Evidence map›Paper›PMID 40007321›Full record

ArticleCancer medicine2025

Acceptability of Home-Based Urine Self-Collection for Cervical Cancer Screening Among Women Receiving Care at the Arab Community Center for Economic and Social Services in Michigan.

Timothy C Guetterman, Christelle El Khoury, Madiha Tariq, Ghada Aziz, Asraa Alhawli, Martha L Alves, Elizabeth Haro, Emma A Butcher, Alexandra H Vinson, Diane M Harper

Abstract read
In one paragraph

Article in Cancer medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

10 authors.

Timothy C GuettermanDepartment of Family Medicine, University of Michigan, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0002-0093-858X
Christelle El KhouryDepartment of Family Medicine, University of Michigan, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0002-2562-4800
Madiha TariqOakland County Michigan, Dearborn, Michigan, USA.ORCID https://orcid.org/0000-0002-1005-7284
Ghada AzizArab Community Center for Economic and Social Services (ACCESS), Dearborn, Michigan, USA.
Asraa AlhawliArab Community Center for Economic and Social Services (ACCESS), Dearborn, Michigan, USA.ORCID https://orcid.org/0000-0002-6527-274X
Martha L AlvesDepartment of Family Medicine, University of Michigan, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0001-6772-6306
Elizabeth HaroDepartment of Physical Medicine and Rehabilitation, University of Michigan, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0003-3595-5432
Emma A ButcherDepartment of Family Medicine, University of Michigan, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0002-3729-4159
Alexandra H VinsonDepartment of Learning Health Sciences, University of Michigan, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0002-9062-7899
Diane M HarperDepartment of Family Medicine, University of Michigan, Ann Arbor, Michigan, USA.ORCID https://orcid.org/0000-0001-7648-883X

Funding

XenograftP30CA046592 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Eric R. Fearon · 1988 to 2026
$178.2M
Michigan Institute for Clinical and Health Research (MICHR)UL1TR002240 · NCATS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LUMENG, JULIE C, MASHOUR, GEORGE ALEXANDER · 2017 to 2022
$54.9M
NCATS NIH HHS UL1 TR002240NCATS NIH HHS UL1TR002240NCI NIH HHS P30 CA046592NCI NIH HHS P30CA046592
6 · The paper itself

Abstract

backgroundMichigan's Middle Eastern-North African (MENA) community is an essential and growing part of the state's population. However, MENA individuals are underrepresented in the research literature due to a lack of recognized demographic categorization. Prior work shows that MENA women face barriers to traditional clinician-directed cervical cancer screening. This study aims to capture the perspectives of MENA women about home-based urine cervical cancer screening using HPV kits and to assess whether such methods could positively impact future screening intent.

methodsThrough collaboration with a community partner in southeast Michigan, we recruited MENA women ages 30-65, with 44 completing the study. Participants used urine HPV self-sampling kits at home and then shared their perspectives through a phone interview. We used an inductive, thematic approach to analyze the interviews, which captured experiences with home-based self-sampling, screening preferences, and impact on future screening intent.

resultsParticipants found that urine home-based self-sampling was acceptable as a convenient and comfortable way to screen for cervical cancer. Most (80%) preferred self-sampling over traditional clinician-directed screening and preferred collecting urine samples at home (73%) rather than in the clinic. Overall, 80% reported that access to urine self-sampling would positively impact their future screening intent.

conclusionsMENA participants in this study positively received home-based cervical cancer screening using urine HPV self-sampling kits. These findings support the clinical implementation of self-sampling and home-based cervical cancer screening to increase participation, particularly among those in under-screened communities.

Indexed as

Early Detection of CancerPapillomavirus InfectionsPatient Acceptance of Health CareSelf CareUrine Specimen CollectionUterine Cervical NeoplasmsAdultAgedArabsFemaleHumansMichiganMiddle Agedcervical cancer screeningMiddle Eastern‐North African (MENA)qualitative studyself‐sampling

Identifiers

PMID40007321
PMCPMC11862107

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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.