Cancer Causes and Control
Volume 29, Issue 9, 2018, Pages 793-801

A randomized trial of mailed HPV self-sampling for cervical cancer screening among ethnic minority women in South Florida (Article)

Kobetz E.* , Seay J. , Koru-Sengul T. , Bispo J.B. , Trevil D. , Gonzalez M. , Brickman A. , Carrasquillo O.
  • a Department of Medicine, University of Miami Miller School of Medicine, Miami-Dade, FL, United States, Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami-Dade, FL, United States, University of Miami Miller School of Medicine, Clinical Research Building Room 610B, 1120 NW 14th Street, Miami, FL 33136, United States
  • b Department of Medicine, University of Miami Miller School of Medicine, Miami-Dade, FL, United States, Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami-Dade, FL, United States
  • c Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami-Dade, FL, United States, Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami-Dade, FL, United States
  • d Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami-Dade, FL, United States
  • e Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami-Dade, FL, United States
  • f Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami-Dade, FL, United States
  • g The Health Choice Network, Miami-Dade, FL, United States
  • h Department of Medicine, University of Miami Miller School of Medicine, Miami-Dade, FL, United States, Sylvester Comprehensive Cancer Center, University of Miami Miller School of Medicine, Miami-Dade, FL, United States

Abstract

Purpose: HPV self-sampling has previously been shown to increase cervical cancer screening among ethnic minority and immigrant women. We conducted a randomized pragmatic trial to examine the effectiveness of HPV self-sampling delivered via in-person versus by US mail for medically underserved Hispanic, Haitian, and non-Hispanic Black women living in South Florida. Methods: We randomized women aged 30–65 who had not completed Pap smear screening in the past 3 years into two groups: (1) HPV self-sampling delivered in-person (IP) by a community health worker (CHW; IP + SS) or (2) HPV self-sampling delivered via US mail (SS + Mail). Our primary outcome was HPV self-sampling completion by 6-month post-study enrollment. Results: We enrolled 600 women. Approximately 65% were Hispanic and 35% were Haitian or non-Hispanic Black. Nearly half (43%) had an income of less than $20,000/year and 67% were uninsured. In intent-to-treat analyses, 71.6% of participants in the SS + Mail group and 81.0% of participants in the IP + SS group completed HPV self-sampling. Conclusion: Mailed HPV self-sampling is an effective strategy to increase cervical cancer screening among underserved immigrant and ethnic minority women. © 2018, Springer Nature Switzerland AG.

Author Keywords

Women Immigrant Cervical cancer screening HPV Self-sampling

Index Keywords

medically uninsured minority group human middle aged Ethnic Groups statistics and numerical data ethnic group controlled study priority journal early cancer diagnosis Aged randomized controlled trial cancer screening health auxiliary Early Detection of Cancer ethnology African American procedures Hispanic Americans Haitian Haiti Wart virus Florida Humans migrant income Hispanic Black person Minority Groups Emigrants and Immigrants female pragmatic trial uterine cervix cytology isolation and purification Article postal mail major clinical study adult uterine cervix cancer Postal Service Papillomavirus Infections Papillomaviridae Uterine Cervical Neoplasms Papanicolaou Test uterine cervix tumor papillomavirus infection Specimen Handling Self Care African Americans
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85049698526&doi=10.1007%2fs10552-018-1055-7&partnerID=40&md5=ec532e8469b20737eecd6746becbf0d8
DOI: 10.1007/s10552-018-1055-7
ISSN: 09575243
Cited by: 1
Original Language: English