Evidence map›Paper›PMID 30654774›Full record

ArticleBMC public health2019

Evaluation of the self-sampling for cervical cancer screening in Bolivia.

Gustavo Allende, Pedro Surriabre, Leyddy Cáceres, Diego Bellot, Neli Ovando, Andrea Torrico, Pamela Calle, Carla Ascarrunz, Sophie Alexander, Michel Bossens and 2 more

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
3.7field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 38 citations in OpenAlex.

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  8. Cervical Cancer Prevention in Rural Areas.Annals of global health · 2023
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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

12 authors at 2 institutions in 2 countries.

Gustavo AllendeLaboratorio Virología, Facultad de Medicina, Universidad Mayor de San Simón, Cochabamba, Bolivia.
Pedro SurriabreLaboratorio Virología, Facultad de Medicina, Universidad Mayor de San Simón, Cochabamba, Bolivia.
Leyddy CáceresLaboratorio Virología, Facultad de Medicina, Universidad Mayor de San Simón, Cochabamba, Bolivia.
Diego BellotLaboratorio Virología, Facultad de Medicina, Universidad Mayor de San Simón, Cochabamba, Bolivia.
Neli OvandoLaboratorio Virología, Facultad de Medicina, Universidad Mayor de San Simón, Cochabamba, Bolivia.
Andrea TorricoLaboratorio Virología, Facultad de Medicina, Universidad Mayor de San Simón, Cochabamba, Bolivia.
Pamela CalleLaboratorio Virología, Facultad de Medicina, Universidad Mayor de San Simón, Cochabamba, Bolivia.
Carla AscarrunzInstitute of Social Sciences Research (INCISO). Faculty of Social Sciences, Universidad Mayor de San Simón, Cochabamba, Bolivia.
Sophie AlexanderEcole de Santé Publique, Université Libre de Bruxelles (U.L.B.), CP596, route de Lennik 808, 1070, Brussels, Belgium.
Michel BossensResearch laboratory in human reproduction, Campus Erasme, Faculty of Medicine, Université Libre de Bruxelles, Brussels, Belgium.
Véronique FontaineUnité de Microbiologie Pharmaceutique et Hygiène, Faculté de Pharmacie, Université Libre de Bruxelles (U.L.B.), CP205/2, Campus Plaine, Boulevard du Triomphe, 1050, Brussels, Belgium.
Patricia RodríguezLaboratorio Virología, Facultad de Medicina, Universidad Mayor de San Simón, Cochabamba, Bolivia. p.rodriguez@umss.edu.bo.
University of San Simón · BOUniversité Libre de Bruxelles · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncidence and mortality rates of cervical cancer in Bolivia are the highest in Latin America. Vaginal cell self-sampling can improve screening coverage. Information on common reasons for low screening coverage and preferences for future screening are essential to reduce cervical cancer incidence. We aimed to evaluate the knowledge about human papillomavirus (HPV) and cervical cancer of Bolivian women from urban, peri-urban and rural areas of Cochabamba and to determine their degree of acceptability and confidence towards vaginal HPV self-sampling. In addition, we assessed the impact of self-sampling on cervical cancer screening coverage in a selected peri-urban area.

methodsWe gathered information from women living in urban, peri-urban and rural areas of Cochabamba province in Bolivia using two different structured questionnaires. In Survey1, we collected information from 222 women about their knowledge on HPV and cervical cancer. In Survey 2, the acceptance and confidence towards vaginal HPV self-sampling compared to the physician-sampling was assessed in 221 women. A non-probabilistic stratified sampling by areas was carried out for the two questionnaires. In the third phase of the study, we determined the impact of HPV self-sampling collection on screening coverage in a peri-urban area of Cochabamba.

resultsBolivian women knew little or nothing about cervical cancer and HPV infection in all areas. They all found self-sampling collection easier to perform (86.9 to 93.2%) and more comfortable (79.4 to 83.3%) compared to physician sampling. Sampling accuracy to detect cervical cancer was probably higher in their point of view when it was taken by physician (35.1 to 63.5%). However in rural areas women preferred self-sampling. Accordingly, the campaign of vaginal HPV self-sampling in this peri-urban area increased screening coverage, reaching in three months the annual rate average.

conclusionsThe knowledge about cervical cancer and HPV infection is poor in Bolivia. Despite greater acceptance of the vaginal HPV self-sampling in all areas, women kept greater confidence in the screening performed by the gynecologist although HPV self-sampling improved coverage rate.

Indexed as

Self CareAdultBoliviaCross-Sectional StudiesEarly Detection of CancerFemaleHealth Care SurveysHealth Knowledge, Attitudes, PracticeHumansMiddle AgedPapillomaviridaePapillomavirus InfectionsPatient Acceptance of Health CareSpecimen HandlingSurveys and QuestionnairesUterine Cervical NeoplasmsAcceptabilityCervical cancerCoverageHPV screeningHPV self-sampling

Identifiers

PMID30654774
PMCPMC6337790
OpenAlexW2915377452

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.