<?xml version="1.0" encoding="UTF-8"?><xml><records><record><source-app name="Biblio" version="7.x">Drupal-Biblio</source-app><ref-type>17</ref-type><contributors><authors><author><style face="normal" font="default" size="100%">H De Pauw</style></author><author><style face="normal" font="default" size="100%">Gilbert Donders</style></author><author><style face="normal" font="default" size="100%">Weyers, Steven</style></author><author><style face="normal" font="default" size="100%">Philippe De Sutter</style></author><author><style face="normal" font="default" size="100%">Jean Doyen</style></author><author><style face="normal" font="default" size="100%">Wiebren A.A. Tjalma</style></author><author><style face="normal" font="default" size="100%">Vanden Broeck, Davy</style></author><author><style face="normal" font="default" size="100%">Eliana Peeters</style></author><author><style face="normal" font="default" size="100%">Severien Van Keer</style></author><author><style face="normal" font="default" size="100%">Alex Vorsters</style></author><author><style face="normal" font="default" size="100%">M. Arbyn</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Cervical cancer screening using HPV tests on self-samples: attitudes and preferences of women participating in the VALHUDES study</style></title><secondary-title><style face="normal" font="default" size="100%">Archives of Public Health</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">ATTITUDES</style></keyword><keyword><style  face="normal" font="default" size="100%">cervical cancer</style></keyword><keyword><style  face="normal" font="default" size="100%">HPV</style></keyword><keyword><style  face="normal" font="default" size="100%">human papillomavirus</style></keyword><keyword><style  face="normal" font="default" size="100%">Preferences</style></keyword><keyword><style  face="normal" font="default" size="100%">SCREENING</style></keyword><keyword><style  face="normal" font="default" size="100%">self-sampling</style></keyword><keyword><style  face="normal" font="default" size="100%">urine</style></keyword><keyword><style  face="normal" font="default" size="100%">VALHUDES</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2021</style></year><pub-dates><date><style  face="normal" font="default" size="100%">Jan-12-2021</style></date></pub-dates></dates><volume><style face="normal" font="default" size="100%">79</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;BACKGROUND&lt;br&gt;
Interventions to reach women who do not participate regularly in screening may reduce the risk of cervical cancer. Self-collection of a vaginal specimen has been shown to increase participation. The relative clinical accuracy of human papillomavirus (HPV) testing on first-void urine (with Colli-Pee) and on vaginal self-samples versus on cervical clinician-collected samples is being investigated in the VALHUDES trial. The current study assesses attitudes and experiences regarding self-sampling among women enrolled in VALHUDES.&lt;/p&gt;

&lt;p&gt;METHODS&lt;br&gt;
Questionnaires from 515 women (age 25–64 years [N = 498]; &amp;lt; 25 [N = 10], age ≥ 65 [N = 3], enrolled between December 2017 - January 2020) referred to colposcopy because of previous cervical abnormalities and enrolled in VALHUDES (NCT03064087) were analysed.&lt;/p&gt;

&lt;p&gt;RESULTS&lt;br&gt;
Of the 515 participants, nearly all women confirmed that self-sampling may help in reaching under-screened women (93%). Nevertheless, 44% of the participants stated before starting collection that a clinician-collected sample is more effective than a self-collected sample. After self-sampling, the large majority of women (&amp;gt; 95%) declared that instructions for self-collection were clear, that collection was easy, and that they were confident about having performed the procedure correctly, for both urine and vaginal collection. However, a proportion of women found self-sampling unpleasant (9.5% [49/515] for urine collection; 18.6% [96/515] and 15.5% [80/515] for vaginal sampling with cotton swabs or plastic brushes, respectively). For their next screening round, 57% would prefer self-sampling whereas 41% opted for collection by a clinician. Among women preferring self-sampling, 53% would choose for urine collection, 38% for vaginal self-collection and 9% had no preference. Age did not modify preferences.&lt;/p&gt;

&lt;p&gt;CONCLUSION&lt;br&gt;
We conclude that both urine and vaginal self-sampling are well accepted by women, with a preference for urine sampling. Although the large majority of women are confident in their ability to perform self-sampling, four to five over ten women preferred specimen collection by a clinician.&lt;/p&gt;
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