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Understanding the cervical cancer self-collection preferences of women living in urban and rural Rwanda

Cervical cancer is a leading cause of cancer among women in low- and middle-income countries. Women in Rwanda have high rates of cervical cancer due to limited access to effective screening methods. Research in other low-resource settings similar to Rwanda has shown that HPV-based self-collection is...

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Autores principales: Nair, Varun, Dau, Hallie, Vidler, Marianne, AboMoslim, Maryam, Mutamba, Barbra, Scott, McKerron, Nesbitt, Zoey, Deodatha, John, Byiringiro, Schadrack Danson, Niyotwiringiye, Charles, Mithani, Nadia, Smith, Laurie, Ogilvie, Gina, Rulisa, Stephen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10538759/
https://www.ncbi.nlm.nih.gov/pubmed/37768884
http://dx.doi.org/10.1371/journal.pgph.0002135
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author Nair, Varun
Dau, Hallie
Vidler, Marianne
AboMoslim, Maryam
Mutamba, Barbra
Scott, McKerron
Nesbitt, Zoey
Deodatha, John
Byiringiro, Schadrack Danson
Niyotwiringiye, Charles
Mithani, Nadia
Smith, Laurie
Ogilvie, Gina
Rulisa, Stephen
author_facet Nair, Varun
Dau, Hallie
Vidler, Marianne
AboMoslim, Maryam
Mutamba, Barbra
Scott, McKerron
Nesbitt, Zoey
Deodatha, John
Byiringiro, Schadrack Danson
Niyotwiringiye, Charles
Mithani, Nadia
Smith, Laurie
Ogilvie, Gina
Rulisa, Stephen
author_sort Nair, Varun
collection PubMed
description Cervical cancer is a leading cause of cancer among women in low- and middle-income countries. Women in Rwanda have high rates of cervical cancer due to limited access to effective screening methods. Research in other low-resource settings similar to Rwanda has shown that HPV-based self-collection is an effective cervical cancer screening method. This study aims to compare the preferences of Rwandan women in urban and rural settings toward self-collection and to report on factors related to self-collection amenability. A cross-sectional survey was conducted from June 1–9, 2022. Women were recruited from one urban and one rural clinic in Rwanda. Women were eligible for the study if they were ≥ 18 years and spoke Kinyarwanda or English. The survey consisted of 51 questions investigating demographics and attitudes towards self-collection for cervical cancer screening. We reported descriptive statistics stratified by urban and rural sites. In total, 169 urban and 205 rural women completed the survey. The majority of respondents at both sites had a primary school or lower education and were in a relationship. Both urban and rural respondents were open to self-collection; however, rates were higher in the rural site (79.9% urban and 95.6% rural; p-value<0.001). Similarly, women in rural areas were more likely to report feeling unembarrassed about self-collection (65.3% of urban, 76.8% of rural; p-value<0.001). Notably, almost all urban and rural respondents (97.6% urban and 98.5% rural) stated they would go for a cervical cancer pelvic examination to a nearby health center if their self-collected results indicated any concern (p-value = 0.731). Rwandan women in both urban and rural areas largely support self-collection for cervical cancer screening. Further research is needed to better understand how to implement self-collection screening services in Rwanda.
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spelling pubmed-105387592023-09-29 Understanding the cervical cancer self-collection preferences of women living in urban and rural Rwanda Nair, Varun Dau, Hallie Vidler, Marianne AboMoslim, Maryam Mutamba, Barbra Scott, McKerron Nesbitt, Zoey Deodatha, John Byiringiro, Schadrack Danson Niyotwiringiye, Charles Mithani, Nadia Smith, Laurie Ogilvie, Gina Rulisa, Stephen PLOS Glob Public Health Research Article Cervical cancer is a leading cause of cancer among women in low- and middle-income countries. Women in Rwanda have high rates of cervical cancer due to limited access to effective screening methods. Research in other low-resource settings similar to Rwanda has shown that HPV-based self-collection is an effective cervical cancer screening method. This study aims to compare the preferences of Rwandan women in urban and rural settings toward self-collection and to report on factors related to self-collection amenability. A cross-sectional survey was conducted from June 1–9, 2022. Women were recruited from one urban and one rural clinic in Rwanda. Women were eligible for the study if they were ≥ 18 years and spoke Kinyarwanda or English. The survey consisted of 51 questions investigating demographics and attitudes towards self-collection for cervical cancer screening. We reported descriptive statistics stratified by urban and rural sites. In total, 169 urban and 205 rural women completed the survey. The majority of respondents at both sites had a primary school or lower education and were in a relationship. Both urban and rural respondents were open to self-collection; however, rates were higher in the rural site (79.9% urban and 95.6% rural; p-value<0.001). Similarly, women in rural areas were more likely to report feeling unembarrassed about self-collection (65.3% of urban, 76.8% of rural; p-value<0.001). Notably, almost all urban and rural respondents (97.6% urban and 98.5% rural) stated they would go for a cervical cancer pelvic examination to a nearby health center if their self-collected results indicated any concern (p-value = 0.731). Rwandan women in both urban and rural areas largely support self-collection for cervical cancer screening. Further research is needed to better understand how to implement self-collection screening services in Rwanda. Public Library of Science 2023-09-28 /pmc/articles/PMC10538759/ /pubmed/37768884 http://dx.doi.org/10.1371/journal.pgph.0002135 Text en © 2023 Nair et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Nair, Varun
Dau, Hallie
Vidler, Marianne
AboMoslim, Maryam
Mutamba, Barbra
Scott, McKerron
Nesbitt, Zoey
Deodatha, John
Byiringiro, Schadrack Danson
Niyotwiringiye, Charles
Mithani, Nadia
Smith, Laurie
Ogilvie, Gina
Rulisa, Stephen
Understanding the cervical cancer self-collection preferences of women living in urban and rural Rwanda
title Understanding the cervical cancer self-collection preferences of women living in urban and rural Rwanda
title_full Understanding the cervical cancer self-collection preferences of women living in urban and rural Rwanda
title_fullStr Understanding the cervical cancer self-collection preferences of women living in urban and rural Rwanda
title_full_unstemmed Understanding the cervical cancer self-collection preferences of women living in urban and rural Rwanda
title_short Understanding the cervical cancer self-collection preferences of women living in urban and rural Rwanda
title_sort understanding the cervical cancer self-collection preferences of women living in urban and rural rwanda
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10538759/
https://www.ncbi.nlm.nih.gov/pubmed/37768884
http://dx.doi.org/10.1371/journal.pgph.0002135
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