Utilization of At-Home Cervical Cancer Screening in a Broad Community-Based General Population
Overview
This study assessed the uptake and yield of at-home cervical cancer screening in a diverse community-based population. A total of 13,714 eligible patients were offered home screening, with an opt-in rate of 18.6% and a sample return rate of 54.0% within 60 days. The median age of participants was 43 years.
Background
Self-collected vaginal sampling for HPV testing is a guideline-endorsed option that may enhance cervical cancer screening participation. Understanding the uptake and effectiveness of this method in community settings is crucial for improving screening rates, especially among underserved populations. Previous studies have shown varying levels of participation in self-collection methods.
Data Highlights
Characteristic
Value
Total patients offered home screening
13,714
Opt-in rate
18.6%
Sample return rate
54.0%
Median age of participants
43 years
Demographics
26.1% Asian or Pacific Islander, 6.2% Black, 20.9% Hispanic, 39.1% White, 7.8% mixed race or other
Key Findings
Opt-in rates were higher among older patients and those with a higher comorbidity index.
White patients comprised 49.4% of those opting for home screening.
Patients with unknown screening history were less likely to opt in for home screening.
Sample return rates were lower among patients with higher BMI and comorbidity burden.
Travel distance did not significantly affect sample return rates.
Clinical Implications
The findings indicate that demographic factors such as age and race influence participation in at-home cervical cancer screening.
Conclusion
The study provides insights into the engagement of a broader population in at-home cervical cancer screening, highlighting challenges in achieving higher sample return rates among certain demographic groups.
