{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T01:42:56Z","timestamp":1793324576496,"version":"4.5.0"},"reference-count":34,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2019,9,27]],"date-time":"2019-09-27T00:00:00Z","timestamp":1569542400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:p>In Botswana, where human immunodeficiency virus (HIV) prevalence remains high, cervical cancer is the leading cause of cancer deaths in women. Multiple organizations recommend high-risk human papillomavirus (hr-HPV) testing as a screening tool; however, high coverage may not be feasible with provider-collected samples. We conducted the first assessment of self- versus provider-collected samples for hr-HPV testing in HIV-positive women in Botswana and report prevalence of hr-HPV and histological outcomes. We recruited HIV-positive women \u226525\u2009years attending an HIV clinic in Gaborone. Self- and provider-collected samples from participants were tested for hr-HPV using Cepheid GeneXpert. Women testing positive for any hr-HPV returned for colposcopy. We used unweighted \u03ba statistics to determine hr-HPV agreement. We report that 31 (30%) of 103 women tested positive for any hr-HPV. The most common genotypes were HPV 31\/33\/35\/52\/58. Overall agreement between self- and provider-collected samples for any hr-HPV was 92% with a \u03ba of 0.80. Ten of the 30 hr-HPV-positive women attending colposcopy had CIN2+ (33%). In conclusion, in this HIV-positive population, there was excellent agreement between self and provider samples, and self-sampling may play an important role in screening programs in high HIV burden settings with limited resources like Botswana.<\/jats:p>","DOI":"10.1177\/0956462419868618","type":"journal-article","created":{"date-parts":[[2019,9,27]],"date-time":"2019-09-27T03:20:52Z","timestamp":1569554452000},"page":"1169-1176","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":16,"title":["Performance of vaginal self-sampling for human papillomavirus testing among women living with HIV in Botswana"],"prefix":"10.1177","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8232-9413","authenticated-orcid":false,"given":"Tamara","family":"Elliott","sequence":"first","affiliation":[{"name":"Botswana UPenn Partnership, Gaborone, Botswana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1017-3832","authenticated-orcid":false,"given":"Racquel E","family":"Kohler","sequence":"additional","affiliation":[{"name":"Harvard T.H. Chan School of Public Health, Boston, MA, USA"},{"name":"Dana-Farber Cancer Institute, Boston, MA, USA"},{"name":"Botswana Harvard Aids Institute Partnership, Gaborone, Botswana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barati","family":"Monare","sequence":"additional","affiliation":[{"name":"Botswana UPenn Partnership, Gaborone, Botswana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neo","family":"Moshashane","sequence":"additional","affiliation":[{"name":"Botswana UPenn Partnership, Gaborone, Botswana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kehumile","family":"Ramontshonyana","sequence":"additional","affiliation":[{"name":"Botswana UPenn Partnership, Gaborone, Botswana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Muthoga","sequence":"additional","affiliation":[{"name":"Botswana UPenn Partnership, Gaborone, Botswana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adriane","family":"Wynn","sequence":"additional","affiliation":[{"name":"Botswana UPenn Partnership, Gaborone, Botswana"},{"name":"University of California, San Diego, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Howett","sequence":"additional","affiliation":[{"name":"Botswana UPenn Partnership, Gaborone, Botswana"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Luckett","sequence":"additional","affiliation":[{"name":"Botswana Harvard Aids Institute Partnership, Gaborone, Botswana"},{"name":"Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chelsea","family":"Morroni","sequence":"additional","affiliation":[{"name":"Botswana UPenn Partnership, Gaborone, Botswana"},{"name":"Botswana Harvard Aids Institute Partnership, Gaborone, Botswana"},{"name":"Liverpool School of Tropical Medicine, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doreen","family":"Ramogola-Masire","sequence":"additional","affiliation":[{"name":"Department of ObGyn, Faculty of Medicine, University of Botswana, Gaborone, Botswana"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,9,27]]},"reference":[{"key":"bibr1-0956462419868618","doi-asserted-by":"publisher","DOI":"10.1158\/1055-9965.EPI-14-0281"},{"key":"bibr2-0956462419868618","unstructured":"Bruni L, Barrionuevo-Rosas L, Albero G, et al. ICO Information Centre on HPV and Cancer (HPV Information Centre).\n                      Human Papillomavirus and Related Diseases in the World\n                      . Summary Report 2016- 02-25."},{"key":"bibr3-0956462419868618","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(10)70230-8"},{"key":"bibr4-0956462419868618","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000000455"},{"key":"bibr5-0956462419868618","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181744619"},{"key":"bibr6-0956462419868618","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2016.67.9613"},{"key":"bibr7-0956462419868618","doi-asserted-by":"crossref","unstructured":"Sankaranarayanan R, Gaffikin L, Jacob M, et\u00a0al. 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