ArticleJournal of racial and ethnic health disparities2025
"Mana Motuhake - I am in Charge and Have Control Over my Body": a Cross-Sectional Survey Describing Māori Participants' Experience with HPV Primary Screening in Aotearoa New Zealand.
Article in Journal of racial and ethnic health disparities, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
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Who cites it
1 citing paper in PubMed.
- Place-Based Structural Disadvantage, Lethal Police Violence, and Adverse Birth Outcomes Among Black Birthing People.Journal of urban health : bulletin of the New York Academy of Medicine · 2026Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
introductionIn 2023, Aotearoa New Zealand's National Cervical Screening Programme introduced human papillomavirus (HPV) primary screening with the universal option to self-test. This change was informed by a primary care implementation study involving 3308 people due or overdue for cervical screening.
methodsA cross-sectional survey conducted in 2023 sought implementation study participants' perspectives on their experience of HPV primary screening, with separate analysis of responses from indigenous Māori participants - a group historically underserved by the screening programme. Data collection included: information provision, choice of test, receipt of results, screening experience, understanding of HPV testing, future preferences and suggested improvements. Survey data were analysed using descriptive statistics and inductive thematic analysis.
resultsIn total, 176 of 921 survey respondents self-identified as Māori ethnicity (aged 24-70 years) so were included in analyses. Most chose to self-test (94%) for comfort, privacy and convenience and because it supports mana motuhake (self-determination). Good communication and support from the health professional had a positive impact on screening experience. Many felt well informed, but key facts about HPV primary screening were later incorrectly recalled. A minority of participants experienced issues related to implementation, including inadequate education, information or instructions. Future screening intent was high (91.8%), with nearly half (48.2%) wanting to self-test at home.
conclusionHPV self-testing was an acceptable screening method for Māori survey participants. Findings highlight the need for clear, repeated communication and education to improve awareness and understanding of HPV screening. Reducing current inequities in screening and related outcomes will require providers to effectively engage, educate and support Māori into screening.
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Registered trials
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.