Reasons for non-attendance to cervical screening and preferences for HPV self-sampling in Dutch women
Menée à partir de questionnaires auprès de 10 166 participantes ayant refusé de subir un examen de dépistage du cancer du col de l'utérus, cette étude néerlandaise identifie les raisons expliquant leur non participation à cet examen ainsi que les raisons expliquant leur utilisation ou non du kit d'auto-prélèvement vaginal offert pour effectuer le test HPV
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.
Preventive Medicine 2014