ArticleCancer causes & control : CCC2026
Leveraging the role of families in decision-making to inform a program of HPV-based self-collection for cervical screening in Tamil Nadu, India: a qualitative study.
Article in Cancer causes & control : CCC, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
12 authors.
Funding
Abstract
purposeCollectivist cultures often perceive health seeking and decision-making to be less individual and more communal, with most decisions made in consultation with a spouse or other family members. These dynamics are further complicated by heightened cultural sensitivities for women seeking care for reproductive needs. Our study explored community perceptions of cervical screening and recommendations for self-collection for Human Papillomavirus (HPV) testing in south India.
methodsWe conducted eight focus group discussions (FGDs) with 54 men (mean age 48 years) and 10 FGDs with 67 women (mean age 58 years) belonging to rural, urban poor and tribal communities in Tamil Nadu. We used a framework analysis method for coding using the World Health Organization (WHO) framework for assessing barriers to health service coverage, the Capability Opportunity Motivation-behavior (COM-B) model, and the Theoretical Framework of Acceptability (TFA).
resultsStigma, familial hierarchies, gendered norms and challenges with accessing health facilities contributed to delayed care for women with gynecological symptoms and hindered screening. Both men and women supported the idea of self-collection for their family members, although doubts were raised regarding accuracy, and usefulness for asymptomatic women. Participants suggested group counseling, community-based screening, peer motivation and easily accessible follow-up assessments for ensuring wide coverage. These findings informed the design and implementation of a cervical screening trial using self-collection, in the same locations.
conclusionsScreening programs need to address accessibility and acceptability barriers to cervical screening through family involvement, leveraging family support for the entire screening pathway from screening to follow-up.
Indexed as
Identifiers
41546783What OpenQuestion holds
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.