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http://dx.doi.org/10.7314/APJCP.2013.14.5.3029

Primary Study on Providing a Basic System for Uterine Cervical Screening in a Developing Country: Analysis of Acceptability of Self-sampling in Lao PDR  

Yoshida, Tomomi (Department of Laboratory Sciences, Graduate School of Health Sciences, Gunma University)
Nishijima, Yoshimi (Department of Laboratory Sciences, Graduate School of Health Sciences, Gunma University)
Hando, Kiyomi (The Non-Government Organization, International Support and Partnership for Health (ISAPH))
Vilayvong, Soulideth (Department of Pathology, Faculty of Medicine, University of Health Sciences Lao PDR)
Arounlangsy, Petsamone (Department of Pathology, Faculty of Medicine, University of Health Sciences Lao PDR)
Fukuda, Toshio (Department of Laboratory Sciences, Graduate School of Health Sciences, Gunma University)
Publication Information
Asian Pacific Journal of Cancer Prevention / v.14, no.5, 2013 , pp. 3029-3035 More about this Journal
Abstract
Background: Most developing countries have been unable to implement well-organized health care systems, especially comprehensive Pap smear screening-based programs. One of the reasons for this is regional differences in medical services, and a low-cost portable cervical screening system is necessary. To improve regional discrepancies in cervical screening systems, we investigated the usefulness and acceptability of cervical selfsampling by liquid-based cytology (LBC) for 290 volunteers in the Lao PDR. Materials and Methods: Following health education with comprehensive documents, cervical self-sampling kits by LBC were distributed in three provincial, district, and village areas to a total of 290 volunteers, who were asked to take cytology samples by themselves. Subsequently, the acceptability of self-sampling was evaluated using a questionnaire. Results: The documents were well understood in all three regions. Regarding the acceptability of self-sampling, the selections for subsequent screening were 62% self-sampling, 36% gynecologist-sampling, 1% either method, and 1% other methods. The acceptability rates were higher in the district and the village than in the province. For the relationship between acceptability and pregnancy, the self-sampling selection rate was higher in the pregnancy-experienced group (75%) than in the pregnancy-inexperienced group (60%). For the relationship between selection of self-sampling and experience of screening, the self-sampling selection rate was higher in the screening-inexperienced group (62%) than in the screening-experienced group (52%). Conclusions: Our data show that this new way forward, involving a combination of self-sampling and LBC, is highly acceptable regardless of age, educational background, and residence in rural areas in a developing country.
Keywords
Cervical cytology; self-sampling; acceptability; regional difference; developing country;
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1 Aral SO, Soskoline V, Joesoef RM, O'Reilly KR (1991). Sex partner recruitment as risk factor for STD: clustering of risky modes. Sex Transm Dis, 18, 10-7.   DOI   ScienceOn
2 Breen N, Wagener DK, Brown ML, Davis WW, Ballard-Barbash R (2001). Progress in cancer screening over a decade: results of cancer screening from the 1987, 1992 and 1998 National Health Interview Surveys. J Natl Cancer Inst, 93, 1704-13.   DOI   ScienceOn
3 Casey MM, Call KT, Klingner JM (2001). Are rural residents less likely to obtain recommended preventive healthcare services? Am J Prev Med, 21, 182-8.   DOI   ScienceOn
4 Chavez LR, Hubbell FA, Mishra SI, Valdez RB (1997). The influence of fatalism on self-reported use of Papanicolaou smear. Am J Prev Med, 13, 418-24.
5 Christopherson WM, Lundin FE, Mendez WM, Parker JE (1976). Cervical cancer control: a study of morbidity and mortality trends over a twenty-one-year period. Cancer, 38, 1357-66.   DOI
6 Fahs MC, Plichta SB, Mandelblatt JS (1996). Cost-effective policies for cervical cancer screening: an international review. Pharmacoeconomics, 3, 211-30.
7 Goldie SJ, Gaffkin L, Goldhaber-Fiebert JD, et al (2005). Cost effectiveness of cervical-cancer screening in five developing countries. N Engl J Med, 353, 2158-68.   DOI   ScienceOn
8 GLOBOCAN Cancer Fact sheet: Cervical Cancer Incidence and Mortality Worldwide in 2008. "Interagency for Research on Cancer" (2008), http://globocan.iarc.fr/factsheets/cancers/cervix.asp.
9 Guidry JJ, Aday LA, Zhang D, Winn RJ (1997). Transportation as a barrier to cancer treatment. Cancer Pract, 5, 361-6.
10 Harris R, Leininger L (1993). Preventive care in rural primary care practice. Cancer, 72, 1113-8.   DOI
11 Hart LG, Salsberg E, Phillips DM, Lishner DM (2003). Rural health care providers in the United States. J Rural Hlth, 18, 211-32.
