Evidence map›Paper›PMID 28866635›Full record

ArticleSexually transmitted infections2018

Acceptability and ease of use of mailed HPV self-collection among infrequently screened women in North Carolina.

Chelsea Anderson, Lindsay Breithaupt, Andrea Des Marais, Charlotte Rastas, Alice Richman, Lynn Barclay, Noel T Brewer, Jennifer S Smith

Open access · greenAbstract read
In one paragraph

Article in Sexually transmitted infections, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
2.6field-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

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Knowledge, Attitudes, and Behaviors Regarding HPV Vaccination and Self-Sampling Among US Young Adults.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. 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

8 authors at 3 institutions in 1 country.

Chelsea AndersonGillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, USA.ORCID 0000-0001-6535-481X
Lindsay BreithauptGillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, USA.
Andrea Des MaraisGillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, USA.
Charlotte RastasSchool of Medicine, University of North Carolina, Chapel Hill, North Carolina, USA.
Alice RichmanCollege of Health and Human Performance, East Carolina University, Greenville, North Carolina, USA.
Lynn BarclayAmerican Sexual Health Association, Chapel Hill, North Carolina, USA.
Noel T BrewerGillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, USA.
Jennifer S SmithGillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina, USA.
University of North Carolina at Chapel Hill · USAmerican Sexual Health Association · USEast Carolina University · US

Funding

Targeting the MEKK2-ERK5 Signaling Node in Triple Negative Breast CancerU54CA156733 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI EARP, H. SHELTON · 2010 to 2020
$9.7M
Cancer Control Education ProgramT32CA057726 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Melissa B Gilkey, Melissa A. Troester · 2017 to 2026
$3.7M
Effect of HPV Self-Collection on Cervical Cancer Screening in High Risk WomenR01CA183891 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SMITH, JENNIFER SUSAN · 2015 to 2019
$3.0M
NCI NIH HHS R01 CA183891NCI NIH HHS T32 CA057726NCI NIH HHS U54 CA156733
6 · The paper itself

Abstract

objectivesSelf-collection of cervico-vaginal samples for human papillomavirus (HPV) testing has the potential to make cervical cancer screening more accessible to underscreened women. We evaluated the acceptability and ease of use of home-based HPV self-collection within a diverse population of low-income, infrequently screened women.

methodsParticipants were low-income women from North Carolina who had not received Pap testing in 4 or more years. Eligible women received a self-collection kit containing instructions and a brush for home-based sample collection. A total of 227 women returned a self-collected sample by mail and completed a questionnaire to assess their experiences with HPV self-collection. We described acceptability measures and used logistic regression to identify predictors of overall positive thoughts about the self-collection experience.

resultsNearly all women were willing to perform HPV self-collection again (98%) and were comfortable receiving the self-collection kit in the mail (99%). Overall, 81% of participants reported positive thoughts about home-based self-collection. Women with at least some college education and those who were divorced, separated or widowed were more likely to report overall positive thoughts. Aspects of self-collection that participants most commonly reported liking included convenience (53%), ease of use (32%) and privacy (23%). The most frequently reported difficulties included uncertainty that the self-collection was done correctly (16%) and difficulty inserting the self-collection brush (16%).

conclusionsHome-based self-collection for HPV was a highly acceptable screening method among low-income, underscreened women and holds the promise to increase access to cervical cancer screening in this high-risk population.

Indexed as

Patient Acceptance of Health CareAdultEarly Detection of CancerFemaleHumansMass ScreeningMiddle AgedNorth CarolinaPapillomaviridaePapillomavirus InfectionsPostal ServicePovertyReagent Kits, DiagnosticSpecimen HandlingSurveys and QuestionnairesReagent Kits, Diagnosticcervical neoplasiaearly detection of cancerfemaleHPVhumanspapillomavirus infectionsscreeningUnited StatesUterine cervical neoplasms

Identifiers

PMID28866635
PMCPMC5831249
OpenAlexW2752807205

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.