{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T12:53:09Z","timestamp":1788871989968,"version":"build-2803163510"},"reference-count":38,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,8,21]],"date-time":"2021-08-21T00:00:00Z","timestamp":1629504000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001513","name":"Cancer Society of New Zealand","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001513","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To develop an in\u2010depth understanding of HPV self\u2010testing cervical screening clinical pathways for never\u2010\/under\u2010screened M\u0101ori women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Based on a community\u2010based cluster randomized controlled trial in Aotearoa (New Zealand), a\n                      <jats:italic>Kaupapa M\u0101ori<\/jats:italic>\n                      (by M\u0101ori, for M\u0101ori) qualitative study enrolled M\u0101ori women who met the eligibility criteria of the HPV trial intervention (aged 25\u201369\u00a0years, no screen in &gt;4\u00a0years). In total, 28 were recruited (22\u00a0had a negative test, six had a positive test and colposcopy). They were asked about their clinical pathway.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The HPV self\u2010test was seen as empowering and promoting bodily autonomy, although some women expressed fears or misconceptions about this new technology. While those with a negative test were relieved, for the six women who had a positive test, there were many fears, compounded by seeking out information on the Internet. When attending colposcopy, the importance of support and responsive care was emphasized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>HPV self\u2010testing has the potential to improve access to cervical screening and reduce inequities for M\u0101ori. Care must be taken in the delivery of screening and colposcopy results. Primary care and colposcopy services need to take special care with never\u2010\/under\u2010screened M\u0101ori women to provide sensitive, responsive care, and mitigate trauma.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.13873","type":"journal-article","created":{"date-parts":[[2021,8,12]],"date-time":"2021-08-12T02:15:53Z","timestamp":1628734553000},"page":"275-281","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":29,"title":["<i>He Tapu Te Whare Tangata<\/i>\n                    (sacred house of humanity): Under\u2010screened M\u0101ori women talk about HPV self\u2010testing cervical screening clinical pathways"],"prefix":"10.1002","volume":"155","author":[{"given":"Anna","family":"Adcock","sequence":"first","affiliation":[{"name":"Te T\u0101tai Hauora o Hine Centre for Women\u2019s Health Research Te Herenga Waka Victoria University of Wellington Wellington Aotearoa New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kendall","family":"Stevenson","sequence":"additional","affiliation":[{"name":"Te T\u0101tai Hauora o Hine Centre for Women\u2019s Health Research Te Herenga Waka Victoria University of Wellington Wellington Aotearoa New Zealand"},{"name":"The Dragon Institute for Innovation Auckland Aotearoa New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fiona","family":"Cram","sequence":"additional","affiliation":[{"name":"Katoa Ltd. 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