title: Cervical cancer screening with clinic-based Pap test versus home HPV test among Somali immigrant women in Minnesota: a pilot randomized controlled trial.
abstract: Cervical cancer is more common in the Somali immigrant population than the general population in the United States (US). There are low rates of cervical cancer screening among Somali women. This study compares cervical cancer screening test completion rates for a home human papilloma virus (HPV) test and standard clinic Pap test. Sixty-three Somali immigrant women aged 30-70 years who had not undergone cervical cancer screening within the past 3 years were randomly assigned to a home HPV test group (intervention) or a clinic Pap test group (control). Test completion rates were measured at 3 months. Univariate and multivariate logistic regression models were used to explore factors associated with test completion (intention-to-treat analysis). Participants in the HPV test group were 14 times more likely to complete the test compared to those in the Pap test group (P = 0.0002). Women who reported having friends/family members to talk about cancer screening were approximately three times more likely to complete any screening test than those who did not (P = 0.127) and participants who reported residing in the US longer were more likely to complete a screening test (P = 0.011). Future research should explore the potential of using the home-based HPV test kits as an initial approach to cervical cancer screening.
  
  
  CONCLUSIONS
  The use of a self-sampling HPV kit has the potential to increase cervical cancer screening in under-served communities in the US.
authors: Program in Health Disparities Research, University of Minnesota Medical School, Minneapolis, Minnesota; Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, Minnesota.
authors: Barrett
authors: B
authors: Sewali
authors: Kolawole S
authors: KS
authors: Okuyemi
authors: Asli
authors: A
authors: Askhir
authors: Jerome
authors: J
authors: Belinson
authors: Rachel I
authors: RI
authors: Vogel
authors: Anne
authors: A
authors: Joseph
authors: Rahel G
authors: RG
authors: Ghebre
mesh_terms: D000328:Adult; D000368:Aged; D000553:Ambulatory Care; D059026:Diagnostic Self Evaluation; D055088:Early Detection of Cancer / Q000379:methods* / Q000523:psychology; D054242:Emigrants and Immigrants / Q000523:psychology; D005260:Female; D006699:Home Care Services; D006801:Humans; D008875:Middle Aged; D008910:Minnesota / Q000453:epidemiology; D065006:Papanicolaou Test / Q000379:methods / Q000523:psychology; D030361:Papillomavirus Infections / Q000175:diagnosis* / Q000208:ethnology / Q000523:psychology; D017060:Patient Satisfaction; D010865:Pilot Projects; D012998:Somalia / Q000208:ethnology; D013048:Specimen Handling; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000208:ethnology / Q000523:psychology
keywords: Cancer screening HPV self-collection test; Pap test; Somali women
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