{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T00:58:11Z","timestamp":1793408291021,"version":"4.5.0"},"reference-count":28,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:00:00Z","timestamp":1773273600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:00:00Z","timestamp":1773273600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100009128","name":"Research for Patient Benefit Programme","doi-asserted-by":"publisher","award":["NIHR204322"],"award-info":[{"award-number":["NIHR204322"]}],"id":[{"id":"10.13039\/501100009128","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":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Physically Disabled women face multiple barriers to cervical screening, contributing to lower uptake and increased health inequalities. Human papillomavirus self-sampling has been shown to increase screening participation in under-screened populations, but little is known about its acceptability for Disabled women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross-sectional online survey was conducted with 1493 UK-based participants who identified as having a physical disability, impairment, condition, or difference that makes cervical screening difficult or impossible. Participants completed questions on the acceptability of human papillomavirus self-sampling, attitudes and beliefs relating to self-sampling, and future screening preferences. Descriptive statistics and multinomial logistic regression were used to analyse responses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Most participants reported that they would be able to carry out self-sampling themselves (63.3%) and would be willing for a healthcare professional to use a self-sampling kit on their behalf (59.1%). Many (70.5%) had concerns about not performing the test correctly. Around half (53.0%) would prefer self-sampling at home if offered a screening choice. Women who had never attended screening, or who had delayed\/missed appointments, were significantly more likely to prefer self-sampling (odds ratios 13.11 and 5.25, respectively) than women who had always attended. Approximately a fifth of participants (18.7%) would prefer a non-speculum clinician-taken test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Human papillomavirus self-sampling was acceptable to many physically Disabled women and preferred over conventional screening, particularly among those who had delayed\/missed screening or never attended. Implementation should include tailored accessible instructions to support human papillomavirus self-sampling, disability-informed clinical support, and consideration of non-speculum clinician-taken samples to ensure equitable access and reduce inequalities in cervical screening.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/09691413261429395","type":"journal-article","created":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T09:38:19Z","timestamp":1773308299000},"page":"172-179","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Acceptability of, and preference for, human papillomavirus self-sampling for physically Disabled women: A cross-sectional survey"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7037-2190","authenticated-orcid":false,"given":"Emma","family":"Kemp","sequence":"first","affiliation":[{"name":"The University of Sheffield"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1816-1676","authenticated-orcid":false,"given":"Julius","family":"Sim","sequence":"additional","affiliation":[{"name":"School of Medicine, Keele University, Newcastle-under-Lyme, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9722-9981","authenticated-orcid":false,"given":"Carolyn A","family":"Chew-Graham","sequence":"additional","affiliation":[{"name":"School of Medicine, Keele University, Newcastle-under-Lyme, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7353-7480","authenticated-orcid":false,"given":"Andrew Gordon","family":"Finney","sequence":"additional","affiliation":[{"name":"Keele University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9616-9972","authenticated-orcid":false,"given":"Charlotte","family":"Harper","sequence":"additional","affiliation":[{"name":"Keele University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1709-2397","authenticated-orcid":false,"given":"Laura","family":"Marlow","sequence":"additional","affiliation":[{"name":"Queen Mary University of London"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Renke","sequence":"additional","affiliation":[{"name":"Samantha Renke Official Ltd, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1377-9047","authenticated-orcid":false,"given":"Katie","family":"Wright-Bevans","sequence":"additional","affiliation":[{"name":"School of Psychology, Keele University, Newcastle-under-Lyme, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6708-3398","authenticated-orcid":false,"given":"Susan M","family":"Sherman","sequence":"additional","affiliation":[{"name":"The University of Sheffield"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,12]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"World Health Organization. Human papillomavirus and cancer. