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The acceptability of vaginal smear self-collection for screening for cervical cancer: a systematic review

Cervical cancer is a major cause of death in adult women. However, many women do not undergo cervical cancer screening for the following reasons: fear, shame, physical limitations, cultural or religious considerations and lack of access to health care services. Self-collected vaginal smears maybe an...

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Autores principales: Braz, Natalia Serrano Doratioto Faria, Lorenzi, Noely Paula Cristina, Sorpreso, Isabel Cristina Esposito, de Aguiar, Lana Maria, Baracat, Edmund Chada, Soares, José Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5348584/
https://www.ncbi.nlm.nih.gov/pubmed/28355365
http://dx.doi.org/10.6061/clinics/2017(03)09
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author Braz, Natalia Serrano Doratioto Faria
Lorenzi, Noely Paula Cristina
Sorpreso, Isabel Cristina Esposito
de Aguiar, Lana Maria
Baracat, Edmund Chada
Soares, José Maria
author_facet Braz, Natalia Serrano Doratioto Faria
Lorenzi, Noely Paula Cristina
Sorpreso, Isabel Cristina Esposito
de Aguiar, Lana Maria
Baracat, Edmund Chada
Soares, José Maria
author_sort Braz, Natalia Serrano Doratioto Faria
collection PubMed
description Cervical cancer is a major cause of death in adult women. However, many women do not undergo cervical cancer screening for the following reasons: fear, shame, physical limitations, cultural or religious considerations and lack of access to health care services. Self-collected vaginal smears maybe an alternative means of including more women in cervical cancer screening programs. The objective of this systematic review was to evaluate the acceptability of vaginal smear self-collection for cervical cancer screening. We selected articles from PubMed, the Cochrane Library and Embase that were published between January 1995 and April 2016. Studies written in English, French, Italian, Portuguese or Spanish that involved women between 18 and 69 years of age who had engaged in sexual intercourse were included in this review. The review was performed in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. Nineteen studies were ultimately evaluated in this review. Most of the included studies (n=17) demonstrated that the self-collection method exhibited outstanding acceptability among women with respect to cervical cancer screening, and only two studies indicated that self-collection exhibited low acceptability among women in this context. The acceptability of self-collection was determined subjectively (without standardized questionnaires) in 10 studies (53%) and via structured and validated questionnaires in the remaining studies. The results of our review suggest that the self-collection method is well-accepted and may therefore encourage greater participation in cervical cancer screening programs. However, additional studies are required to verify these results.
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spelling pubmed-53485842017-03-19 The acceptability of vaginal smear self-collection for screening for cervical cancer: a systematic review Braz, Natalia Serrano Doratioto Faria Lorenzi, Noely Paula Cristina Sorpreso, Isabel Cristina Esposito de Aguiar, Lana Maria Baracat, Edmund Chada Soares, José Maria Clinics (Sao Paulo) Review Cervical cancer is a major cause of death in adult women. However, many women do not undergo cervical cancer screening for the following reasons: fear, shame, physical limitations, cultural or religious considerations and lack of access to health care services. Self-collected vaginal smears maybe an alternative means of including more women in cervical cancer screening programs. The objective of this systematic review was to evaluate the acceptability of vaginal smear self-collection for cervical cancer screening. We selected articles from PubMed, the Cochrane Library and Embase that were published between January 1995 and April 2016. Studies written in English, French, Italian, Portuguese or Spanish that involved women between 18 and 69 years of age who had engaged in sexual intercourse were included in this review. The review was performed in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement. Nineteen studies were ultimately evaluated in this review. Most of the included studies (n=17) demonstrated that the self-collection method exhibited outstanding acceptability among women with respect to cervical cancer screening, and only two studies indicated that self-collection exhibited low acceptability among women in this context. The acceptability of self-collection was determined subjectively (without standardized questionnaires) in 10 studies (53%) and via structured and validated questionnaires in the remaining studies. The results of our review suggest that the self-collection method is well-accepted and may therefore encourage greater participation in cervical cancer screening programs. However, additional studies are required to verify these results. Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo 2017-03 2017-03 /pmc/articles/PMC5348584/ /pubmed/28355365 http://dx.doi.org/10.6061/clinics/2017(03)09 Text en Copyright © 2017 CLINICS http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.
spellingShingle Review
Braz, Natalia Serrano Doratioto Faria
Lorenzi, Noely Paula Cristina
Sorpreso, Isabel Cristina Esposito
de Aguiar, Lana Maria
Baracat, Edmund Chada
Soares, José Maria
The acceptability of vaginal smear self-collection for screening for cervical cancer: a systematic review
title The acceptability of vaginal smear self-collection for screening for cervical cancer: a systematic review
title_full The acceptability of vaginal smear self-collection for screening for cervical cancer: a systematic review
title_fullStr The acceptability of vaginal smear self-collection for screening for cervical cancer: a systematic review
title_full_unstemmed The acceptability of vaginal smear self-collection for screening for cervical cancer: a systematic review
title_short The acceptability of vaginal smear self-collection for screening for cervical cancer: a systematic review
title_sort acceptability of vaginal smear self-collection for screening for cervical cancer: a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5348584/
https://www.ncbi.nlm.nih.gov/pubmed/28355365
http://dx.doi.org/10.6061/clinics/2017(03)09
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