{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T06:23:03Z","timestamp":1791526983849,"version":"4.3.4"},"reference-count":40,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2015,8,12]],"date-time":"2015-08-12T00:00:00Z","timestamp":1439337600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Integrated Cancer Screening Program at Cancer Care Ontario"},{"name":"University of Toronto, Dalla Lana School of Public Health"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Rural Health"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>The addition of human papillomavirus (HPV) testing to primary cervical cancer screening provides an opportunity to employ less invasive cervical cancer screening modalities. The objective of this study was to explore the initial reaction and perception to HPV self\u2010collected testing, in the context of current barriers and facilitators to cervical cancer screening, among women in an underscreened community in rural Ontario.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Age\u2010stratified focus groups were conducted with women 18\u201070 years of age in rural Ontario to discuss cervical cancer screening. Women were recruited using purposive sampling of underscreened women and women in the general community. Qualitative thematic analysis of focus group transcripts identified the barriers, facilitators, and role of HPV self\u2010collected testing for cervical cancer screening.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Four focus groups were conducted with a total of 25 women. Overall, women were very positive toward self\u2010collected HPV testing. HPV self\u2010collected testing was felt to address many of the logistical (eg, inconvenient clinic hours, lack of time) and procedural barriers (embarrassment, lack of social distance in a small town) to current screening practices. However, self\u2010collected HPV testing does not address barriers related to cervical cancer knowledge (eg, fear of cancer). Women identified issues related to test reliability, confidence in the ability to self\u2010collect, and education around testing that would need to be addressed prior to implementation. Generational differences were noted in the acceptability of self\u2010collected HPV testing between older and younger women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>HPV self\u2010collected testing was perceived as a facilitator for screening, and it was well accepted in this rural community.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jrh.12136","type":"journal-article","created":{"date-parts":[[2015,8,12]],"date-time":"2015-08-12T11:25:48Z","timestamp":1439378748000},"page":"136-145","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":39,"title":["Barriers and Facilitators to Cervical Cancer Screening Among Women in Rural Ontario, Canada: The Role of Self\u2010Collected HPV Testing"],"prefix":"10.1111","volume":"32","author":[{"given":"C. Sarai","family":"Racey","sequence":"first","affiliation":[{"name":"Dalla Lana School of Public Health University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dionne C.","family":"Gesink","sequence":"additional","affiliation":[{"name":"Dalla Lana School of Public Health University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,8,12]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-12-992"},{"issue":"3","key":"e_1_2_6_3_1","first-page":"140","article-title":"Papanicolaou test utilization and frequency of screening opportunities among women diagnosed with cervical cancer","volume":"3","author":"Decker KD","year":"2009","journal-title":"Open Medicine"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2007.06.007"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2012.10.006"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1701-2163(16)35242-2"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-012-9639-8"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1258\/jms.2009.009073"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2011.03030.x"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcv.2013.06.029"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2004.01.009"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2013.06.005"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732303255975"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmu029"},{"key":"#cr-split#-e_1_2_6_15_1.1","doi-asserted-by":"crossref","unstructured":"MoyerVA Force USPST. 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