Evidence map›Paper›PMID 41731486›Full record

ArticleBMC public health2026

Implementing HPV self-collection: a scoping review of facilitators and strategies among Indigenous women and people with a cervix.

Louise Mitchell, Deb Wong, Tamara Butler, Julia Brotherton, Joan Cunningham, Sonya Egert, Kristine Falzon, Gail Garvey, Beverley Lawton, Claire Nightingale and 6 more

Abstract readScoping Review
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

16 authors.

Louise MitchellYardhura Walani, National Centre for Aboriginal and Torres Strait Islander Wellbeing Research, Australian National University, Canberra, Australian Capital Territory, Australia. louise.mitchell@anu.edu.au.ORCID http://orcid.org/0000-0003-2114-1577
Deb WongYardhura Walani, National Centre for Aboriginal and Torres Strait Islander Wellbeing Research, Australian National University, Canberra, Australian Capital Territory, Australia.
Tamara ButlerYardhura Walani, National Centre for Aboriginal and Torres Strait Islander Wellbeing Research, Australian National University, Canberra, Australian Capital Territory, Australia.ORCID http://orcid.org/0000-0001-6507-8157
Julia BrothertonEvaluation and Implementation Science Unit Centre for Health Policy, Melbourne School of Population & Global Health, University of Melbourne, Victoria, Australia.
Joan CunninghamMenzies School of Health Research, Charles Darwin University, Darwin, NT, Australia.
Sonya EgertInala Wangarra, Inala, Queensland, Australia.
Kristine FalzonWaminda South Coast Women's Health and Wellbeing Aboriginal Corporation, Nowra, New South Wales, Australia.
Gail GarveyFirst Nations Cancer & Wellbeing Research Program, The School of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia.
Beverley LawtonTe Tātai Hauora o Hine-National Centre for Women's Health Research Aotearoa, Faculty of Health, Victoria University of Wellington, Wellington, Aotearoa, New Zealand.
Claire NightingaleCentre for Health Policy, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.
Marion SavilleAustralian Centre for Prevention of Cervical Cancer, Melbourne, Australia.
Natalie TaylorSchool of Population Health, Faculty of Medicine and Health, UNSW Sydney, High Street Kensington, Sydney, NSW, 2052, Australia.
Claudette TysonQueensland Centre of Excellence in Aboriginal and Torres Strait Islander Primary Health Care, Inala, Queensland, Australia.
Kate WilkinsonYardhura Walani, National Centre for Aboriginal and Torres Strait Islander Wellbeing Research, Australian National University, Canberra, Australian Capital Territory, Australia.
Claire ZammitYardhura Walani, National Centre for Aboriginal and Torres Strait Islander Wellbeing Research, Australian National University, Canberra, Australian Capital Territory, Australia.
Lisa J WhopYardhura Walani, National Centre for Aboriginal and Torres Strait Islander Wellbeing Research, Australian National University, Canberra, Australian Capital Territory, Australia.ORCID http://orcid.org/0000-0003-4816-2933

Funding

National Health and Medical Research Council #2008097National Health and Medical Research Council GNT#1058244National Health and Medical Research Council GNT#1176651National Health and Medical Research Council GNT201490
6 · The paper itself

Abstract

backgroundIndigenous peoples in high-income settler-colonial countries experience disproportionately high cervical cancer incidence and mortality compared to non-Indigenous populations, reflecting systemic inequities and barriers to culturally safe care. HPV self-collection offers a potential solution to overcoming inequities by enabling women and people with a cervix to collect their own sample, improving autonomy, privacy, and access, and supporting culturally responsive models of care. While self-collection is accurate, acceptable, and increases screening participation, evidence is needed on how best to support implementation to reach Indigenous women and people with a cervix.

objectivesThis scoping review aimed to identify and describe implementation strategies, barriers, facilitators, and context-specific adaptations to HPV self-collection for cervical screening among Indigenous women and people with a cervix in high-income settler colonial countries.

methodsEligible sources included peer-reviewed and grey literature published between August 2013 and November 2025 that described barriers, facilitators, implementation strategies, or context-specific adaptations to HPV self-collection among Indigenous women and people with a cervix in Australia, Aotearoa New Zealand, Canada, or the United States of America (USA). Database (PubMed, SCOPUS, ProQuest CINAHL) and grey literature searches targeting Indigenous-specific organisations, government websites were conducted, using the broad search terms: cervical screening, HPV, self-collection, and Indigenous peoples. Data were extracted and mapped against the Health Equity Implementation Framework to identify barriers, facilitators, and strategies relevant to the implementation of HPV self-collection.

results32 publications were included, comprising 28 academic publications and 4 from the grey literature. Identified facilitators included client health literacy and knowledge, flexible models of care, culturally responsive care, supportive data and systems, and strengths-based messaging. Indigenous-led solutions were central to enabling these facilitators.

conclusionsWhile evidence comparing the impact of individual strategies is not available, community-driven, multi-component strategies were recommended. The most effective strategies appeared to combine flexible delivery models, such as home-based or outreach approaches, with tailored education focusing on increasing knowledge and building trust. Indigenous-led approaches and the involvement of Indigenous health workers and community leaders were central to strategies.

Indexed as

Human Papillomavirus VirusesPapillomavirus InfectionsSelf CareSpecimen HandlingUterine Cervical NeoplasmsAustraliaCanadaEarly Detection of CancerFemaleHumansNew ZealandUnited StatesBarriersCancer preventionCervical screeningFacilitatorsHuman PapillomavirusImplementationIndigenous peoplesScoping reviewSelf-collectionStrategies

Identifiers

PMID41731486
PMCPMC13037132

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.