{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T22:49:46Z","timestamp":1782427786508,"version":"3.54.5"},"reference-count":42,"publisher":"CSIRO Publishing","issue":"2","license":[{"start":{"date-parts":[[2025,12,19]],"date-time":"2025-12-19T00:00:00Z","timestamp":1766102400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,26]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Aotearoa New Zealand\u2019s National Cervical Screening Programme uses human papillomavirus (HPV) self-testing. It is important for 25-year-olds to join the cervical screening programme so that cervical cancer can be prevented, detected, and ultimately eliminated, but screening uptake by younger women is low.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>The study aimed to hear young women\u2019s thoughts, experiences, and knowledge of cervical screening, including their ideas for encouraging participation in the cervical screening programme.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study was part of a wider mixed-methods implementation trial based in Te Tai Tokerau. This qualitative component was grounded in a Kaupapa M\u0101ori methodology, by, for, and with M\u0101ori, involving a structural analysis of inequities and hearing from participants via semi-structured interviews. Interviews with 24 women aged between 18 and 30 and one wh\u0101nau (family) were undertaken.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Data were organised into four pou (pillars): Rangatiratanga (self-determination, autonomy, sovereignty), Manaaki (support, encouragement, whanaungatanga), Kura (education, public health campaigns), and Mana Taurite (equity, access issues, system issues).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>The empowering and easy elements of the HPV self-test, and playing an active part in cervical cancer elimination, encourage young women to participate in cervical screening, but cost is the greatest barrier to screening access. General practice also plays a critical role in championing cervical screening. This has implications for better primary care resourcing to connect and support young women to screening. HPV self-testing in the National Cervical Screening Programme has the opportunity to flip the narrative of cervical screening from burden to action.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/hc25151","type":"journal-article","created":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T23:17:54Z","timestamp":1774480674000},"page":"141-148","source":"Crossref","is-referenced-by-count":0,"title":["Opportunities to flip the narrative from burden to action for young women joining the National Cervical Screening Programme in Aotearoa New Zealand: a Kaupapa M\u0101ori qualitative exploration of experiences and knowledge of cervical screening for 18\u201330\u00a0year olds"],"prefix":"10.1071","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8390-2015","authenticated-orcid":true,"given":"Tania","family":"Slater","sequence":"first","affiliation":[{"name":"ATe T\u0101tai Hauora o Hine \u2013 National Centre for Women\u2019s Health Research Aotearoa (NCWHRA), Victoria University of Wellington, Wellington, New Zealand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kendall","family":"Stevenson","sequence":"additional","affiliation":[{"name":"ATe T\u0101tai Hauora o Hine \u2013 National Centre for Women\u2019s Health Research Aotearoa (NCWHRA), Victoria University of Wellington, Wellington, New Zealand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Adcock","sequence":"additional","affiliation":[{"name":"ATe T\u0101tai Hauora o Hine \u2013 National Centre for Women\u2019s Health Research Aotearoa (NCWHRA), Victoria University of Wellington, Wellington, New Zealand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary-Ann","family":"Clueard","sequence":"additional","affiliation":[{"name":"BMahitahi Hauora Primary Health Entity, Northland, New Zealand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koha","family":"Aperahama","sequence":"additional","affiliation":[{"name":"CTe Whatu Ora, Tai Tokerau, New Zealand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carissa","family":"Thompson","sequence":"additional","affiliation":[{"name":"DNg\u0101 Tohianga, Kaitaia, Aotearoa\/New Zealand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Lambert","sequence":"additional","affiliation":[{"name":"ATe T\u0101tai Hauora o Hine \u2013 National Centre for Women\u2019s Health Research Aotearoa (NCWHRA), Victoria University of Wellington, Wellington, New Zealand."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E. 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