneclwO0CtwUpBVjMIMM98JLI45HnOlF5-8EbkqEOU8B57uA4G_ndCYxmKjAWunAz1HwmqCSp6X_BXFT0YaTKsHXf8GVn4NLtyBSFKIlJmVCxRZ10oIwTvu0O9WBg7RJ70CbVL7AvMackZLvQ4-8Gs2tOESLB1D6WhiMejD1zdGEZCb4OXVyjlFcf_v6H_bzsT0_sD1IO_XR23nTXvEYvt1CFXyMAfSfl8NIbDpdbDpdbDs96VeHj723u9ber9ubrl-bACIO0trEsViv18mJUrAa0V8w7QPI</recordid><startdate>20070828</startdate><enddate>20070828</enddate><creator>Ogilvie, Gina, MD MSc</creator><creator>Krajden, Mel, MD</creator><creator>Maginley, Juanita, RN</creator><creator>Isaac-Renton, Judy, MD</creator><creator>Hislop, Greg, MDCM MSc</creator><creator>Elwood-Martin, Ruth, MD</creator><creator>Sherlock, Chris, MB</creator><creator>Taylor, Darlene, BSN</creator><creator>Rekart, Michael, MD</creator><general>Can Med Assoc</general><general>CMA Impact Inc</general><general>CMA Impact, Inc</general><general>Canadian Medical Association</general><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>ISN</scope><scope>ISR</scope><scope>3V.</scope><scope>4T-</scope><scope>4U-</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FQ</scope><scope>8FV</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>ASE</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FPQ</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K6X</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2P</scope><scope>M3G</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20070828</creationdate><title>Feasibility of self-collection of specimens for human papillomavirus testing in hard-to-reach women</title><author>Ogilvie, Gina, MD MSc ; Krajden, Mel, MD ; Maginley, Juanita, RN ; Isaac-Renton, Judy, MD ; Hislop, Greg, MDCM MSc ; Elwood-Martin, Ruth, MD ; Sherlock, Chris, MB ; Taylor, Darlene, BSN ; Rekart, Michael, MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c671t-d211fe3dc83fcaf1d1827b23ff03cb6e0735241a8a32e623ea9464e23f28a0a43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>British Columbia - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Canadian Medical Association journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ogilvie, Gina, MD MSc</au><au>Krajden, Mel, MD</au><au>Maginley, Juanita, RN</au><au>Isaac-Renton, Judy, MD</au><au>Hislop, Greg, MDCM MSc</au><au>Elwood-Martin, Ruth, MD</au><au>Sherlock, Chris, MB</au><au>Taylor, Darlene, BSN</au><au>Rekart, Michael, MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Feasibility of self-collection of specimens for human papillomavirus testing in hard-to-reach women</atitle><jtitle>Canadian Medical Association journal</jtitle><addtitle>CMAJ</addtitle><date>2007-08-28</date><risdate>2007</risdate><volume>177</volume><issue>5</issue><spage>480</spage><epage>483</epage><pages>480-483</pages><issn>0008-4409</issn><issn>0820-3946</issn><eissn>1488-2329</eissn><coden>CMAJAX</coden><abstract>To study the feasibility of self-collected specimens for testing human papillomavirus (HPV) status among hard-to-reach women, outreach nurses recruited women in women's centres, shelters and alleys in Vancouver's Downtown Eastside. Of the 151 participants for whom samples were available, 43 (28.5%) tested positive for high-risk HPV. Outreach nurses were able to recontact 81.4% of the participants who tested positive and referred them for further testing. About 14% (21/151) of participants had never received a Papanicolaou smear in British Columbia, as compared with 8.3% (608/7336) of women in the BC general population (p < 0.05). This difference suggests that self-collection of specimens for HPV testing is a feasible method to reach women who have not previously participated in cervical cancer screening programs.</abstract><cop>Canada</cop><pub>Can Med Assoc</pub><pmid>17724326</pmid><doi>10.1503/cmaj.070013</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adult British Columbia - epidemiology Central business districts Diagnosis DNA, Viral - isolation & purification Feasibility Studies Female Human papillomavirus Humans Logistic Models Mass Screening - methods Medical screening Methods Papanicolaou Test Papillomavirus infections Papillomavirus Infections - diagnosis Predictive Value of Tests Risk Factors Self-examination, Medical Specimen Handling Urban Population Uterine Cervical Neoplasms - prevention & control Uterine Cervical Neoplasms - virology Vaginal smears Vaginal Smears - statistics & numerical data Women |
title | Feasibility of self-collection of specimens for human papillomavirus testing in hard-to-reach women |
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