HPV Self-Collection for Cervical Cancer Screening—There’s No Place Like Home
Mené auprès de 2 474 participantes (âge médian : 49 ans), cet essai randomisé évalue l'efficacité, du point de vue du taux de participation au dépistage du cancer du col de l'utérus, de l'envoi de kits d'auto-prélèvement, en combinaison ou non avec un accompagnement, par rapport à des rappels téléphoniques
Despite the existence of effective screening tests, about 11 500 people in the US are diagnosed with cervical cancer each year. More than half of these individuals had never been screened or had only been screened infrequently. These concerning statistics reflect multifactorial barriers to office-based cervical cancer screening. For one, such screening historically has been performed via pelvic examination, which may provoke discomfort or shame, or may be culturally unacceptable for some individuals. The examination may be particularly distressing for those with a history of sexual trauma, who are less likely to be up to date in cervical cancer screening, or for people who identify as transgender or nonbinary. Beyond the pelvic examination, attending an office visit for screening may be difficult for some due to conflicting work or childcare responsibilities, cost of travel, limited access to care, or the lack of sufficient trained clinicians in many parts of the country.
JAMA Internal Medicine , résumé, 2025