{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T13:19:08Z","timestamp":1787663948934,"version":"build-2736575974"},"reference-count":37,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T00:00:00Z","timestamp":1786752000000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100004319","name":"Pfizer","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004319","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer Medicine"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Low\u2010 and middle\u2010income countries (LMIC) continue to bear a high burden of cervical cancer (CC). Women's participation in CC screening is challenging in LMICs, but self\u2010collection of HPV tests has shown increased participation in controlled trials. However, data from real\u2010world studies and data on follow\u2010up compliance after positive screening test results are scant. A two\u2010arm community trial was conducted in four municipalities from two different territories in Colombia (HPV self\u2010 and clinician\u2010collected tests). A comparison of participation and follow\u2010up compliance was done between arms, both delivered through campaigns and routine screening. Women aged 30\u201350 without screening records within the previous 30\u2009months were eligible. HPV\u2010positive women were recalled for triage\/treatment in a second visit. A follow\u2010up was done at 6\u2009months. In total, 1400 women were expected, but only 532 attended the screening visit. Participation rates were 49% (95% CI: 46\u201353) in the self\u2010collected and 26% (95% CI: 22.8\u201329.5) in the clinician\u2010collected arm. Campaigns resulted in higher participation than routine screening for both collection methods (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.05), and significant differences by territory were observed. Follow\u2010up compliance was 89.6% and 71% at triage\/treatment and 6\u2010month visits, respectively, without significant differences between study arms. HPV self\u2010collection resulted in higher participation than clinician collection; however, it did not directly translate to screening coverage. Therefore, delivery strategies and contextual barriers should be carefully analyzed for successful implementation. Anyhow, the increased participation and high compliance with the triage\/treatment visit support the relevance and suitability of alternative programmatic approaches for HPV\u2010based screening.\n                  <\/jats:p>","DOI":"10.1002\/cam4.72171","type":"journal-article","created":{"date-parts":[[2026,8,15]],"date-time":"2026-08-15T18:38:53Z","timestamp":1786819133000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Participation and Follow\u2010Up Compliance in Cervical Cancer Screening According to Delivery Strategy for\n                    <scp>HPV<\/scp>\n                    Self\u2010Collection: A Community Trial in Underserved Colombian Areas"],"prefix":"10.1002","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0080-4071","authenticated-orcid":false,"given":"Ginna","family":"Fern\u00e1ndez\u2010Deaza","sequence":"first","affiliation":[{"name":"Hospital Universitario San Ignacio  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natascha","family":"Ort\u00edz","sequence":"additional","affiliation":[{"name":"Hospital Universitario San Ignacio  Bogot\u00e1 Colombia"},{"name":"Pontificia Universidad Javeriana  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3904-7538","authenticated-orcid":false,"given":"Alexander","family":"Salazar","sequence":"additional","affiliation":[{"name":"Pontificia Universidad Javeriana  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ang\u00e9lica","family":"Parra","sequence":"additional","affiliation":[{"name":"Pontificia Universidad Javeriana  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5042-431X","authenticated-orcid":false,"given":"Carolina","family":"Morante\u2010Caicedo","sequence":"additional","affiliation":[{"name":"Hospital Universitario San Ignacio  Bogot\u00e1 Colombia"},{"name":"Instituto Nacional de Cancerolog\u00eda  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mario","family":"Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Pontificia Universidad Javeriana  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan David","family":"Toca","sequence":"additional","affiliation":[{"name":"Pontificia Universidad Javeriana  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Alejandra","family":"Arria","sequence":"additional","affiliation":[{"name":"Pontificia Universidad Javeriana  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Karina","family":"Ceballos","sequence":"additional","affiliation":[{"name":"Pontificia Universidad Javeriana  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliana","family":"Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Instituto Nacional de Cancerolog\u00eda  Bogot\u00e1 Colombia"},{"name":"Universidad Nacional de Colombia  Bogot\u00e1 Colombia"},{"name":"Fundaci\u00f3n Santaf\u00e9 de Bogot\u00e1  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana","family":"Acosta","sequence":"additional","affiliation":[{"name":"Hospital Universitario San Ignacio  Bogot\u00e1 Colombia"},{"name":"Pontificia Universidad Javeriana  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7187-9946","authenticated-orcid":false,"given":"Ra\u00fal","family":"Murillo","sequence":"additional","affiliation":[{"name":"Hospital Universitario San Ignacio  Bogot\u00e1 Colombia"},{"name":"Pontificia Universidad Javeriana  Bogot\u00e1 Colombia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,15]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"International Agency for Research on Cancer \u201cGlobal Cancer Observatory. 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