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Current Oncology is published by MDPI from Volume 28 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Multimed Inc..
Article

Completing the Cervical Screening Pathway: Factors that Facilitate the Increase of Self-Collection Uptake among Under-Screened and Never-Screened Women, an Australian Pilot Study

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Indigenous Health Equity Unit, Melbourne School of Population and Global Health, University of Melbourne, 207 Bouverie St., Carlton, Parkville, VIC 3010, Australia
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Ballarat and District Aboriginal Cooperative, Baarlinjan Medical Clinic, Ballarat Central, VIC 3350, Australia
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Victorian Cytology Service, Department of Pharmacology and Therapeutics, University of Melbourne, Parkville, VIC, Australia
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Victorian Cytology Service, Department of Obstetrics and Gynaecology, University of Melbourne, Parkville, VIC, Australia
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2018, 25(1), 17-26; https://doi.org/10.3747/co.25.3916
Received: 1 November 2017 / Revised: 1 December 2017 / Accepted: 1 January 2018 / Published: 1 February 2018
Objectives: To examine factors that enhance under-screened and never-screened women’s completion of the selfcollection alternative pathway of the Renewed National Cervical Screening Program (NCSP) in Victoria, Australia. Background: With the Australian NCSP changing, starting on 1 December 2017, the Medical Services Advisory Committee (msac) recommended implementing human papillomavirus (hpv) testing using a self-collected sample for under-screened and never-screened populations. In response, a multi-agency group implemented an hpv selfcollection pilot project to trial self-collection screening pathways for eligible women. Methods: Quantitative data were collected on participation rates and compliance rates with follow-up procedures across three primary health care settings. Forty women who self-collected were interviewed in a semi-structured format, and seven agency staff completed in-depth interviews. Qualitative data were used to identify and understand clinical and personal enablers that assisted women to complete self-collection cervical screening pathways successfully. Results: Eighty-five per cent (10 women) of participants who tested positive for hpv successfully received their results and completed follow-up procedures as required. Two remaining participants also received hpvpositive results. However, agencies were unable to engage them in follow-up services and procedures. The overall participation rate in screening (self-collection or Pap test) was 85.7% (84 women), with 79 women self-collecting. Qualitative data indicated that clear explanations on self-collection, development of trusting, empathetic relationships with health professionals, and recognition of participants’ past experiences were critical to the successful completion of the self-collection pathway. When asked about possible inhibitors to screening and to following up on results and appointments, women cited poor physical and mental health, as well as financial and other structural barriers. Conclusion: A well-implemented process, led by trusted, knowledgeable, and engaged health care professionals who can provide appropriate support and information, can assist under-screened and never-screened women to complete the hpv self-collection pathway successfully.
Keywords: HPV self-collection; cervical screening; indigenous; cultural and linguistically diverse; women HPV self-collection; cervical screening; indigenous; cultural and linguistically diverse; women
MDPI and ACS Style

McLachlan, E.; Anderson, S.; Hawkes, D.; Saville, M.; Arabena, K. Completing the Cervical Screening Pathway: Factors that Facilitate the Increase of Self-Collection Uptake among Under-Screened and Never-Screened Women, an Australian Pilot Study. Curr. Oncol. 2018, 25, 17-26. https://doi.org/10.3747/co.25.3916

AMA Style

McLachlan E, Anderson S, Hawkes D, Saville M, Arabena K. Completing the Cervical Screening Pathway: Factors that Facilitate the Increase of Self-Collection Uptake among Under-Screened and Never-Screened Women, an Australian Pilot Study. Current Oncology. 2018; 25(1):17-26. https://doi.org/10.3747/co.25.3916

Chicago/Turabian Style

McLachlan, E., S. Anderson, D. Hawkes, M. Saville, and K. Arabena 2018. "Completing the Cervical Screening Pathway: Factors that Facilitate the Increase of Self-Collection Uptake among Under-Screened and Never-Screened Women, an Australian Pilot Study" Current Oncology 25, no. 1: 17-26. https://doi.org/10.3747/co.25.3916

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