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Original Article
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- Attitude toward human papillomavirus self-sampling and associated factors among Thai women undergoing colposcopy
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Pichamon Sukkasame1, Nida Jareemit2, Awassada Punyashthira3
, Perapong Inthasorn2, Nopwaree Chantawong3, Komsun Suwannarurk3, Piyawan Pariyawateekul1, Siriwan Tangjitgamol4,5, Thai Gynecologic Cancer Society Research Group6
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1Gynecologic Oncology Unit, Department of Obstetrics and Gynecology, Bhumibol Adulyadej Hospital, Bangkok, Thailand
2Division of Gynaecologic Oncology, Department of Obstetrics and Gynaecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
3Division of Gynaecologic Oncology, Department of Obstetrics and Gynaecology, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand
4Department of Obstetrics and Gynecology, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand
5Department of Obstetrics and Gynecology, MedPark Hospital, Bangkok, Thailand
6Department of Obstetrics and Gynecology, Thai Gynecologic Cancer Society, Bangkok, Thailand
- Corresponding author: Awassada Punyashthira ,Email: Awassada@tu.ac.th
- Received: December 7, 2023; Revised: January 28, 2024 Accepted: February 15, 2024.
- Abstract
- Objective
To compare attitudes toward self-sampling for human papillomavirus (HPV) testing before and after specimen collection in women undergoing colposcopy. The factors associated with the pre-sampling attitude were also studied.
Methods
This prospective study enrolled women with abnormal cervical cytology and/or positive high-risk HPV who attended colposcopy clinics at 10 cancer centers in Thailand between October 2021 and May 2022. Prior to colposcopy, the attitudes of the women toward self-sampling were surveyed through a questionnaire. Written and verbal instructions for self-sampling were provided before the process and subsequent colposcopy. The attitudes toward self-sampling were reassessed after the actual self-sampling. Factors associated with the attitudes were analyzed.
Results
A total of 499 women were included in this study. The mean age was 39.28±11.36 years. A total of 85.3% were premenopause, and 98.8% had sexual experience. With the full score of 45, the attitude score after self-sampling was significantly higher than the attitude score before self-sampling (39.69±5.16 vs. 37.76±5.71; P<0.001). On univariate analysis, the factors associated with attitude before HPV self-sampling were age, menopausal status, sexual activity, education level, income, knowledge regarding HPV, and prior high-grade squamous intraepithelial lesion histology. The remaining significant factor on multivariate analysis was sexual activity within the past year (B=0.105, 95% confidence interval, 0.014-2.870; P=0.048).
Conclusion
Attitudes toward self-sampling improved after the actual self-sampling process, as evidenced by higher attitude scores. Sexual activity was the only independent factor related to the attitude before self-sampling.
Keywords :Cancer screening; Cervix; Attitude; Knowledge
