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Self-collected vaginal sampling for the detection of genital human papillomavirus (HPV) using careHPV among Ghanaian women

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dc.contributor.author Obiri-Yeboah, Dorcas
dc.contributor.author Adu-Sarkodie, Yaw
dc.contributor.author Djigma, Florencia
dc.contributor.author Hayfron-Benjamin, Anna
dc.contributor.author Abdul, Latif
dc.contributor.author Simpore, Jacques
dc.contributor.author Mayaud, Philippe
dc.date.accessioned 2023-12-11T11:39:04Z
dc.date.available 2023-12-11T11:39:04Z
dc.date.issued 2017
dc.identifier.uri http://hdl.handle.net/123456789/10718
dc.description.abstract Background: Detection of genital HPV DNA is recommended as an important strategy for modern cervical cancer screening. Challenges include access to services, the reliance on cervical samples taken by clinicians, and patient’s preference regarding provider gender. The objective of this research was to determine the acceptability, feasibility and performance of alternative self-collected vaginal samples for HPV detection among Ghanaian women. Methods: A comparative frequency-matched study was conducted in a systematic (1:5) sample of women attending HIV and outpatient clinics in the Cape Coast Teaching Hospital, Ghana. Participants were instructed on self-collection (SC) of vaginal samples using the careHPV brush and a clinician-collected (CC) cervical sample was obtained using a similar brush. Paired specimens were tested for HPV DNA (14 high-risk types) by careHPV assay (Qiagen) and by HPV genotyping (Anyplex II, Seegene). Results: Overall, 194 women of mean age 44.1 years (SD ± 11.3) were enrolled and 191 paired SC and CC results were analysed. The overall HPV detection concordance was 94.2% (95%CI: 89.9–97.1), Kappa value of 0.88 (p < 0. 0001), showing excellent agreement. This agreement was similar between HIV positive (93.8%) and negative (94. 7%) women. Sensitivity and specificity of SC compared to CC were 92.6% (95%CI: 85.3–97.0) and 95.9% (95%CI: 89.8–98.8) respectively. The highest sensitivity was among HIV positive women (95.7%, 95%CI: 88.0–99.1) and highest specificity among HIV negative women (98.6%, 95%CI: 92.4–100). Overall, 76.3% women found SC very easy/easy to obtain, 57.7% preferred SC to CC and 61.9% felt SC would increase their likelihood to access cervical cancer screening. Conclusions: The feasibility, acceptability and performance of SC using careHPV support the use of this alternative form of HPV screening among Ghanaian women. This could be a potential new affordable strategy to improve uptake of the national cervical cancer screening program. en_US
dc.language.iso en en_US
dc.publisher BMC Women's Health en_US
dc.subject Human papillomavirus (HPV) en_US
dc.subject Self-collection en_US
dc.subject Clinician-collection en_US
dc.subject careHPV en_US
dc.subject Ghana en_US
dc.subject Cervical cancer en_US
dc.title Self-collected vaginal sampling for the detection of genital human papillomavirus (HPV) using careHPV among Ghanaian women en_US
dc.type Article en_US


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