Evidence map›Paper›PMID 29094082›Full record

ArticleJournal of global oncology2017

Acceptability of Human Papillomavirus Self-Sampling for Cervical Cancer Screening in an Indigenous Community in Guatemala.

Anna Gottschlich, Alvaro Rivera-Andrade, Edwin Grajeda, Christian Alvarez, Carlos Mendoza Montano, Rafael Meza

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of global oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 5 pooled it
–field-weighted citation impact
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

47 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  12. Acceptability of Self-Sampling for Cervical Screening in Ethnically Diverse Groups in Northwest England: A Focus Group Study.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  13. Working towards health: A model of cervical cancer screening and treatment for factory employees in Haiti.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
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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.

Anna Gottschlich, , and , University of Michigan, Ann Arbor, MI; and , Institute of Nutrition of Central America and Panama; , Universidad Mariano Galvez de Guatemala; , Universidad Rafael Landivar, Guatemala City, Guatemala; and , The Hebrew University, Jerusalem, Israel.
Alvaro Rivera-Andrade, , and , University of Michigan, Ann Arbor, MI; and , Institute of Nutrition of Central America and Panama; , Universidad Mariano Galvez de Guatemala; , Universidad Rafael Landivar, Guatemala City, Guatemala; and , The Hebrew University, Jerusalem, Israel.
Edwin Grajeda, , and , University of Michigan, Ann Arbor, MI; and , Institute of Nutrition of Central America and Panama; , Universidad Mariano Galvez de Guatemala; , Universidad Rafael Landivar, Guatemala City, Guatemala; and , The Hebrew University, Jerusalem, Israel.
Christian Alvarez, , and , University of Michigan, Ann Arbor, MI; and , Institute of Nutrition of Central America and Panama; , Universidad Mariano Galvez de Guatemala; , Universidad Rafael Landivar, Guatemala City, Guatemala; and , The Hebrew University, Jerusalem, Israel.
Carlos Mendoza Montano, , and , University of Michigan, Ann Arbor, MI; and , Institute of Nutrition of Central America and Panama; , Universidad Mariano Galvez de Guatemala; , Universidad Rafael Landivar, Guatemala City, Guatemala; and , The Hebrew University, Jerusalem, Israel.
Rafael Meza, , and , University of Michigan, Ann Arbor, MI; and , Institute of Nutrition of Central America and Panama; , Universidad Mariano Galvez de Guatemala; , Universidad Rafael Landivar, Guatemala City, Guatemala; and , The Hebrew University, Jerusalem, Israel.

Funding

Biostatistics Training Program in Cancer ResearchT32CA083654 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Veerabhadran Baladandayuthapani, Kelley McLain Kidwell · 2002 to 2026
$4.3M
Mechanistic Modeling of Oropharyngeal Cancer Treatment and Recurrence (Supplement)U01CA182915 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI EISENBERG, MARISA C, MEZA, RAFAEL · 2014 to 2019
$3.3M
NCI NIH HHS T32 CA083654NCI NIH HHS U01 CA182915
6 · The paper itself

Abstract

purposeCervical cancer rates in Latin America are higher than those in developed countries, likely because of the lower prevalence of screening. Specifically, less than 40% of women in Guatemala are regularly screened and even fewer women are screened in indigenous communities. Current screening strategies-Pap smears and visual inspection with acetic acid-might not be the most effective methods for controlling cancer in these settings. We thus investigated the potential of self-collection of cervical samples with testing for human papillomavirus (HPV) to help prevent cervical cancer in an indigenous community in Guatemala. PATIENTS AND

methodsA community representative random sample of 202 indigenous women age 18 to 60 years residing in Santiago Atitlan, Guatemala, were surveyed to assess knowledge of and risk factors for HPV and cervical cancer. Women were then invited to self-collect a cervical sample using HerSwab collection kits to assess the prevalence of HPV and the acceptability of self-sampling.

resultsOf 202 women who completed the survey, 178 (89%) provided a self-sample. In all, 79% of these women found the test comfortable, 91% found the test easy to use, and 100% reported they were willing to perform the test periodically as a screening method. Thirty-one samples (17%) were positive for at least one of 13 high-risk HPV types, and eight (4.5%) were positive for HPV 16/18.

conclusionHPV testing by using self-collected samples was well accepted, suggesting that it is a plausible modality for cervical cancer screening in indigenous communities. Further studies are needed to assess rates of follow-up after a positive test and to determine whether these findings extend to other indigenous and nonindigenous communities in Guatemala and Latin America.

Identifiers

PMID29094082
PMCPMC5646882

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.