{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T21:26:23Z","timestamp":1789334783439,"version":"build-2803163510"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2020,5,6]],"date-time":"2020-05-06T00:00:00Z","timestamp":1588723200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate access to treatment after community\u2010based <jats:styled-content style=\"fixed-case\">HPV<\/jats:styled-content> testing as testing within screen\u2010and\u2010treat programs has the potential to lower mortality from cervical cancer in low\u2010resource settings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective cohort study was conducted in western Kenya in 2018. Women aged 25\u201365\u00a0years underwent <jats:styled-content style=\"fixed-case\">HPV<\/jats:styled-content> self\u2010testing. <jats:styled-content style=\"fixed-case\">HPV<\/jats:styled-content>\u2010positive women were referred for cryotherapy. Participant data were obtained from questionnaires during screening and treatment. The proportion successfully accessing treatment and variables associated with successful treatment was determined.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 750 women included, 140 (18.6%) tested positive for <jats:styled-content style=\"fixed-case\">HPV<\/jats:styled-content>. Of them, 135 were notified of their results, of whom 77 (59.2%) sought treatment and 73 (52.1%) received cryotherapy. Women who received treatment had a shorter time from screening to result notification (median 92\u00a0days, interquartile range [<jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content>] 84\u2013104) compared to those who did not (97\u00a0days, <jats:styled-content style=\"fixed-case\">IQR<\/jats:styled-content> 89\u2013106; <jats:italic>P<\/jats:italic>=0.061). In adjusted analyses, women with a history of cervical cancer screening (odds ratio [<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>] 11, 95% confidence interval [<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>] 1.42\u201385.20) and those electing result notification through a home visit (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 4, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.23\u201314.17) were significantly more likely to acquire treatment at follow\u2010up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Linkage to treatment after community\u2010based <jats:styled-content style=\"fixed-case\">HPV<\/jats:styled-content> screening in this population was low, highlighting the need for strategies aimed at strengthening treatment linkage in similar settings.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.13171","type":"journal-article","created":{"date-parts":[[2020,4,29]],"date-time":"2020-04-29T08:30:40Z","timestamp":1588149040000},"page":"60-67","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Scaling up cervical cancer prevention in Western Kenya: Treatment access following a community\u2010based <scp>HPV<\/scp> testing approach"],"prefix":"10.1002","volume":"152","author":[{"given":"Chemtai","family":"Mungo","sequence":"first","affiliation":[{"name":"University of California  San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saduma","family":"Ibrahim","sequence":"additional","affiliation":[{"name":"Kenya Medical Research Institute  Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth A.","family":"Bukusi","sequence":"additional","affiliation":[{"name":"Kenya Medical Research Institute  Nairobi Kenya"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong\u2010Ha M.","family":"Truong","sequence":"additional","affiliation":[{"name":"University of California  San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Craig R.","family":"Cohen","sequence":"additional","affiliation":[{"name":"University of California  San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan","family":"Huchko","sequence":"additional","affiliation":[{"name":"Duke University  Durham NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,5,6]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21492"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434-014-4344-8"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-018-6054-9"},{"key":"e_1_2_8_5_1","unstructured":"World Health Organisation.WHO guidelines for screening and treatment of precancerous lesions for cervical cancer prevention.2013;1\u201340.www.who.int\/about\/\u200blicen\u200bsing\/copyr\u200bight_form\/en\/index.html. 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