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RESEARCH ARTICLE (Open Access)

What young women (aged 24–29 years) in Australia think about self-collection for cervical screening: a brief report

Claire M. Zammit https://orcid.org/0000-0002-3199-6715 A B * , Alexandra Brooks C , Julia M. L. Brotherton https://orcid.org/0000-0002-2304-3105 A and Claire E. Nightingale https://orcid.org/0000-0002-4103-6240 A
+ Author Affiliations
- Author Affiliations

A University of Melbourne, Melbourne School of Population and Global Health, Centre for Health Policy, Melbourne, Vic., Australia.

B Australian National University, National Centre for Aboriginal and Torres Strait Islander Wellbeing Research, Canberra, ACT, Australia.

C Australian Government Department of Health and Aged Care, Canberra, ACT, Australia.

* Correspondence to: Claire.zammit@unimelb.edu.au

Handling Editor: Jacqueline Coombe

Sexual Health 21, SH24033 https://doi.org/10.1071/SH24033
Submitted: 19 February 2024  Accepted: 7 May 2024  Published: 4 June 2024

© 2024 The Author(s) (or their employer(s)). Published by CSIRO Publishing. This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND)

Abstract

Background

In mid-2022 Australia’s National Cervical Screening Program made self-collection of a vaginal sample an option for screening for young women or people with a cervix aged 25 to 29 years for the first time. This study explored what young women thought about, and wanted to know about, self-collection, and what their future screening preferences are.

Methods

Young women (n = 21), aged 24–29 years, were recruited through social media. Semi-structured interviews explored screening history, screening preferences and thoughts about self-collection. Data were analysed using an a priori coding framework informed by the Theoretical Framework of Acceptability.

Results

Young women valued the addition of self-collection to the national cervical screening program, believing it to be less invasive and more convenient. However, they also valued the choice to opt for a clinician-collected specimen if preferred.

Conclusions

Self-collection is a valuable addition to the National Cervical Screening Program. This study suggests that continued efforts are needed to raise awareness of its availability, and improve understanding about its accuracy, the ease of collection, that you still need to engage with a primary healthcare service to access it and that you can still opt for a clinician-collected test.

Keywords: cancer, cervix, evidence-based medicine, health services, HPV, papillomavirus, primary care, public health, sampling, screening, self-collection, women.

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