Triage of Women with Human Papillomavirus Self-Collection in Jujuy Province

Abstract

INTRODUCTION: Human Papillomavirus (HPV) testing effectiveness for cervical cancer (CC) prevention and the potential of HPV self-sampling test versions (SS-HPV) in reducing screening barriers have been recognized. One of the main challenges is to guarantee access to Papanicolaou (Pap) triage testing for women who have tested positive on the SS-HPV. The aim of this study was to measure positive SS-HPV adherence to triage, and to analyze social determinants of triage adherence in women aged 30 year or more with SSHPV+ within the public health system in the province of Jujuy. METHODS: A cross-sectional descriptive study was conducted, analyzing data from the National Screening Information System (SITAM) and home surveys of SS-HPV+ women during 2015-2016, without recorded Pap triage results. RESULTS: The estimated rate of triage adherence ranged between 96% and 81%. These rates were lower 60 and 120 days after AT (18% y 35%, respectively). Women with social security/ private health coverage and without overcrowded housing conditions were most likely to have triage. Problems relating to result delivery were mentioned as the main reason for Pap triage non-adherence. CONCLUSIONS: Although adherence levels are high, there is a critical need for comprehensive interventions to improve delivery of results and to help address socio-structural barriers to adherence to triage