12 Hawkins R, Curtiss C (1997). Cancer resources for providers in the rural community. Cancer Pract, 5, 383-6.
13 Hsieh YH, Howell MR, Gaydos JC, et al (2003). Preference among female Army recruits for use of self-administrated vaginal swabs or urine to screen for Chlamydia trachomatis genital infections. Sex Transm Dis, 30, 769-73.   DOI   ScienceOn
14 United Nations Development Programme (2013). Human Development Report; Explanatory note on 2013 HDR composite indices: Lao People's Democratic Republic (2013). http://hdrstats.undp.org/en/countries/profiles/lao.html
15 Kim K, Riger RD, Patric JR, et al (1978). The changing trends of uterine cancer and cytology: a study of morbidity and mortality trends over a twenty year period. Cancer, 42, 2439-49.   DOI   ScienceOn
16 Lantz PM, Weigers ME, House JS (1997). Education and income differentials in breast and cervical cancer screening. Policy implications for rural women. Med Care, 35, 219-36.   DOI   ScienceOn
17 Lazcano-Ponce EC, Moss S, Alonso de Ruiz P, Salmeron CJ, Hernandez AM (1999). Cervical cancer screening in developing countries: why is it ineffective? The case of Mexico. Arch Med Res, 30, 240-50.   DOI   ScienceOn
18 Lua NT, Chinh ND, Hue NT, et al (2011). Survey-based cancer mortality in the Lao PDR, 2007-08. Asian Pac J Cancer Prev, 12, 2495-8.
19 Moore MA, Attasara P, Khuhaprema T, et al (2008). Cancer epidemiology in mainland South-East Asia - past, present and future. Asian Pac J Cancer Prev, 9, 67-80.
20 Moscovice IS (1989). Rural hospitals: a literature synthesis and health services research agenda. Hlth Serv Res, 23, 892-930.
21 Nabandith N, Pholsena V, Mounthisone P, et al (2012). First trial of cervical cytology in healthy women of urban Laos using by self-sampling instrument. Asian Pac J Cancer Prev, 13, 4665-7.   DOI   ScienceOn
22 Nandini NM, Nandish SM, Pallavi P, et al (2012). Manual liquid based cytology in primary screening for cervical cancer--a cost effective preposition for scarce resource settings. Asian Pac J Cancer Prev, 13, 3645-51.   DOI   ScienceOn
23 Papillo JL, Zarcka MA, St John TL (1998). Evaluation of the ThinPrep Pap test in clinical practice: a seven-month, 16,314-case experience in northern Vermont. Acta Cytol, 42, 203-8.   DOI   ScienceOn
24 Ramsbottom-Lucier M, Emmett K, Rich EC, Wilson JF (1996). Hills, ridges, mountains, and roads: geographical factors and access to care in rural Kentucky. J Rural Hlth, 12, 386-94.   DOI   ScienceOn
25 Richardson E, Sellors JW, Mackinnon S, et al (2003). Prevalence of Chlamydia trachomatis infections and specimen collection preference among women, using self-collected vaginal swabs in community setting. Sex Transm Dis, 30, 880-5.   DOI   ScienceOn
26 Ries LAG, Kosary CL, Hankey BF, Edwards BK (1999). Cancer Statistic Review, 1973-1996. National Cancer Institute, Bethesda.
27 Sanchaisuriya P, Pengsaa P, Sriamporn S, et al (2004). Experience with a self-administered device for cervical cancer screening by Thai women with different educational backgrounds. Asian Pac J Cancer Prev, 5, 144-50.
28 Sawyer JA, Earp J, Fletcher RH, Daye FF, Wynn TM (1990). Pap tests of rural black women. J Gen Intern Med, 5, 115-9.   DOI
29 Settakorn J, Rangdaeng S, Preechapornkul N, et al (2008). Interobserver reproducibility with $LiquiPrep^{TM}$ liquid-based cervical cytology screening in a developing country. Asian Pac J Cancer Prev, 9, 92-6.
30 Sherwani RK, Khan T, Aktar K, et al (2007). Conventional pap smear and liquid based cytology for cervical cancer screening - a comparative study. J Cytol, 24, 167-72.   DOI
31 Stearns SC, Slifkin RT, Edin HM (2000). Access to care for rural Medicare beneficiaries. J Rural Hlth, 16, 31-42.   DOI   ScienceOn
32 Suwannarurk K, Bhamarapravatana K, Kheolamai P, et al (2010). Can self vaginal douching for high risk HPV screening replace or assist efficacy of cervical cancer screening? Asian Pac J Cancer Prev, 11, 1397-401.
33 Swaddiwudhipong W, Chaovakiraripong C, Nguntra P, et al (1995). Effect of mobile unit on changes in knowledge and use of cervical cancer screening among rural Thai women. Int J Epidemiol, 24, 493-8.   DOI   ScienceOn
34 Wiesenfeld HC, Lowry DL, Heine RP, et al (2001). Selfcollection of vaginal swabs for the detection of Chlamydia, gonorrhea, and trichomoniasis: opportunity to encourage sexually transmitted disease testing among adolescents. Sex Transm Dis, 28, 321-5.   DOI   ScienceOn
35 World Health Organization (1986). Control of cancer of the cervix uteri. A WHO meeting. Bull World Hlth Organ, 64, 607-18.
36 Yabroff KR, Lawrence WF, King JC, et al (2005). Geographic disparities in cervical cancer mortality: what are the roles of risk factor prevalence, screening and use of recommended treatment? J Rural Hlth, 21, 149-57.   DOI   ScienceOn