TY - JOUR
T1 - Efficacy of self-sampling in promoting participation to cervical cancer screening also in subsequent round
AU - Del Mistro, Annarosa
AU - Frayle, Helena
AU - Ferro, Antonio
AU - Fantin, Gianpiero
AU - Altobelli, Emma
AU - Giorgi Rossi, Paolo
PY - 2016/12/23
Y1 - 2016/12/23
N2 - Offering self-sampling devices improves participation of under-screened women. We evaluated participation in routine screening following the self-sampling intervention in two organized population-based screening programmes located in North-East Italy. Data on participation at 3-years-interval after a randomized clinical trial assessing the response to two strategies offering self-samplers (sent at home or offered free at local pharmacy) with a control action (sending reminders for a cervical specimen taken at the clinic) in 30–64 yr-old women non-respondent to the regular call-recall invitation were analyzed. Up to April 2016, 2300 women out of the 2995 recruited in the trial in 2011 were re-invited to perform a screening test at clinic; overall, 698 women adhered. Participation was similar in the three arms (29–32%), and highest (47–68%) among those who participated in the previous round. Over the two rounds, 44.6%, 32.3% and 30.3% women had at least one test in the self-sampling at home, self-sampling at pharmacy and test at the clinic arms, respectively. Our data indicate that the beneficial effect of offering self-sampling devices to nonparticipating women is maintained over time. Self-samplers are useful to increase overall coverage; their sporadic use does not seem to increase the proportion of women regularly repeating the test.
AB - Offering self-sampling devices improves participation of under-screened women. We evaluated participation in routine screening following the self-sampling intervention in two organized population-based screening programmes located in North-East Italy. Data on participation at 3-years-interval after a randomized clinical trial assessing the response to two strategies offering self-samplers (sent at home or offered free at local pharmacy) with a control action (sending reminders for a cervical specimen taken at the clinic) in 30–64 yr-old women non-respondent to the regular call-recall invitation were analyzed. Up to April 2016, 2300 women out of the 2995 recruited in the trial in 2011 were re-invited to perform a screening test at clinic; overall, 698 women adhered. Participation was similar in the three arms (29–32%), and highest (47–68%) among those who participated in the previous round. Over the two rounds, 44.6%, 32.3% and 30.3% women had at least one test in the self-sampling at home, self-sampling at pharmacy and test at the clinic arms, respectively. Our data indicate that the beneficial effect of offering self-sampling devices to nonparticipating women is maintained over time. Self-samplers are useful to increase overall coverage; their sporadic use does not seem to increase the proportion of women regularly repeating the test.
KW - Cervical cancer
KW - HPV test
KW - Participation
KW - Screening
KW - Self-sampling
UR - http://www.scopus.com/inward/record.url?scp=85007107581&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85007107581&partnerID=8YFLogxK
U2 - 10.1016/j.pmedr.2016.12.017
DO - 10.1016/j.pmedr.2016.12.017
M3 - Article
AN - SCOPUS:85007107581
VL - 5
SP - 166
EP - 168
JO - Preventive Medicine Reports
JF - Preventive Medicine Reports
SN - 2211-3355
ER -