• Medientyp: E-Artikel
  • Titel: HPV testing on vaginal/cervical nurse-assisted self-samples versus clinician-taken specimens and the HPV prevalence, in Adama Town, Ethiopia
  • Beteiligte: Haile, Eshetu Lemma; Cindy, Simoens; Ina, Benoy; Belay, Gurja; Jean-Pierre, Van geertruyden; Sharon, Ransom; Lisbeth, Lebelo Ramokone; Paul, Bogers Johannes
  • Erschienen: Ovid Technologies (Wolters Kluwer Health), 2019
  • Erschienen in: Medicine
  • Sprache: Englisch
  • DOI: 10.1097/md.0000000000016970
  • ISSN: 0025-7974; 1536-5964
  • Schlagwörter: General Medicine
  • Entstehung:
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  • Beschreibung: <jats:sec> <jats:title>Abstract</jats:title> <jats:p>This study aimed to determine the feasibility of vaginal/cervical nurse-assisted self-sampling (NASS) and the agreement between human papilloma virus (HPV) tests on self-samples versus clinician-taken (CT) specimens.</jats:p> <jats:p>Women participated voluntarily for cervical cancer screening at St. Aklesia Memorial Hospital. Eighty-three women provided a total of 166 coupled self-taken and CT specimens collected. Specimens were stored at room temperature for a maximum of 10 months and analyzed using validated the RIATOL qPCR HPV genotyping test, a quantitative polymerase chain reaction (qPCR) high-throughput HPV E6, E7 assay. The average age of the participating women was 32 years. Seventy-three women (87.9%) felt that NASS was easy to use. An overall HPV, high-risk (HR) HPV, and low-risk HPV prevalence was 22.7% (15/66), 18.2% (12/66), and 6.1% (4/66), respectively. The overall HR HPV prevalence was 17.2% (NASS) and 15.5% (CT). The most prevalent HPV type was HPV51; HPV 16 was only detected in 1 woman (CT+NASS) and HPV18 only in 1 woman (CT). The overall measurement agreement between self-taken and CT samples was moderate with a kappa value of 0.576 (<jats:italic toggle="yes">P</jats:italic> &lt; .001). Lifetime partnered with &gt;2 men were associated with HR HPV positivity (<jats:italic toggle="yes">P</jats:italic> &lt; .001). There was a strong statistical association between HR HPV positivity and visual inspection with acetic acid- positive (<jats:italic toggle="yes">P</jats:italic> &lt; .001). The NASS for HPV testing could be seen as an alternative option and might be acceptable to Ethiopian women. The overall HR HPV prevalence was comparable with Sub-Saharan countries in the general population.</jats:p> </jats:sec>
  • Zugangsstatus: Freier Zugang