title: Human papillomavirus self-sampling in Cameroon: women's uncertainties over the reliability of the method are barriers to acceptance.
abstract: OBJECTIVE
  The study aimed to assess acceptability and preference for self-collected human papillomavirus tests (self-HPV) compared with traditional physician-sampled Pap tests (physician sampling) in a low-resource country.
  
  
  METHODS
  Women were recruited through a cervical cancer screening campaign conducted in Cameroon. Written and oral instructions were given to carry out an unsupervised self-HPV, followed by a physician-collected cervical sample for HPV testing and cytology. Subsequently the women were asked to answer a questionnaire.
  
  
  RESULTS
  A total of 243 women were prospectively enrolled in this study. Median age of participants was 39 years (range = 25-65 years). Acceptability score was higher for self-HPV (p < .001) compared with physician sampling. Preference was lower for self-HPV than physician sampling (29% vs 62%; p < .001). Most participants thought that physician sampling was more reliable than self-HPV (59% vs 1%; p < .001). Women who preferred physician sampling were significantly more likely to have low knowledge about cervical cancer and a low educational level.
  
  
  CONCLUSIONS
  Although most of the women were more comfortable and less embarrassed with the self-HPV, they did not trust the method and did prefer physician sampling. The study underlines the need not only to educate women about HPV, cervical cancer, and its prevention but also to reassure them about the accuracy of self-HPV.
authors: Faculty of Medicine, University of Geneva, Geneva, Switzerland.
authors: Amandine
authors: A
authors: Berner
authors: Selim Ben
authors: SB
authors: Hassel
authors: Pierre-Marie
authors: PM
authors: Tebeu
authors: Sarah
authors: S
authors: Untiet
authors: Gisèle
authors: G
authors: Kengne-Fosso
authors: Isabelle
authors: I
authors: Navarria
authors: Michel
authors: M
authors: Boulvain
authors: Pierre
authors: P
authors: Vassilakos
authors: Patrick
authors: P
authors: Petignat
mesh_terms: D000328:Adult; D000368:Aged; D002163:Cameroon; D005260:Female; D006801:Humans; D008875:Middle Aged; D030361:Papillomavirus Infections / Q000175:diagnosis*; D010342:Patient Acceptance of Health Care; D011446:Prospective Studies; D012648:Self Care / Q000379:methods* / Q000523:psychology*; D013048:Specimen Handling / Q000379:methods* / Q000523:psychology*; D011795:Surveys and Questionnaires; D055815:Young Adult