Evidence map›Paper›PMID 33773563›Full record

ArticleAsian Pacific journal of cancer prevention : APJCP2021

Acceptability and Concordance of Self- Versus Clinician- Sampling for HPV Testing among Rural South Indian Women.

Purnima Madhivanan, Holly Nishimura, Kavitha Ravi, Benjamin Pope, Makella Coudray, Anjali Arun, Karl Krupp, Poornima Jayakrishna, Vijaya Srinivas

Abstract read
In one paragraph

Article in Asian Pacific journal of cancer prevention : APJCP, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 4 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

22 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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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

9 authors.

Purnima MadhivananDepartment of Health Promotion Sciences, Mel & Enid Zuckerman College of Public Health, University of Arizona, Tucson, USA.ORCID 0000-0001-7818-3394
Holly NishimuraDepartment of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, USA.
Kavitha RaviPublic Health Research Institute of India, Mysore, India.
Benjamin PopeDepartment of Epidemiology & Biostatistics, Mel & Enid Zuckerman College of Public Health, University of Arizona, Tucson, USA.
Makella CoudrayDepartment of Population Health Sciences, College of Medicine, University of Central Florida, Orlando, USA.
Anjali ArunPublic Health Research Institute of India, Mysore, India.
Karl KruppDepartment of Health Promotion Sciences, Mel & Enid Zuckerman College of Public Health, University of Arizona, Tucson, USA.
Poornima JayakrishnaPublic Health Research Institute of India, Mysore, India.
Vijaya SrinivasPublic Health Research Institute of India, Mysore, India.

Funding

Research Mentoring and Building Capacity of underrepresented Minority Research Scientists in India.D43TW010540 · FIC · YALE UNIVERSITY · PI MICHELE BARRY, Eva Harris · 2017 to 2026
$15.5M
Longitudinal Study of Vaginal Microbiota and Persistent Human Papillomavirus DetectionR15AI128714 · NIAID · FLORIDA INTERNATIONAL UNIVERSITY · PI MADHIVANAN, PURNIMA · 2017 to 2017
$440k
FIC NIH HHS D43 TW010540NIAID NIH HHS R15 AI128714
6 · The paper itself

Abstract

backgroundDespite being largely preventable, HPV-related cervical cancers continues to be the second highest cause of cancer deaths among Indian women. HPV testing using self-sampled samples may offer an opportunity to expand cervical cancer screening in India where there is currently a shortage of providers and facilities for cervical cancer screening. The study examines acceptability and concordance of self vs. clinician collected samples for HPV-relted cervical cancer screening among rural South Indian women.

methodsBetween May and August 2017, eight mobile screening clinics were conducted among 120 eligible women in rural villages in Mysore District, India. Women over the age of 30 underwent informed consent process and then self-sampled a sample for cervicovaginal HPV DNA testing. Next, the women underwent clinical exam where the clinician collected a cervicovaginal HPV DNA sample. Following the clinical exam, all participants answered an interviewer-administered questionnaire to assess their history of cervical cancer screening and acceptability of self- and clinician-sampling methods. To assess diagnostic accuracy, concordance of self- and clinician-sampled HPV DNA specimens was calculated in addition to five measures of acceptability (feeling of caring, privacy, embarrassment, genital discomfort, and genital pain).

resultsStudy participants had a median age 39 years, about four-in-ten (41.7%) had a secondary education or above, the vast majority (87.5%) were married and only 3.4% reported having screened for cervical cancer. For all measures of participant acceptability, self-sampling was rated significantly higher than clinician-sampling. Cohen's kappa was 0.73 (95% CI: 0.34, 1.00), indicating substantial agreement between self- and clinician-sampling.

conclusionThis study demonstrates that HPV self-sampling for cervical cancer screening is feasible and acceptable in a community setting among South Indian rural women. Concordance between self-sampling and clinician-sampling was adequate for screening in community settings.  <br />.

Indexed as

Patient Acceptance of Health CarePhysiciansSelf-TestingAdultDNA, ViralEarly Detection of CancerFemaleGynecological ExaminationHumansIndiaMiddle AgedPapillomavirus InfectionsRural PopulationSensitivity and SpecificitySpecimen HandlingUterine Cervical NeoplasmsDNA, ViralCervical cancerIndiaScreeningSelf-collectionself-sampling

Identifiers

PMID33773563
PMCPMC8286674

What OpenQuestion holds

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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.