Article Text

Download PDFPDF

P697 Feasibility of HPV self-collection for cervix screening in under-screened street entrenched women
  1. Sheona Mitchell-Foster1,
  2. C.Sarai Racey2,
  3. Tracey Day3,
  4. Celena Falkner1,
  5. Laurie Smith4,
  6. Heather Pedersen2,
  7. Tracy Chan5,
  8. Darrel Cook5,
  9. Kate Shannon6,
  10. Marette Lee4,
  11. Deborah Money2,
  12. Sandra Allison3,
  13. Jill Chettiar6,
  14. Gina Ogilvie2
  1. 1University of Northern British Columbia, Prince George, Canada
  2. 2University of British Columbia, Vancouver, Canada
  3. 3Northern Health Authority, Prince George, Canada
  4. 4BC Cancer, Vancouver, Canada
  5. 5BC Centre for Disease Control, Vancouver, Canada
  6. 6University of British Columbia, Centre for Gender and Sexual Health Equity, Vancouver, Canada


Background HPV self-collection is a promising approach to improve uptake of cervical screening in under-screened women. The aim of this feasibility study was to measure uptake of HPV self-collection, HPV positivity, and screening history of street entrenched women in a rural region centre.

Methods Women 30–69 years of age, attending drop-in community-based primary care and integrative reproductive health clinics in Northern British Columbia (BC), Canada and self-reported not having received cervix screening in the last 3 years, were offered self-collection for HPV testing. A convenience sample of all comers was administered a questionnaire and underwent a medical chart review, including the provincial cervix screening registry. Demographics, HIV status, and cervix screening history were collected. All women who tested HPV16/18 positive were referred for colposcopy.

Results A total of 66 eligible women were analyzed (mean age 43.3 years), with population saturation reached after 3 months recruitment. An additional 11 women were deemed ineligible due to age or prior hysterectomy. 83% self-reported as Indigenous. Based on the provincial cervix screening registry, 48% of women were up-to-date on cervix screening based on triennial screening guidelines. All women undertook self-collection and the majority of women reported high perceived acceptability, safety, and accuracy of HPV self-collection. HPV 16/18 positivity was 7.6%, with 40% co-infected with HIV. Overall HIV prevalence was 16.4%, however, over 25% of women had unknown HIV status based on medical chart review.

Conclusion HPV self-collection was highly acceptable as part of community-based integrative reproductive health services. Despite being a traditionally underserved population, and women self-reporting being overdue for screening, over half the women were up to date on cervix screening, albeit regular screening was lacking for many. The findings from this feasibility study will inform future implementation of HPV self-collection to improve and maintain regular cervix screening services in street entrenched women.

Disclosure No significant relationships.

  • sex workers
  • HPV

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.