Cervical cancer screening with clinic‐based Pap test versus home HPV test among Somali immigrant women in Minnesota: a pilot randomized controlled trial
Open accessAbstract
Cervical cancer is more common in the Somali immigrant population than the general population in the United States (US). There are low rates of cervical cancer screening among Somali women. This study compares cervical cancer screening test completion rates for a home human papilloma virus (HPV) test and standard clinic Pap test. Sixty‐three Somali immigrant women aged 30–70 years who had not undergone cervical cancer screening within the past 3 years were randomly assigned to a home HPV test group (intervention) or a clinic Pap test group (control). Test completion rates were measured at 3 months. Univariate and multivariate logistic regression models were used to explore factors associated with test completion (intention‐to‐treat analysis). Participants in the HPV test group were 14 times more likely to complete the test compared to those in the Pap test group (P = 0.0002). Women who reported having friends/family members to talk about cancer screening were approximately three times more likely to complete any screening test than those who did not (P = 0.127) and participants who reported residing in the US longer were more likely to complete a screening test (P = 0.011). Future research should explore the potential of using the home‐based HPV test kits as an initial approach to cervical cancer screening. Impact: The use of a self‐sampling HPV kit has the potential to increase cervical cancer screening in under‐served communities in the US.
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To increase screening coverage, HPV testing has been offered to women via self-collection, removing the need for a pelvic exam, clinic setting and a trained provider.
“To increase screening coverage, HPV testing has been offered to women via self-collection, removing the need for a pelvic exam, clinic setting and a trained provider [12–17].”
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Sorted by citations
Oketch, S. Y., Kwena, Z., Choi, Y., Adewumi, K., Moghadassi, M., Bukusi, E. A., & Huchko, M. J. (2019) · BMC Women's Health · doi:10.1186/s12905-019-0778-2 · Cited by 77 · see citing works
- Authors
- Sewali, B., Okuyemi, K. S., Askhir, A., Belinson, J., Vogel, R. I., Joseph, A., & Ghebre, R. G.
- Affiliations
- University of Minnesota (US)
- Somali Health Solutions Minneapolis Minnesota
- Cleveland Clinic (US)
- Corresponding author
- Sewali, Barrett
- Venue
- Cancer Medicine
- Publisher
- Wiley
- Published
- 2015-02-04
- Volume
- 4
- Issue
- 4
- Pages
- 620-631
- ISSN
- 2045-7634 (ISSN-L)
- PMC
- PMC4402076
- OpenAlex
- W1984066971
- Cited by
- 75
- References
- 1
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 9 · 2023: 7 · 2022: 3 · 2021: 8 · 2020: 8 · 2019: 8 · 2018: 6 · 2017: 9 · 2016: 4 · 2015: 1
- FWCI
- 5.23
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Cancer Medicine (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (U54CA153603)
- Topics
- Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Keywords
- cervical cancer screening, Pap smear, test completion rates, immigrant health disparities, underserved populations
- MeSH terms
- Adult, Aged, Ambulatory Care, Uterine Cervical Neoplasms, Female, Home Care Services, Humans, Middle Aged, Minnesota, Pilot Projects, Somalia, Specimen Handling, Patient Satisfaction, Papillomavirus Infections, Emigrants and Immigrants, Early Detection of Cancer, Diagnostic Self Evaluation, Papanicolaou Test
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