title: Acceptability and Feasibility of Human Papilloma Virus Self-Sampling for Cervical Cancer Screening.
abstract: Women in safety-net institutions are less likely to receive cervical cancer screening. Human papilloma virus (HPV) self-sampling is an alternative method of cervical cancer screening. We examine the acceptability and feasibility of HPV self-sampling among patients and clinic staff in two safety-net clinics in Miami.
  
  
  
  Haitian and Latina women aged 30-65 years with no Pap smear in the past 3 years were recruited. Women were offered HPV self-sampling or traditional Pap smear screening. The acceptability of HPV self-sampling among patients and clinic staff was assessed. If traditional screening was preferred the medical record was reviewed.
  
  
  
  A total of 180 women were recruited (134 Latinas and 46 Haitian). HPV self-sampling was selected by 67% women. Among those selecting traditional screening, 22% were not screened 5 months postrecruitment. Over 80% of women agreed HPV self-sampling was faster, more private, easy to use, and would prefer to use again. Among clinic staff, 80% agreed they would be willing to incorporate HPV self-sampling into practice.
  
  
  
  HPV self-sampling was both acceptable and feasible to participants and clinic staff and may help overcome barriers to screening.
authors.affiliation: 1 Department of Medicine, Family Medicine, and Community Health, Florida International University , Miami, Florida.
authors.forename: Kumar
authors.initials: K
authors.lastname: Ilangovan
authors.affiliation: 2 Department of Medicine, Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine , Miami, Florida.|3 Department of Public Health Sciences, Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine , Miami, Florida.
authors.forename: Erin
authors.initials: E
authors.lastname: Kobetz
authors.affiliation: 3 Department of Public Health Sciences, Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine , Miami, Florida.
authors.forename: Tulay
authors.initials: T
authors.lastname: Koru-Sengul
authors.affiliation: 2 Department of Medicine, Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine , Miami, Florida.
authors.forename: Erin N
authors.initials: EN
authors.lastname: Marcus
authors.affiliation: 2 Department of Medicine, Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine , Miami, Florida.
authors.forename: Brendaly
authors.initials: B
authors.lastname: Rodriguez
authors.affiliation: 2 Department of Medicine, Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine , Miami, Florida.
authors.forename: Yisel
authors.initials: Y
authors.lastname: Alonzo
authors.affiliation: 2 Department of Medicine, Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine , Miami, Florida.|3 Department of Public Health Sciences, Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine , Miami, Florida.
authors.forename: Olveen
authors.initials: O
authors.lastname: Carrasquillo
mesh_terms: D000328:Adult; D000368:Aged; D055088:Early Detection of Cancer / Q000379:methods*; D005260:Female; D005431:Florida; D006205:Haiti / Q000208:ethnology; D006630:Hispanic or Latino; D006801:Humans; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D065006:Papanicolaou Test; D027383:Papillomaviridae / Q000302:isolation & purification; D030361:Papillomavirus Infections / Q000175:diagnosis*; D010342:Patient Acceptance of Health Care; D064876:Safety-net Providers; D012648:Self Care / Q000379:methods*; D013048:Specimen Handling / Q000379:methods*; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000517:prevention & control / Q000821:virology; D014626:Vaginal Smears