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Assessing the acceptability of a vaginal self-sampling device in a Rural Parish of Cuenca, Ecuador

dc.contributor.authorDelgado López, Dayanara
dc.contributor.authorAcosta Bedón, Ana
dc.contributor.authorRivas-Párraga, Roque
dc.contributor.authorHeredia, Micaela
dc.contributor.authorMuñoz, Carolina
dc.contributor.authorVega Crespo, Bernardo
dc.contributor.authorVermandere, Heleen
dc.contributor.authorHendrickx, Marie
dc.contributor.authorGama, Ana
dc.contributor.authorNeira, Vivian Alejandra
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - Pólo ENSP
dc.contributor.institutionCentro de Investigação em Saúde Pública (CISP/PHRC)
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.pblSage Periodicals Press
dc.date.accessioned2025-05-23T21:15:24Z
dc.date.available2025-05-23T21:15:24Z
dc.date.issued2025-01-01
dc.descriptionFunding Information: We extend our heartfelt thanks to all the women who participated in this study. We are deeply grateful for your invaluable contributions to this research. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study is part of the ELEVATE consortium, which has received funding from the European Union\u2019s Horizon 2020 research and innovation program under grant agreement No 825747. It also receives funding from the Vicerrectorado de Investigaci\u00F3n of the University of Cuenca, Ecuador. Publisher Copyright: © The Author(s) 2025.
dc.description.abstractIntroduction: Cervical Cancer (CC) is a preventable and treatable disease if detected early, yet it remains a global health challenge. In Ecuador, CC is the second most common cancer; however, screening uptake remains suboptimal due to poor knowledge, low willingness, and limited access to healthcare. Traditionally, CC screening requires a healthcare professional, creating social and access barriers. Innovative techniques such as “self-sampling” (SS) for human papillomavirus (HPV) detection offer a promising alternative. Objective: This study evaluates the acceptability, attitudes, and user experience of a community-based SS program among a hard-to-reach population following a local educational session. Methods: A quasi-experimental study was conducted in a rural community in Cuenca, Ecuador. Educational sessions were organized, after which women were offered the option to perform SS for HPV detection. Three questionnaires were administered to assess population characteristics, risk factors, and experiences toward the process. Results: Of the 130 participants, 90% accepted SS, and 10% rejected SS. A significant number of women reported that SS was faster and less painful compared to traditional Papanicolaou tests (P <.05). Conclusions: SS shows strong potential for increasing CC screening, especially in hard-to-reach areas, emphasizing the need to adapt screening programs to meet diverse community needs.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent693860
dc.identifier.doi10.1177/21501319251320172
dc.identifier.issn2150-1319
dc.identifier.otherPURE: 116625396
dc.identifier.otherPURE UUID: 0003f4e2-f470-4548-bcd7-176b072ca5df
dc.identifier.otherScopus: 85219137559
dc.identifier.otherPubMed: 39970046
dc.identifier.otherWOS: 001426555500001
dc.identifier.otherPubMedCentral: PMC11840851
dc.identifier.urihttp://hdl.handle.net/10362/183370
dc.identifier.urlhttps://www.scopus.com/pages/publications/85219137559
dc.language.isoeng
dc.peerreviewedyes
dc.subjectacceptability
dc.subjectcervical cancer
dc.subjecthard-to-reach women
dc.subjectHPV
dc.subjectself-sampling
dc.subjectCommunity and Home Care
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectSDG 3 - Good Health and Well-being
dc.titleAssessing the acceptability of a vaginal self-sampling device in a Rural Parish of Cuenca, Ecuadoren
dc.typejournal article
degois.publication.titleJournal of Primary Care and Community Health
degois.publication.volume16
dspace.entity.typePublication
rcaap.rightsopenAccess

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