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Acceptability of non-speculum clinician sampling for cervical screening in older women: A qualitative study
OBJECTIVES: One reason that women over age 50 report avoiding cervical screening is increased discomfort postmenopause. This study aimed to explore the acceptability of human papillomavirus testing on clinician-collected vaginal samples without a speculum (‘non-speculum’) for cervical screening amon...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262594/ https://www.ncbi.nlm.nih.gov/pubmed/29439604 http://dx.doi.org/10.1177/0969141318756452 |
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author | Freeman, Madeleine Waller, Jo Sasieni, Peter Lim, Anita WW Marlow, Laura AV |
author_facet | Freeman, Madeleine Waller, Jo Sasieni, Peter Lim, Anita WW Marlow, Laura AV |
author_sort | Freeman, Madeleine |
collection | PubMed |
description | OBJECTIVES: One reason that women over age 50 report avoiding cervical screening is increased discomfort postmenopause. This study aimed to explore the acceptability of human papillomavirus testing on clinician-collected vaginal samples without a speculum (‘non-speculum’) for cervical screening among older women. METHODS: Thirty-eight women in England aged 50–64 with a range of cervical screening experience (‘up-to-date’ n = 17, ‘overdue screening’ n = 18, ‘never screened’ n = 3) were identified via a recruitment agency. Women participated in focus groups or interviews about the potential for using clinician-collected samples without a speculum. Discussions were analysed using Framework Analysis. RESULTS: The two main themes identified were women’s perceptions of the speculum and attitudes towards non-speculum screening. Many women reported negative experiences with the speculum, including increased pain after the menopause. Women generally had positive attitudes towards non-speculum clinician sampling and felt it would be a less intrusive option, but expressed concern that it could be less accurate than screening with a speculum. Women who were ‘up-to-date’ preferred conventional screening, while overdue and never screened women welcomed the option to be screened without a speculum. CONCLUSIONS: Human papillomavirus testing on non-speculum clinician-collected vaginal samples could be an acceptable alternative cervical screening method for older women. Offering this approach could increase screening uptake in older women who find conventional cervical screening to be less acceptable with ageing or the menopause. |
format | Online Article Text |
id | pubmed-6262594 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-62625942018-12-19 Acceptability of non-speculum clinician sampling for cervical screening in older women: A qualitative study Freeman, Madeleine Waller, Jo Sasieni, Peter Lim, Anita WW Marlow, Laura AV J Med Screen Original Articles OBJECTIVES: One reason that women over age 50 report avoiding cervical screening is increased discomfort postmenopause. This study aimed to explore the acceptability of human papillomavirus testing on clinician-collected vaginal samples without a speculum (‘non-speculum’) for cervical screening among older women. METHODS: Thirty-eight women in England aged 50–64 with a range of cervical screening experience (‘up-to-date’ n = 17, ‘overdue screening’ n = 18, ‘never screened’ n = 3) were identified via a recruitment agency. Women participated in focus groups or interviews about the potential for using clinician-collected samples without a speculum. Discussions were analysed using Framework Analysis. RESULTS: The two main themes identified were women’s perceptions of the speculum and attitudes towards non-speculum screening. Many women reported negative experiences with the speculum, including increased pain after the menopause. Women generally had positive attitudes towards non-speculum clinician sampling and felt it would be a less intrusive option, but expressed concern that it could be less accurate than screening with a speculum. Women who were ‘up-to-date’ preferred conventional screening, while overdue and never screened women welcomed the option to be screened without a speculum. CONCLUSIONS: Human papillomavirus testing on non-speculum clinician-collected vaginal samples could be an acceptable alternative cervical screening method for older women. Offering this approach could increase screening uptake in older women who find conventional cervical screening to be less acceptable with ageing or the menopause. SAGE Publications 2018-02-13 2018-12 /pmc/articles/PMC6262594/ /pubmed/29439604 http://dx.doi.org/10.1177/0969141318756452 Text en © The Author(s) 2018 http://creativecommons.org/licenses/by/4.0/ This article is distributed under the terms of the Creative Commons Attribution 4.0 License (http://www.creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Original Articles Freeman, Madeleine Waller, Jo Sasieni, Peter Lim, Anita WW Marlow, Laura AV Acceptability of non-speculum clinician sampling for cervical screening in older women: A qualitative study |
title | Acceptability of non-speculum clinician sampling for cervical
screening in older women: A qualitative study |
title_full | Acceptability of non-speculum clinician sampling for cervical
screening in older women: A qualitative study |
title_fullStr | Acceptability of non-speculum clinician sampling for cervical
screening in older women: A qualitative study |
title_full_unstemmed | Acceptability of non-speculum clinician sampling for cervical
screening in older women: A qualitative study |
title_short | Acceptability of non-speculum clinician sampling for cervical
screening in older women: A qualitative study |
title_sort | acceptability of non-speculum clinician sampling for cervical
screening in older women: a qualitative study |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262594/ https://www.ncbi.nlm.nih.gov/pubmed/29439604 http://dx.doi.org/10.1177/0969141318756452 |
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