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Medical News

Acceptability of Human Papillomavirus Self-Testing in Female Adolescents

October 19, 2005

The researchers conducted this study to develop scales assessing acceptability of human papillomavirus (HPV) testing in adolescents, to compare acceptability of self- to clinician testing, and to identify adolescent characteristics associated with acceptability.

At a hospital-based teen health center, females ages 14-21 self-collected vaginal samples and a clinician, using a speculum, collected cervicovaginal samples for HPV DNA. The investigators assessed acceptability of and preferences for self- and clinician testing at baseline and two-week visits.

Eighty-two percent of the 121 participants were black; their mean age was 17.8 years. The acceptability scales demonstrated good internal consistency, reliability, test-retest reliability, and factorial validity, the report stated. "Scores were significantly lower for self-testing than clinician testing on the acceptability scale and three subscales measuring trust of the test result, confidence in one's ability to collect a specimen, and perceived effects of testing (p"This sample of adolescents found clinician testing for HPV to be more acceptable than self-testing and preferred clinician to self-testing. If self-testing for HPV is offered in the future, clinicians should not assume that adolescent patients will prefer self-testing. Instead, they should educate adolescents about available testing options and discuss any concerns regarding self-collection technique or accuracy of test results," the investigators concluded.

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Adapted from:
Sexually Transmitted Infections
10.05.05; Vol. 81; No. 5: P. 408-414; J.A. Kahn; D.I. Bernstein; S.L. Rosenthal; B. Huang; L.M. Kollar; J.L. Colyer; A.M. Tissot; P.A. Hillard; D. Witte; P. Groen; G.B. Slap

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This article was provided by CDC National Prevention Information Network. It is a part of the publication CDC HIV/Hepatitis/STD/TB Prevention News Update.
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