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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...

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Autores principales: Freeman, Madeleine, Waller, Jo, Sasieni, Peter, Lim, Anita WW, Marlow, Laura AV
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2018
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.
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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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