{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T15:47:53Z","timestamp":1783698473976,"version":"3.55.0"},"reference-count":33,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,1,7]],"date-time":"2019-01-07T00:00:00Z","timestamp":1546819200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001504","name":"Ministry of Health, New Zealand","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001504","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Human papillomavirus (<jats:styled-content style=\"fixed-case\">HPV<\/jats:styled-content>), the causative agent of cervical cancer, can be screened for using self\u2010collected vaginal samples (self\u2010testing). This may overcome barriers to screening for M\u0101ori women who suffer a greater burden of cervical disease than New Zealand European women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>This study aimed to explore the potential acceptability of <jats:styled-content style=\"fixed-case\">HPV<\/jats:styled-content> self\u2010testing for never\/under\u2010screened (self\u2010reported no cervical screen in 4+ years, aged 25+) M\u0101ori women by Kaupapa M\u0101ori (by, with and for M\u0101ori) mixed methods, involving hui (focus groups\/interviews) and survey.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Community\u2010based researchers ran hui with women in four regions (<jats:italic>N<\/jats:italic>\u00a0=\u00a0106) and supported hui participants to collect survey data (<jats:italic>N<\/jats:italic>\u00a0=\u00a0397). Healthcare providers (<jats:styled-content style=\"fixed-case\">HCP<\/jats:styled-content>s) were also interviewed (<jats:italic>N<\/jats:italic>\u00a0=\u00a017). Hui data were thematically analysed. Survey data were analysed by age group, rural\/urban, primary health organisation (<jats:styled-content style=\"fixed-case\">PHO<\/jats:styled-content>) enrolment, and time since last cervical screen.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Most survey participants were <jats:styled-content style=\"fixed-case\">PHO<\/jats:styled-content>\u2010enrolled (87.15%) and attended regularly (71.79%), but did not attend regular cervical screening. A desire for bodily autonomy, including whakam\u0101 (embarrassment\/shyness\/reticence), was the most frequently cited barrier. Three in four women reported being likely\/very likely to do an <jats:styled-content style=\"fixed-case\">HPV<\/jats:styled-content> self\u2010test. Nine in ten women reported being likely\/very likely to attend follow up if they receive a positive <jats:styled-content style=\"fixed-case\">HPV<\/jats:styled-content> test result. Women and <jats:styled-content style=\"fixed-case\">HCP<\/jats:styled-content>s in the hui emphasised the importance of health literacy, cultural competence and empathetic support.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The findings indicate that with a culturally competent introduction of <jats:styled-content style=\"fixed-case\">HPV<\/jats:styled-content> self\u2010testing, many currently never\/under\u2010screened M\u0101ori women would be willing to be screened and followed up if necessary. <jats:styled-content style=\"fixed-case\">HPV<\/jats:styled-content> self\u2010testing has the potential to save lives.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.12933","type":"journal-article","created":{"date-parts":[[2019,1,8]],"date-time":"2019-01-08T20:25:22Z","timestamp":1546979122000},"page":"301-307","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":51,"title":["Acceptability of self\u2010taken vaginal <scp>HPV<\/scp> sample for cervical screening among an under\u2010screened Indigenous population"],"prefix":"10.1111","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9837-3061","authenticated-orcid":false,"given":"Anna","family":"Adcock","sequence":"first","affiliation":[{"name":"Centre for Women's Health Research, Faculty of Health Victoria University of Wellington  Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6047-8853","authenticated-orcid":false,"given":"Fiona","family":"Cram","sequence":"additional","affiliation":[{"name":"Katoa Ltd  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2447-8386","authenticated-orcid":false,"given":"Beverley","family":"Lawton","sequence":"additional","affiliation":[{"name":"Centre for Women's Health Research, Faculty of Health Victoria University of Wellington  Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7557-7184","authenticated-orcid":false,"given":"Stacie","family":"Geller","sequence":"additional","affiliation":[{"name":"Center for Research on Women &amp; Gender University of Illinois College of Medicine  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7918-613X","authenticated-orcid":false,"given":"Merilyn","family":"Hibma","sequence":"additional","affiliation":[{"name":"Department of Pathology University of Otago Dunedin School of Medicine  Dunedin New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6772-719X","authenticated-orcid":false,"given":"Peter","family":"Sykes","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology University of Otago  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9307-2323","authenticated-orcid":false,"given":"E Jane","family":"MacDonald","sequence":"additional","affiliation":[{"name":"Centre for Women's Health Research, Faculty of Health Victoria University of Wellington  Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy","family":"Dallas\u2010Katoa","sequence":"additional","affiliation":[{"name":"Private Consultant  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bronwyn","family":"Rendle","sequence":"additional","affiliation":[{"name":"National Screening Unit Ministry of Health  Wellington New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracey","family":"Cornell","sequence":"additional","affiliation":[{"name":"Te Poutokomanawa, M\u0101ori Health Services Directorate Northland District Health Board  Whangarei New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tania","family":"Mataki","sequence":"additional","affiliation":[{"name":"Te Puna Oranga (Kaupapa M\u0101ori Services)  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tania","family":"Rangiwhetu","sequence":"additional","affiliation":[{"name":"Te Puna Oranga (Kaupapa M\u0101ori Services)  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naieta","family":"Gifkins","sequence":"additional","affiliation":[{"name":"Te Puna Oranga (Kaupapa M\u0101ori Services)  Christchurch New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Selah","family":"Hart","sequence":"additional","affiliation":[{"name":"He Kamaka Waiora, Waitemata and Auckland District Health Board  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,1,7]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Ministry of Health.Cancer: New Registrations and Deaths 2012. 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