{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:11:51Z","timestamp":1777929111039,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T00:00:00Z","timestamp":1750896000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["20H03906"],"award-info":[{"award-number":["20H03906"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Med Screen"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:p>\n                    The self-sampling human papillomavirus (HPV) test improves participation in cervical cancer screening. However, the ripple effect of this test on participation in the next screening round has not yet been examined. This study, a secondary analysis of the Accelerating Cervical Cancer Elimination by Self-Sampling test (ACCESS) trial, aims to clarify this effect. Women who had not participated in the cervical cancer screening program of Ichihara City for 3 years or more were included. The participants were randomly assigned to intervention (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u20097337) and control groups (\n                    <jats:italic toggle=\"yes\">n<\/jats:italic>\n                    \u2009=\u20097770). In the initial round, the intervention group could perform a self-sampling HPV test or undergo cytology as the primary screening method, while the control group could undergo cytology only. In the next round, both groups could undergo cytology. In intention-to-screen analysis, screening uptake in the next round was 10.0% (95% confidence interval [CI]: 9.3%, 10.7%) in the intervention group and 10.2% (95% CI: 9.5%, 10.8%) in the control group, with no significant difference between groups (\n                    <jats:italic toggle=\"yes\">p<\/jats:italic>\n                    \u2009=\u20090.717). In conclusion, offering a one-time self-sampling HPV test had no effect on screening uptake in the next round, suggesting that the test needs to be offered on an ongoing basis to continuously improve screening uptake.\n                  <\/jats:p>","DOI":"10.1177\/09691413251352999","type":"journal-article","created":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T04:31:30Z","timestamp":1750912290000},"page":"62-65","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Ripple effect of temporary self-sampling HPV test on screening uptake in the next round: A secondary analysis of the ACCESS randomized controlled trial"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5308-4744","authenticated-orcid":false,"given":"Misuzu","family":"Fujita","sequence":"first","affiliation":[{"name":"Department of Health Research, Chiba Foundation for Health Promotion and Disease Prevention, Chiba, Japan"},{"name":"Department of Public Health, Chiba University Graduate School of Medicine, Chiba, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4529-9045","authenticated-orcid":false,"given":"Kengo","family":"Nagashima","sequence":"additional","affiliation":[{"name":"Keio University Hospital"},{"name":"The Institute of Statistical Mathematics"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Minobu","family":"Shimazu","sequence":"additional","affiliation":[{"name":"Chiba University Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Misae","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Municipal Health Center, Department of Health and Welfare, Ichihara City, Ichihara, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ichiro","family":"Tauchi","sequence":"additional","affiliation":[{"name":"Municipal Health Center, Department of Health and Welfare, Ichihara City, Ichihara, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miwa","family":"Sakuma","sequence":"additional","affiliation":[{"name":"Municipal Health Center, Department of Health and Welfare, Ichihara City, Ichihara, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Setsuko","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Municipal Health Center, Department of Health and Welfare, Ichihara City, Ichihara, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideki","family":"Hanaoka","sequence":"additional","affiliation":[{"name":"Chiba University Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makio","family":"Shozu","sequence":"additional","affiliation":[{"name":"Chiba University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuhide","family":"Tsuruoka","sequence":"additional","affiliation":[{"name":"Yushudai Clinic, Ichihara, Chiba, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tokuzo","family":"Kasai","sequence":"additional","affiliation":[{"name":"Department of Health Research, Chiba Foundation for Health Promotion and Disease Prevention, Chiba, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0867-3704","authenticated-orcid":false,"given":"Akira","family":"Hata","sequence":"additional","affiliation":[{"name":"Department of Health Research, Chiba Foundation for Health Promotion and Disease Prevention, Chiba, Japan"},{"name":"Chiba University"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,6,26]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(18)30183-X"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(18)30836-2"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)61152-7"},{"key":"e_1_3_3_5_2","unstructured":"OECD. 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