Women's perspectives on the acceptability of risk-based cervical cancer screening

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dc.contributor.authorRemmel, Maali-Liina
dc.contributor.authorSuija, Kadri
dc.contributor.authorRaudne, Riina
dc.contributor.authorTisler, Anna
dc.contributor.authorĶīvīte-Urtāne, Anda
dc.contributor.authorStankūnas, Mindaugas
dc.contributor.authorNygård, Mari
dc.contributor.authorAasbø, Gunvor
dc.contributor.authorMaļina, Laura
dc.contributor.authorUusküla, Anneli
dc.contributor.institutionInstitute of Public Health
dc.date.accessioned2024-10-29T08:05:01Z
dc.date.available2024-10-29T08:05:01Z
dc.date.issued2024-10
dc.descriptionPublisher Copyright: © The Author(s) 2024.
dc.description.abstractBACKGROUND: The increased knowledge of cervical cancer (CC) risk factors and suboptimal performance of present screening programs has generated interest in shifting from a universal screening approach to one based on individual risk assessment. To inform the future development of risk-based CC screening programs, it is crucial to gain insight into the factors influencing the acceptability of such approach among screening target group women. The aim of this study was to prospectively investigate the acceptability of risk-based CC screening and to identify potential barriers. METHODS: In this qualitative study, one-to-one semi-structured interviews were conducted with a purposeful sample including women aged 30-65 years to explore women's perspectives on the acceptability of risk-based CC screening. The study was conducted in Estonia, and interviews were conducted from March to September 2023. Potential participants were approached in person by a member of the study team or by their healthcare providers at primary care or gynaecology clinics. The interview guides were developed based on the concept of acceptability of healthcare interventions. RESULTS: Twenty participants (mean age 44.5, SD = 8.6) with diverse backgrounds were interviewed. The seven components of acceptability (affective attitude, burden, ethicality, opportunity costs, perceived effectiveness, self-efficacy, and intervention coherence) were explored as key themes. Generally, women supported risk-based screening. However, we identified several factors that may compromise the acceptability of risk-based screening. The participants were reluctant to accept less intense screening for low-risk women and anticipated that if risk-based approach was implemented, more frequent testing would remain an option. Providing in-person clinician support was expected, requiring additional healthcare resources. Knowledge gaps in CC prevention highlighted the need for accessible information and education. Most women were unworried about sensitive data inclusion in risk score calculations. However, some participants were concerned about potential confidentiality breaches by healthcare workers. CONCLUSION: This study indicates that risk-based CC screening is acceptable, except for testing low-risk women less frequently. Our findings underscore the necessity for comprehensive understanding of the needs and concerns of the target group women for program development. Healthcare organizations are required to proactively address these needs by implementing comprehensive information dissemination and efficient communication approaches.en
dc.description.statusPeer reviewed
dc.format.extent2173505
dc.identifier.citationRemmel, M-L, Suija, K, Raudne, R, Tisler, A, Ķīvīte-Urtāne, A, Stankūnas, M, Nygård, M, Aasbø, G, Maļina, L & Uusküla, A 2024, 'Women's perspectives on the acceptability of risk-based cervical cancer screening', BMC Cancer, vol. 24, no. 1, 1314. https://doi.org/10.1186/s12885-024-13050-7
dc.identifier.doi10.1186/s12885-024-13050-7
dc.identifier.issn1471-2407
dc.identifier.urihttps://dspace.rsu.lv/jspui/handle/123456789/16819
dc.identifier.urlhttps://pubmed.ncbi.nlm.nih.gov/39455985/
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=85207823587&partnerID=8YFLogxK
dc.language.isoeng
dc.relation.ispartofBMC Cancer
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectAcceptability of healthcare interventions, qualitative research
dc.subjectCervical cancer screening
dc.subjectRisk-based screening
dc.subject3.3 Health sciences
dc.subject3.2 Clinical medicine
dc.subject1.1. Scientific article indexed in Web of Science and/or Scopus database
dc.subjectOncology
dc.subjectGenetics
dc.subjectCancer Research
dc.subjectSDG 3 - Good Health and Well-being
dc.titleWomen's perspectives on the acceptability of risk-based cervical cancer screeningen
dc.type/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article

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