{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T21:09:31Z","timestamp":1777928971344,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2020,7,23]],"date-time":"2020-07-23T00:00:00Z","timestamp":1595462400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Public Ministry of Labor of S\u00e3o Paulo State"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Med Screen"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To explore the acceptability of high-risk human papillomavirus self-testing, involving community health workers, for never\/under-screened Brazilian women. Cervical cancer is the most common cause of cancer-related death among adult women in a large number of low-income and lower-middle-income countries, where it remains a major public health problem. High-risk human papillomavirus persistence is required for the development of cervical neoplasia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The target population was all women aged 30+ from the list of families available in healthcare centre data, who had never been screened or were not screened in the previous 3\u2009years (under-screened women), and who were living in the 17 cities included in this study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of the 377 women included, 16.9% ( n\u2009=\u200964) had never had a pap smear. Of all samples included in the study, 97.1% ( n\u2009=\u2009366) were considered adequate for evaluation, as 2.9% ( n\u2009=\u200911) were considered invalid for all high-risk human papillomavirus types. Analysing these 366 samples, 9.6% ( n\u2009=\u200935) of the women were infected by at least one high-risk human papillomavirus type and 90.4% ( n\u2009=\u2009331) had no infection with any high-risk type of the virus.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Vaginal self-sampling is an adequate strategy to improve the effectiveness of the cervical cancer program by increasing screening in a high-risk group.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0969141320941056","type":"journal-article","created":{"date-parts":[[2020,7,24]],"date-time":"2020-07-24T01:32:12Z","timestamp":1595554332000},"page":"163-168","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Evaluation of human papillomavirus self-collection offered by community health workers at home visits among under-screened women in Brazil"],"prefix":"10.1177","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8854-4533","authenticated-orcid":false,"given":"Naitielle de Paula","family":"Pantano","sequence":"first","affiliation":[{"name":"Research and Teaching Institute, Barretos Cancer Hospital, Barretos, Brazil"}]},{"given":"Jos\u00e9 H","family":"Fregnani","sequence":"additional","affiliation":[{"name":"Research and Teaching Institute, Barretos Cancer Hospital, Barretos, Brazil"},{"name":"A.C.Camargo Cancer Center, Liberdade, Brazil"}]},{"given":"J\u00falio CP","family":"Resende","sequence":"additional","affiliation":[{"name":"Prevention Cancer Department, Barretos Cancer Hospital, Barretos, Brazil"}]},{"given":"Luiz C","family":"Zeferino","sequence":"additional","affiliation":[{"name":"School of Medical Sciences, Women's Hospital CAISM, Unicamp, Campinas, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2052-9249","authenticated-orcid":false,"given":"Bruno de Oliveira","family":"Fonseca","sequence":"additional","affiliation":[{"name":"Prevention Cancer Department, Barretos Cancer Hospital, Barretos, Brazil"}]},{"given":"M\u00e1rcio","family":"Antoniazzi","sequence":"additional","affiliation":[{"name":"Prevention Cancer Department, Barretos Cancer Hospital, Barretos, Brazil"}]},{"given":"Cristina M de","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga, Portugal"},{"name":"Molecular Oncology Research Center, Barretos Cancer Hospital, Barretos, Brazil"}]},{"given":"Gisele da Rocha","family":"Sant\u2019ana","sequence":"additional","affiliation":[{"name":"Prevention Cancer Department, Barretos Cancer Hospital, Barretos, Brazil"}]},{"given":"Adhemar","family":"Longatto-Filho","sequence":"additional","affiliation":[{"name":"Research and Teaching Institute, Barretos Cancer Hospital, Barretos, Brazil"},{"name":"Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga, Portugal"},{"name":"Molecular Oncology Research Center, Barretos Cancer Hospital, Barretos, Brazil"},{"name":"Laboratory of Medical Investigation (LIM-14), School of Medicine, University of Sao Paulo, S\u00e3o Paulo, Brazil"}]}],"member":"179","published-online":{"date-parts":[[2020,7,23]]},"reference":[{"key":"bibr1-0969141320941056","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21492"},{"key":"bibr2-0969141320941056","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2012.05.089"},{"key":"bibr3-0969141320941056","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1096-9896(199909)189:1<12::AID-PATH431>3.0.CO;2-F"},{"key":"bibr4-0969141320941056","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2007.07.076"},{"key":"bibr5-0969141320941056","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwt077"},{"key":"bibr6-0969141320941056","doi-asserted-by":"publisher","DOI":"10.1136\/jcp.55.4.244"},{"key":"bibr7-0969141320941056","author":"Instituto Nacional de C\u00e2ncer Jos\u00e9 Alencar Gomes da Silva","year":"2016","journal-title":"Rio De Janeiro, Brasil"},{"key":"bibr8-0969141320941056","author":"Instituto Nacional de C\u00e2ncer Jos\u00e9 Alencar Gomes da Silva 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WHO guidelines for treatment of cervical intraepithelial neoplasia 2\u20133 and adenocarcinoma in situ: cryotherapy, large loop excision of the transformation zone, and cold knife conization. 2014."},{"key":"bibr18-0969141320941056","doi-asserted-by":"publisher","DOI":"10.1590\/S0036-36342013000200007"},{"key":"bibr19-0969141320941056","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0138945"},{"key":"bibr20-0969141320941056","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2011.48"},{"key":"bibr21-0969141320941056","doi-asserted-by":"publisher","DOI":"10.1038\/bjc.2015.11"},{"key":"bibr22-0969141320941056","doi-asserted-by":"crossref","first-page":"646","DOI":"10.1002\/ijc.29026","volume":"136","author":"Bosgraaf RP","year":"2015","journal-title":"Int J Cancer"},{"key":"bibr23-0969141320941056","doi-asserted-by":"publisher","DOI":"10.21149\/spm.v58i2.7789"},{"key":"bibr24-0969141320941056","doi-asserted-by":"publisher","DOI":"10.1590\/S0034-8910.2015049005554"},{"key":"bibr25-0969141320941056","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2014.04.011"},{"key":"bibr26-0969141320941056","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-156-12-201206190-00424"},{"key":"bibr27-0969141320941056","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-019-7292-1"},{"key":"bibr28-0969141320941056","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2013.07.092"},{"key":"bibr29-0969141320941056","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0201262"},{"key":"bibr30-0969141320941056","doi-asserted-by":"publisher","DOI":"10.1159\/000493333"}],"container-title":["Journal of Medical Screening"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0969141320941056","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0969141320941056","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0969141320941056","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:24:53Z","timestamp":1777677893000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0969141320941056"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,23]]},"references-count":30,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,6]]}},"alternative-id":["10.1177\/0969141320941056"],"URL":"https:\/\/doi.org\/10.1177\/0969141320941056","relation":{},"ISSN":["0969-1413","1475-5793"],"issn-type":[{"value":"0969-1413","type":"print"},{"value":"1475-5793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,23]]}}}