{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T03:53:24Z","timestamp":1783655604667,"version":"3.55.0"},"reference-count":43,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,7,2]],"date-time":"2024-07-02T00:00:00Z","timestamp":1719878400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000289","name":"Cancer Research UK","doi-asserted-by":"publisher","award":["C7492\/A17219"],"award-info":[{"award-number":["C7492\/A17219"]}],"id":[{"id":"10.13039\/501100000289","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000289","name":"Cancer Research UK","doi-asserted-by":"publisher","award":["C8162\/A16892"],"award-info":[{"award-number":["C8162\/A16892"]}],"id":[{"id":"10.13039\/501100000289","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000289","name":"Cancer Research UK","doi-asserted-by":"publisher","award":["C8162\/A25356"],"award-info":[{"award-number":["C8162\/A25356"]}],"id":[{"id":"10.13039\/501100000289","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000289","name":"Cancer Research UK","doi-asserted-by":"publisher","award":["C8162\/A27047"],"award-info":[{"award-number":["C8162\/A27047"]}],"id":[{"id":"10.13039\/501100000289","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Expectations"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>We assessed experiences of human papillomavirus (HPV) vaginal self\u2010sampling and future screening preferences in an ethnically and socio\u2010economically diverse group of women overdue for cervical screening.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting and Participants<\/jats:title><jats:p>A postal questionnaire was embedded in the YouScreen self\u2010sampling trial in England: 32.5% (2712\/8338) of kit completers returned the survey. Kit non\u2010completers were encouraged to return a questionnaire, but no responses were received. Participants were ethnically diverse (40.3% came from ethnic minority backgrounds), and 59.1% came from the two most deprived quintiles. Differences in confidence in kit completion, trust in the test results and intention to attend a follow\u2010up test if HPV\u2010positive were evaluated using Pearson's <jats:italic>\u03c7<\/jats:italic><jats:sup>2<\/jats:sup> analyses. Binary logistic regression models explored predictors of a future screening choice and preferences for urine versus vaginal self\u2010sampling.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Most kit\u2010completers reported high confidence in self\u2010sampling (82.6%) and high trust in the results (79.9%), but experiences varied by ethnicity and screening status. Most free\u2010text comments were positive but some reported difficulties using the device, pain or discomfort. Most women would opt for self\u2010sampling in the future (71.3% vs. 10.4% for a clinician\u2010taken test) and it was more often preferred by ethnic minority groups, overdue screeners and never attenders. Urine self\u2010tests were preferred to vaginal tests (41.9% vs. 15.4%), especially among women from Asian, Black or Other Ethnic backgrounds.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Kit\u2010completers were confident, found the test easy to complete, and trusted the self\u2010sample results. However, experiences varied by ethnic group and some women highlighted difficulties with the kit. Most women would prefer self\u2010sampling in the future, but it was not a universal preference, so offering a choice will be important.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient or Public Contribution<\/jats:title><jats:p>We did not have direct patient and public involvement and engagement (PPIE) in the questionnaire design. However, patients and public representatives did input into the design of the YouScreen trial and reviewed the wider study materials (e.g. participant information sheet).<\/jats:p><\/jats:sec><jats:sec><jats:title>Trial Registration<\/jats:title><jats:p>This questionnaire study was embedded in the YouScreen trial. The protocol for the YouScreen trial is available at <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"https:\/\/www.isrctn.com\/ISRCTN12759467\">https:\/\/www.isrctn.com\/ISRCTN12759467<\/jats:ext-link>. The National Institute for Health Research 43 Clinical Research Network (NIHR CRN) Central Portfolio Management System (CPMS) ID is 4441934.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hex.14118","type":"journal-article","created":{"date-parts":[[2024,7,2]],"date-time":"2024-07-02T11:52:27Z","timestamp":1719921147000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Experiences of Self\u2010Sampling and Future Screening Preferences in Non\u2010Attenders Who Returned an HPV Vaginal Self\u2010Sample in the YouScreen Study: Findings From a Cross\u2010Sectional Questionnaire"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4307-6166","authenticated-orcid":false,"given":"Hannah","family":"Drysdale","sequence":"first","affiliation":[{"name":"Cancer Prevention Group, School of Cancer and Pharmaceutical Sciences, King's College Faculty of Life Sciences and Medicine London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1709-2397","authenticated-orcid":false,"given":"Laura A. V.","family":"Marlow","sequence":"additional","affiliation":[{"name":"Cancer Prevention Group, School of Cancer and Pharmaceutical Sciences, King's College Faculty of Life Sciences and Medicine London UK"},{"name":"Centre for Cancer Prevention, Screening and Early Diagnosis, Wolfson Institute of Population Health, Faculty of Medicine and Dentistry Queen Mary University of London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4407-7451","authenticated-orcid":false,"given":"Anita","family":"Lim","sequence":"additional","affiliation":[{"name":"Cancer Prevention Group, School of Cancer and Pharmaceutical Sciences, King's College Faculty of Life Sciences and Medicine London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4025-9132","authenticated-orcid":false,"given":"Jo","family":"Waller","sequence":"additional","affiliation":[{"name":"Cancer Prevention Group, School of Cancer and Pharmaceutical Sciences, King's College Faculty of Life Sciences and Medicine London UK"},{"name":"Centre for Cancer Prevention, Screening and Early Diagnosis, Wolfson Institute of Population Health, Faculty of Medicine and Dentistry Queen Mary University of London London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,2]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2016.290"},{"key":"e_1_2_12_3_1","unstructured":"NHS Digital. 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