Format

Send to

Choose Destination
Prev Med. 2014 Jul;64:108-13. doi: 10.1016/j.ypmed.2014.04.011. Epub 2014 Apr 13.

Reasons for non-attendance to cervical screening and preferences for HPV self-sampling in Dutch women.

Author information

1
Department of Obstetrics and Gynaecology, Radboud University Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands.
2
Department of Obstetrics and Gynaecology, Radboud University Medical Center, PO Box 9101, 6500 HB, Nijmegen, The Netherlands. Electronic address: Pleun.Ketelaars@radboudumc.nl.
3
Department of Pathology, VU University Medical Centre, PO Box 7057, 1007 MB, Amsterdam, The Netherlands.
4
Department of Medical Microbiology, Radboud University Medical Center, Nijmegen, The Netherlands.

Abstract

OBJECTIVES:

High attendance rates in cervical screening are essential for effective cancer prevention. Offering HPV self-sampling to non-responders increases participation rates. The objectives of this study were to determine why non-responders do not attend regular screening, and why they do or do not participate when offered a self-sampling device.

METHODS:

A questionnaire study was conducted in the Netherlands from October 2011 to December 2012. A total of 35,477 non-responders were invited to participate in an HPV self-sampling study; 5347 women did opt out. Finally, 30,130 women received a questionnaire and self-sampling device.

RESULTS:

The analysis was based on 9484 returned questionnaires (31.5%) with a self-sample specimen, and 682 (2.3%) without. Among women who returned both, the main reason for non-attendance to cervical screening was that they forgot to schedule an appointment (3068; 32.3%). The most important reason to use the self-sampling device was the opportunity to take a sample in their own time-setting (4763; 50.2%). A total of 30.9% of the women who did not use the self-sampling device preferred after all to have a cervical smear taken instead.

CONCLUSIONS:

Organisational barriers are the main reason for non-attendance in regular cervical screening. Important reasons for non-responders to the regular screening to use a self-sampling device are convenience and self-control.

KEYWORDS:

Early detection of cancer; HPV self-sampling; Non-attendance; Questionnaires; Screening; Uterine cervical neoplasms

PMID:
24736093
DOI:
10.1016/j.ypmed.2014.04.011
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center