TY - JOUR
T1 - Determinants for Participation in Human Papillomavirus Self-Sampling among Nonattenders to Cervical Cancer Screening in Denmark
AU - Harder, Elise
AU - Thomsen, Louise T
AU - Hertzum-Larsen, Rasmus
AU - Albieri, Vanna
AU - Hessner, Marie Vik
AU - Juul, Kirsten Egebjerg
AU - Bonde, Jesper
AU - Frederiksen, Kirsten
AU - Kjaer, Susanne K
N1 - ©2018 American Association for Cancer Research.
PY - 2018/11
Y1 - 2018/11
N2 - Background: Offering human papillomavirus-based self-sampling to nonparticipants in routine cervical cancer screening can increase screening participation. However, little is known about characteristics of women who accept self-sampling. In this population-based study, we investigated determinants for participation in self-sampling among Danish nonattenders to routine cervical cancer screening. Methods: During 2014 to 2015, a random sample of screening nonparticipants ages 27 to 65 years living in the Capital Region of Denmark were invited for self-sampling. Of 21,314 eligible women, 4,743 participated in self-sampling. Information on sociodemographic characteristics and mental and physical health of all the women was obtained from nationwide registries, and 3,707 women completed a questionnaire on lifestyle, sexual behavior, and reasons for nonparticipation in routine screening. We used logistic regression to estimate ORs for participation in self-sampling, crude, and adjusted for sociodemographic characteristics. Results: Basic education [ORadjusted1/40.79; 95% confidence interval (CI), 0.72-0.88], low income (ORadjusted1/40.66; 95% CI, 0.59-0.73), origin from a nonwestern country (ORadjusted = 0.43; 95% CI, 0.38-0.48), and being unmarried (ORadjusted =0.66; 95% CI, 0.61-0.72) were associated with lower self-sampling participation. Long-term unscreened women (ORadjusted = 0.49; 95% CI, 0.45-0.53), women with prior schizophrenia or other psychoses (Oradjusted = 0.62; 95% CI, 0.48-0.80), women with poor self-perceived health (ORadjusted = 0.42; 95% CI, 0.250.69), and women who perceived screening as unnecessary (Oradjusted = 0.54; 95% CI, 0.37-0.80) or irrelevant (ORadjusted = 0.81; 95% CI, 0.78-0.96) were less likely to self-sample. Conclusions: Certain population groups, includingwomen with low socioeconomic position or of nonwestern origin, were less likely to participate in self-sampling. Impact: Targeted approaches may be needed to increase screening participation in these groups.
AB - Background: Offering human papillomavirus-based self-sampling to nonparticipants in routine cervical cancer screening can increase screening participation. However, little is known about characteristics of women who accept self-sampling. In this population-based study, we investigated determinants for participation in self-sampling among Danish nonattenders to routine cervical cancer screening. Methods: During 2014 to 2015, a random sample of screening nonparticipants ages 27 to 65 years living in the Capital Region of Denmark were invited for self-sampling. Of 21,314 eligible women, 4,743 participated in self-sampling. Information on sociodemographic characteristics and mental and physical health of all the women was obtained from nationwide registries, and 3,707 women completed a questionnaire on lifestyle, sexual behavior, and reasons for nonparticipation in routine screening. We used logistic regression to estimate ORs for participation in self-sampling, crude, and adjusted for sociodemographic characteristics. Results: Basic education [ORadjusted1/40.79; 95% confidence interval (CI), 0.72-0.88], low income (ORadjusted1/40.66; 95% CI, 0.59-0.73), origin from a nonwestern country (ORadjusted = 0.43; 95% CI, 0.38-0.48), and being unmarried (ORadjusted =0.66; 95% CI, 0.61-0.72) were associated with lower self-sampling participation. Long-term unscreened women (ORadjusted = 0.49; 95% CI, 0.45-0.53), women with prior schizophrenia or other psychoses (Oradjusted = 0.62; 95% CI, 0.48-0.80), women with poor self-perceived health (ORadjusted = 0.42; 95% CI, 0.250.69), and women who perceived screening as unnecessary (Oradjusted = 0.54; 95% CI, 0.37-0.80) or irrelevant (ORadjusted = 0.81; 95% CI, 0.78-0.96) were less likely to self-sample. Conclusions: Certain population groups, includingwomen with low socioeconomic position or of nonwestern origin, were less likely to participate in self-sampling. Impact: Targeted approaches may be needed to increase screening participation in these groups.
U2 - 10.1158/1055-9965.epi-18-0480
DO - 10.1158/1055-9965.epi-18-0480
M3 - Journal article
C2 - 30108095
SN - 1055-9965
VL - 27
SP - 1342
EP - 1351
JO - Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
JF - Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology
IS - 11
ER -
