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; Nishijima, Yoshimi; Hando, Kiyomi; Vilayvong, Soulideth; Arounlangsy, Petsamone; Fukuda, Toshio

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자료유형: 학술저널

저자정보: 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)

저널정보: 아시아태평양암예방학회 Asian Pacific journal of cancer prevention : APJCP Asian Pacific journal of cancer prevention : APJCP 제14권 제5호

발행연도: 2013.1

수록면: 3,029 - 3,035 (7page)

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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.

#Cervical cytology #self-sampling #acceptability #regional difference #developing country

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