{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T09:16:14Z","timestamp":1788513374715,"version":"build-2803163510"},"reference-count":22,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T00:00:00Z","timestamp":1786579200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"crossref","award":["R44CA291336"],"award-info":[{"award-number":["R44CA291336"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Teal Health, Inc.","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Hisp Health Care Int"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cervical cancer is a preventable disease, and reaching populations who are under-screened and\/or at highest risk is essential to the goal of disease elimination. Hispanic women in the US have a disproportionately higher incidence rate than non-Hispanic women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Post hoc analysis of the SELF-CERV study of the unique experience and preferences among Hispanic compared to non-Hispanic participants with the goal of facilitating and improving screening and follow-up in more vulnerable populations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Women 25 to 65 years who were enrolled performed self-collection (SC) of vaginal samples for high-risk human papillomavirus (hrHPV) testing using a unique device in a simulated at-home environment. For method comparison, a clinician-collected (CC) sample was obtained. Participants also completed usability and screening preference surveys.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 609 participants were consented and 603 used the SC device. Of the 603 SC users, 115 (19.1%) identified themselves as Hispanic\/Latinx. Compared to non-Hispanic women, Hispanic women, had significantly lower annual income (p\u2009&lt;\u2009.001), a lower percentage of private insurance with more uninsured (p\u2009&lt;\u2009.001) and lower levels of education (p\u2009&lt;\u2009.001). There was no significant difference between Hispanic and non-Hispanic women in understanding the purpose of cervical cancer screening. No difference was noted in delaying screening, although English Not Primary speaking Hispanic women were somewhat more likely to delay (p\u2009=\u20090.22). Financial barriers were observed to be more of an impediment to Hispanic women compared to non-Hispanic women (p\u2009=\u20090.016). Negative experiences with in-clinic speculum exams were similar; however, Hispanic women (78%) expressed a significantly higher endorsement of SC than non-Hispanic women (62%), (p\u2009=\u20090.001). Both populations reported that they would be more likely to stay up to date with cervical cancer screening with the at-home SC device, but non-Hispanic women to a significantly lesser degree (p\u2009=\u20090.002). In terms of assessing utility of telemedicine in screening, both populations reported similar engagement in healthcare activities, willingness to try new technology and current use of smartphones. Hispanic and non-Hispanic women were both nearly equally divided as to their preference for in-clinic visits vs telehealth.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Facilitating screening uptake is especially critical for Hispanic women, who bear a disproportionate burden of cervical cancer diagnoses and mortality while facing more obstacles to screening than non-Hispanic women. A clinically validated and accessible at-home SC alternative holds potential for meaningful impact and improved health outcomes within this community.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15404153261470020","type":"journal-article","created":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T13:38:21Z","timestamp":1786628301000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["HPV Self-Collection Experience in US Hispanic\/Latinx Women Using a Device Designed for at-Home Collection"],"prefix":"10.1177","author":[{"given":"Lisa","family":"Memmel","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Planned Parenthood Northern California, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"LaShonda","family":"Crane","sequence":"additional","affiliation":[{"name":"Department of Clinical Research, Planned Parenthood Gulf Coast, Inc., Houston, TX, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Youri","family":"Hwang","sequence":"additional","affiliation":[{"name":"Department of Clinical Research, Planned Parenthood League of Massachusetts, Boston, MA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Clair","family":"Kaplan","sequence":"additional","affiliation":[{"name":"Department of Clinical Research, Planned Parenthood of Southern New England, New Haven, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Conageski","sequence":"additional","affiliation":[{"name":"Department of OB-GYN-Gyn &amp; OB Health, University of Colorado, Aurora, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sangini S.","family":"Sheth","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology &amp; Reproductive Sciences, Gynecology, Yale School of Medicine, Hartford, CT, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kimberly","family":"Harshberger","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Planned Parenthood of Arizona, Phoenix, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sigrid","family":"Williams","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Planned Parenthood of Arizona, Phoenix, AZ, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Sutton","sequence":"additional","affiliation":[{"name":"OB\/GYN Residency Research Program, Woman's Hospital, Baton Rouge, LA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colleen","family":"McNicholas","sequence":"additional","affiliation":[{"name":"Planned Parenthood Great Rivers"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann","family":"Collins","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Unified Women's Clinical Research, Raleigh, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R. Lamar","family":"Parker","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Unified Women's Clinical Research, Winston-Salem, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenell","family":"Coleman","sequence":"additional","affiliation":[{"name":"Johns Hopkins University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lindsay","family":"Kuroki","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, Washington University School of Medicine in St. Louis"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emeline","family":"Aviki","sequence":"additional","affiliation":[{"name":"Department of Gynecologic Oncology, NYU Langone Health, NYU Grossman Long Island School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald","family":"Orso","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Alabama Clinical Therapeutics\/Birmingham OBGYN, Birmingham, AL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley","family":"Jennings","sequence":"additional","affiliation":[{"name":"University of Wisconsin-Madison School of Medicine & Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4227-685X","authenticated-orcid":false,"given":"Meghna","family":"Mukherjee","sequence":"additional","affiliation":[{"name":"User Research, Teal Health, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Megan Burke","family":"Fitzpatrick","sequence":"additional","affiliation":[{"name":"Department of Gynecologic Pathology, Teal Health, Steamboat Springs, CO, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karl","family":"Hibler","sequence":"additional","affiliation":[{"name":"Independent Consultant, Bradenton, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Behrens","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Behrens Consulting, San Francisco, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,13]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/cam4.3951"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2021.01706"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2468-2667(20)30006-2"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2004.01.009"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2025.11081"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21628"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21695"},{"key":"e_1_3_3_9_1","unstructured":"National Cancer Institute Surveillance Epidemiology and End Results Program. 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