Knowledge and Willingness to Self-Sampling About Cervical Cancer Screening in Zala County, Hungary
Author(s)
Réka Vajda, M.Sc., Ph.D.1, Dávid Richter, MSc1, Annamaria Pakai, M.Sc, Ph.D, habil.2, Tímea Csákvári, MSc, PhD3, Zsuzsanna Kívés, MSc, PhD1, Henriette Pusztafalvi, M.Sc., Ph.D., habil.1, Mónika Gyuró, M.Sc., Ph.D., habil.1, Imre Boncz, MSc, PhD, MD1;
1University of Pécs, Faculty of Health Sciences, Institute for Health Insurance, Pécs, Hungary, 2University of Pécs, Faculty of Health Sciences, Institute of Emergency Care, Pedagogy of Health and Nursing Sciences, Szombathely, Hungary, 3University of Pécs, Faculty of Health Sciences, Institute for Health Insurance, Zalaegerszeg, Hungary
1University of Pécs, Faculty of Health Sciences, Institute for Health Insurance, Pécs, Hungary, 2University of Pécs, Faculty of Health Sciences, Institute of Emergency Care, Pedagogy of Health and Nursing Sciences, Szombathely, Hungary, 3University of Pécs, Faculty of Health Sciences, Institute for Health Insurance, Zalaegerszeg, Hungary
OBJECTIVES: The self-collect human papillomavirus (HPV) samples can potentially increase screening coverage. The aim of our study was to explore the knowledge, participation attitude, and willingness to self-sampling related to cervical screening among women.
METHODS: We conducted a quantitative cross-sectional study in 2024. Non-probability, purposive sampling method was used to examine women aged 25-65 years living in Zala County (n=200). Data was collected with a self-administered questionnaire covering the following topics: socio-demographic data, knowledge about cervical cancer, screening methods, willingness to self-sampling. Descriptive and mathematical (chi-square test, logistic regression) methods were used for statistical analysis processed with SPSS 27.0 software and considered significant at p<0.05.
RESULTS: The overall level of knowledge of respondents is low, with respondents with a college or university degree (p=0.010) and those aged 25-35 (p=0.002) being significantly more informed. Those with a higher level of knowledge are more likely to receive the HPV vaccine (OR=1.198 95%CI 1.065;1.376]; p‹0.001). Furthermore, participation in the screening test is also positively influencing the willingness to vaccinate (p=0.043). 118 people would trust the self-sampling screening method (59.0%), considering that 93 people (46.5%) would take the test, but would also go to a clinic for screening. 53 people would not take a self-sampling at all (26.5%). Regular participants in previous screening were significantly (p=0.040) more likely to take a self-sampling (73.7%) than those who had not taken a screening test regularly or at all (26.3%). Furthermore, respondents with a higher level of knowledge would also be more likely to take a self-sampling (p=0.037).
CONCLUSIONS: Approximately half of the women were willing to collect HPV samples for cervical cancer screening. Self-collection is an acceptable means of cervical cancer screening that may be of importance from a health policy perspective, but women's knowledge needs to be broadened to increase willingness to use it.
METHODS: We conducted a quantitative cross-sectional study in 2024. Non-probability, purposive sampling method was used to examine women aged 25-65 years living in Zala County (n=200). Data was collected with a self-administered questionnaire covering the following topics: socio-demographic data, knowledge about cervical cancer, screening methods, willingness to self-sampling. Descriptive and mathematical (chi-square test, logistic regression) methods were used for statistical analysis processed with SPSS 27.0 software and considered significant at p<0.05.
RESULTS: The overall level of knowledge of respondents is low, with respondents with a college or university degree (p=0.010) and those aged 25-35 (p=0.002) being significantly more informed. Those with a higher level of knowledge are more likely to receive the HPV vaccine (OR=1.198 95%CI 1.065;1.376]; p‹0.001). Furthermore, participation in the screening test is also positively influencing the willingness to vaccinate (p=0.043). 118 people would trust the self-sampling screening method (59.0%), considering that 93 people (46.5%) would take the test, but would also go to a clinic for screening. 53 people would not take a self-sampling at all (26.5%). Regular participants in previous screening were significantly (p=0.040) more likely to take a self-sampling (73.7%) than those who had not taken a screening test regularly or at all (26.3%). Furthermore, respondents with a higher level of knowledge would also be more likely to take a self-sampling (p=0.037).
CONCLUSIONS: Approximately half of the women were willing to collect HPV samples for cervical cancer screening. Self-collection is an acceptable means of cervical cancer screening that may be of importance from a health policy perspective, but women's knowledge needs to be broadened to increase willingness to use it.
Conference/Value in Health Info
2025-05, ISPOR 2025, Montréal, Quebec, CA
Value in Health, Volume 28, Issue S1
Code
PCR172
Topic
Patient-Centered Research
Topic Subcategory
Patient Behavior and Incentives, Patient Engagement, Patient-reported Outcomes & Quality of Life Outcomes
Disease
SDC: Oncology, SDC: Reproductive & Sexual Health