Evidence map›Paper›PMID 27048284›Full record

ArticleJournal of community health2016

Assessing Acceptability of Self-Sampling Kits, Prevalence, and Risk Factors for Human Papillomavirus Infection in American Indian Women.

Rachel L Winer, Angela A Gonzales, Carolyn J Noonan, Stephen L Cherne, Dedra S Buchwald, Collaborative to Improve Native Cancer Outcomes (CINCO)

Open access · greenAbstract read
In one paragraph

Article in Journal of community health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 3 pooled it
2.9field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 3 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Variation in Cervical Cancer Screening Preferences among Medically Underserved Individuals in the United States: A Systematic Review.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2020
    Pooled it
  4. Performance and acceptability of self-collected human papillomavirus testing among women living with HIV.International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases · 2020
    Trial
  5. Article
  6. Increasing HPV and Cervical Cancer Education Among Native American Communities and Healthcare Providers.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Article
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  10. Article
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  13. Review
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  15. Article
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  18. Article
  19. HPV Self-sampling in Indigenous Communities: A Scoping Review.Journal of immigrant and minority health · 2020
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Rachel L WinerDepartment of Epidemiology, University of Washington, 325 9th Ave., Box 359933, Seattle, WA, 98104, USA. rlw@uw.edu.
Angela A GonzalesDepartment of Development Sociology, Cornell University, Ithaca, NY, USA.
Carolyn J NoonanPartnerships for Native Health, Washington State University, Seattle, WA, USA.
Stephen L CherneDepartment of Pathology, University of Washington, Seattle, WA, USA.
Dedra S BuchwaldPartnerships for Native Health, Washington State University, Seattle, WA, USA.
Collaborative to Improve Native Cancer Outcomes (CINCO)
University of Washington · USCornell University · USNative Health · US

Funding

USING DIGITAL STORIES TO IMPROVE COLORECTAL CANCER SCREENING IN NATIVE AMERICANSP50CA148110 · NCI · UNIVERSITY OF WASHINGTON · PI GONZALES, ANGELA A · 2010 to 2014
$9.7M
Training ProgramU54CA153498 · NCI · WASHINGTON STATE UNIVERSITY · PI BUCHWALD, DEDRA S, HENDERSON, JEFFREY A · 2010 to 2015
$4.1M
NCI NIH HHS P50 CA148110NCI NIH HHS U54 CA153498
6 · The paper itself

Abstract

We evaluated the feasibility and acceptability of self-sampling for human papillomavirus (HPV) testing and calculated the prevalence of and risk factors for high-risk (hr) HPV infections in a community-based sample of American Indian women. To this end, we recruited 329 Hopi women aged 21-65 years to self-collect vaginal samples for hrHPV testing. Samples were tested by polymerase chain reaction for 14 hrHPV genotypes. We used Chi square tests to identify correlates of preference for clinician Pap testing versus HPV self-sampling, and age-adjusted Poisson regression to evaluate correlates of hrHPV prevalence. We found that satisfaction with HPV self-sampling was high, with 96 % of women reporting that the sample was easy to collect and 87 % reporting no discomfort. The majority (62 %) indicated that they preferred HPV self-sampling to receiving a Pap test from a clinician. Preference for Pap testing over HPV self-sampling was positively associated with adherence to Pap screening and employment outside the home. All samples evaluated were satisfactory for HPV testing, and 22 % were positive for hrHPV. HrHPV prevalence peaked in the late 20 s and declined with increasing age. HrHPV positivity was inversely associated with having children living the household. In conclusion, HPV self-sampling is feasible and acceptable to Hopi women, and could be effective in increasing rates of cervical cancer screening in Hopi communities. HrHPV prevalence was similar to estimates in the general United States population.

Indexed as

Indians, North AmericanPatient Acceptance of Health CareSelf CareSpecimen HandlingAdultAgedFeasibility StudiesFemaleHumansMiddle AgedPapillomaviridaePapillomavirus InfectionsRisk FactorsSurveys and QuestionnairesUterine Cervical NeoplasmsYoung AdultAcceptabilityAmerican Indian/Alaska Native (AI/AN)Human papillomavirus (HPV)PrevalenceSelf-sampling

Identifiers

PMID27048284
PMCPMC5011445
OpenAlexW2332730868

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.