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/human-papilloma-virus-and-cancer (05 March 2024 accessed September 09 2025)."},{"key":"e_1_3_3_3_2","unstructured":"NHS. When you\u2019ll be invited for cervical screening. https:\/\/www.nhs.uk\/tests-and-treatments\/cervical-screening\/when-youll-be-invited\/ (2025 accessed September 30 2025)."},{"key":"e_1_3_3_4_2","unstructured":"NHS Western Isles. Cervical screening saves lives. https:\/\/www.wihb.scot.nhs.uk\/cervical-screening-saves-lives\/ (2020 accessed September 09 2025)."},{"key":"e_1_3_3_5_2","unstructured":"Torres O Dehn Lunn A Ford J. Health Equity Evidence Centre. What works: addressing inequalities in the uptake of cervical screening. https:\/\/www.heec.co.uk\/wp-content\/uploads\/2023\/10\/What-works-Addressing-inequalities-in-the-uptake-of-cervical-screening.pdf (January 2024 accessed September 09 2025)."},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/hex.14118"},{"key":"e_1_3_3_7_2","unstructured":"Waller J Rebolj M Martinelli C. HPValidate cervical screening self-sampling study publishes final results. UK National Screening Committee Blog. https:\/\/nationalscreening.blog.gov.uk\/2024\/11\/08\/hpvalidate-cervical-screening-self-sampling-study-publishes-final-results\/ (08 November 2024 accessed September 09 2025)."},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/09691413241283356"},{"key":"e_1_3_3_9_2","unstructured":"Department of Health and Social Care NHS England Dalton A Streeting WR. Home testing kits for lifesaving checks against cervical cancer. London: GOV.UK. https:\/\/www.gov.uk\/government\/news\/home-testing-kits-for-lifesaving-checks-against-cervical-cancer (24 June 2025 accessed September 09 2025)."},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12916-025-04219-3"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jiph.2025.102809"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.57290"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2022.08.003"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S428144"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2021.0447"},{"key":"e_1_3_3_16_2","unstructured":"Kvernr\u00f8d AB Mortensen JH. HPV home test for women with physical disabilities. Kr\u00e6ftens Bek\u00e6mpelse. https:\/\/www.cancer.dk\/om-os\/udgivelser-og-rapporter\/forebyg-kraeft\/2020-hpv-hjemmetest-til-kvinder-med-fysisk-funktionsnedsaettelse\/ (February 21 2020 accessed September 09 2025)."},{"key":"e_1_3_3_17_2","unstructured":"Department for Work and Pensions. Family Resources Survey: Financial year 2022 to 2023. London: GOV.UK. https:\/\/www.gov.uk\/government\/statistics\/family-resources-survey-financial-year-2022-to-2023#disability-1 (March 21 2024 accessed September 09 2025)."},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-1-349-86058-6"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.3390\/curroncol30010093"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1177\/09691413221092246"},{"key":"e_1_3_3_21_2","unstructured":"Government Analysis Function. Impairment harmonised standard. London: UK Government. https:\/\/analysisfunction.civilservice.gov.uk\/policy-store\/impairment\/ (May 22 2020 accessed October 09 2025)."},{"key":"e_1_3_3_22_2","unstructured":"World Health Organization. ICF Checklist: Version 2.1a Clinician Form. Geneva: WHO. https:\/\/www.who.int\/publications\/m\/item\/icf-checklist (1 September 2003 accessed October 09 2025)."},{"key":"e_1_3_3_23_2","unstructured":"Melbourne School of Population and Global Health. The rapid assessment of disability (RAD). Melbourne: University of Melbourne. https:\/\/mspgh.unimelb.edu.au\/research-groups\/nossal-institute-for-global-health\/Equity-and-Inclusion\/the-rapid-assessment-of-disability-rad (2025 accessed October 09 2025)."},{"key":"e_1_3_3_24_2","unstructured":"Jo\u2019s Cervical Cancer Trust. \u201cWe\u2019re made to feel invisible\u201d: Barriers to accessing cervical screening for women with physical disabilities. https:\/\/www.jostrust.org.uk\/sites\/default\/files\/jos_physical_disability_report_0.pdf (2019 accessed October 14 2025)."},{"key":"e_1_3_3_25_2","unstructured":"Office for National Statistics. Disability England and Wales: Census 2021. London: ONS. https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/healthandsocialcare\/healthandwellbeing\/bulletins\/disabilityenglandandwales\/census2021 (19 January 2023 accessed September 09 2025)."},{"key":"e_1_3_3_26_2","unstructured":"YouGov plc. YouGov survey results. 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