PT - JOURNAL ARTICLE AU - YaoYao Guan AU - Philip E Castle AU - Shaoming Wang AU - Belinda Li AU - Changyan Feng AU - Puwa Ci AU - Xue Li AU - Patti Gravitt AU - You-Lin Qiao TI - A cross-sectional study on the acceptability of self-collection for HPV testing among women in rural China AID - 10.1136/sextrans-2012-050477 DP - 2012 Nov 01 TA - Sexually Transmitted Infections PG - 490--494 VI - 88 IP - 7 4099 - http://sti.bmj.com/content/88/7/490.short 4100 - http://sti.bmj.com/content/88/7/490.full SO - Sex Transm Infect2012 Nov 01; 88 AB - Objective To assess the acceptability of using self-collection as a method of sampling for human papilloma virus testing in rural China. Methods 174 women from the national cervical cancer screening programme in Xiangyuan County, China, were enrolled in our study and underwent self-collection, clinician collection, colposcopy examination and were administered questionnaire. The questionnaire assessed the patients' preference and acceptability of collection method. Results The mean overall acceptability score for self-collection, although significantly less than the overall score for clinician collection (p<0.01), still is well above 4 (4.33 of 5), indicating high acceptability. The acceptability scores for self-collection and clinician collection were not significantly different on scales measuring comfort and convenience (p>0.05). The scores were significantly lower for self-collection on scales measuring trust, ability to collect specimen and perceived effects of testing compared with clinician collection (p<0.01). 74% of participants preferred clinician collection, and of these participants, 86% preferred it because they thought the results were more accurate. Conclusions The study shows that self-collection was highly acceptable and that self-collection and clinician collection were equally comfortable and convenient; however, the participants still preferred clinician collection because of lack of trust in the results of self-collection. This indicates that self-collection is an acceptable potential method for screening but education programmes about the validity of self-collection that target general population may be needed prior to implementation.