<?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%">Johane Le Goff</style></author><author><style face="normal" font="default" size="100%">Anne-Sophie Le Duc-Banasz</style></author><author><style face="normal" font="default" size="100%">Caroline Lefeuvre</style></author><author><style face="normal" font="default" size="100%">Adeline Pivert</style></author><author><style face="normal" font="default" size="100%">Alexandra Ducancelle</style></author><author><style face="normal" font="default" size="100%">H De Pauw</style></author><author><style face="normal" font="default" size="100%">M. Arbyn</style></author><author><style face="normal" font="default" size="100%">Aubeline Vinay</style></author><author><style face="normal" font="default" size="100%">Franck Rexand-Galais</style></author></authors></contributors><titles><title><style face="normal" font="default" size="100%">Acceptability to Healthcare Professionals of Home-Based HPV Self-Sampling for Cervical Screening: A French Qualitative Study Conducted in an Area with Low Access to Health Services</style></title><secondary-title><style face="normal" font="default" size="100%">Cancers</style></secondary-title></titles><keywords><keyword><style  face="normal" font="default" size="100%">cancer screening strategies</style></keyword><keyword><style  face="normal" font="default" size="100%">cervical cancer</style></keyword><keyword><style  face="normal" font="default" size="100%">health professionals</style></keyword><keyword><style  face="normal" font="default" size="100%">low physician density</style></keyword><keyword><style  face="normal" font="default" size="100%">semi-structured interview</style></keyword><keyword><style  face="normal" font="default" size="100%">underscreened women</style></keyword><keyword><style  face="normal" font="default" size="100%">urine self-sampling</style></keyword><keyword><style  face="normal" font="default" size="100%">vaginal self-sampling</style></keyword></keywords><dates><year><style  face="normal" font="default" size="100%">2023</style></year><pub-dates><date><style  face="normal" font="default" size="100%">Jan-11-2023</style></date></pub-dates></dates><volume><style face="normal" font="default" size="100%">15</style></volume><language><style face="normal" font="default" size="100%">eng</style></language><abstract><style face="normal" font="default" size="100%">&lt;p&gt;Self-sampling may improve participation in cervical cancer secondary prevention programs by women who do not respond or respond irregularly when invited to contact a health professional for the collection of a cervical specimen. It could also help resolve access problems in areas with a low physician density. The present qualitative study examined barriers to screening, effective screening strategies, and the advantages and disadvantages of sending women urine or vaginal self-sampling kits in two medically underserved administrative departments in France (Mayenne and Sarthe) showing low cervical screening coverage. As part of the CapU4 randomized trial, a team of psychologists investigated the attitudes and experiences of 59 healthcare professionals (gynecologists, general practitioners, and midwives) through semi-structured interviews. Results indicated that health professionals believe that self-sampling may address the issues of low physician density and underscreening by removing logistical, organizational, financial, and psychological obstacles. They confirmed trust in the use of vaginal self-sampling, with urine self-sampling as an alternative solution (e.g., for women with vaginismus). The health professionals also identified several limitations of the self-sampling kit that will need to be addressed in future screening campaigns (incomplete kit, complex instructions, poor anatomical knowledge, and obesity).&lt;/p&gt;
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