Analysis of the acceptance and influencing factors of self-collection urine HPV testing in cervical cancer screening
10.11904/j.issn.1002-3070.2025.05.008
- VernacularTitle:宫颈癌筛查人群对自取样尿液HPV检测的接受度及影响因素分析
- Author:
Yifan LI
1
;
Chuanyu QIN
;
Xi ZENG
;
Yajiao LU
;
Guangdong LIAO
;
Leni KANG
;
Ying YANG
;
Min ZHOU
;
Mingrong XI
;
Chunxia YANG
;
Jing LI
Author Information
1. 四川大学华西公共卫生学院/四川大学华西第四医院(成都 610041)
- Publication Type:Journal Article
- Keywords:
urine human papilloma virus testing;
cervical cancer screening population;
acceptance
- From:
Practical Oncology Journal
2025;39(5):412-417
- CountryChina
- Language:Chinese
-
Abstract:
Objective The aim of this study was to explore the acceptance and influencing factors of self-collected urine samples for human papillomavirus(HPV)testing in cervical cancer screening among eligible women,and to provide scientific evidence for promoting this testing in low resource areas.Methods A population-based cross-sectional study was conducted from 2022 to 2023 at the Maternal and Child Health Hospital in Shuangliu district,Chengdu City Sichuan Province.The study subjects were women aged 21 to 69 years old,and a customized questionnaire was used to conduct general information and acceptance surveys on the partic-ipants.Results A total of 2,062 women were included,with an average age of 51.58±9.34 years.Among them,1,501(72.79％)women believed that self-sampling urine was very easy.However,although 1,333(64.65％)women were still willing to accept doctor sampling as a cervical cancer screening method,only 729(35.35％)were more willing to accept self-sampling urine HPV testing.Age,educational level,annual household income,awareness of HPV,HPV vaccination status,and a sense of shame about the doctor's sampling process were all associated with the acceptance of self-collected urine HPV testing among women undergoing cervical cancer screening(P＜0.001).The results of multivariate logistic regression analysis indicated that older women(OR=0.965,95％CI:0.951-0.979)and those who were not familiar with HPV(OR=0.760,95％CI:0.602-0.961)were more likely to undergo self sampling urine HPV testing,while those with junior high school education(OR=1.330,95％CI:1.053-1.682),high school education or a-bove(OR=1.990,95％CI:1.401-2.827),and a sense of shame towards the doctor's sampling process(OR=2.314,95％CI:1.706-3.142)were more likely to undergo self sampling urine for HPV testing.Conclusions Most women believe that self sampling urine for HPV testing is very easy,but compared to doctor sampling,only some women choose to self sample urine for HPV testing.Key health education interventions should be carried out for older and lower educated populations to promote acceptance of urine HPV testing.
