{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T12:29:39Z","timestamp":1793104179514,"version":"4.5.0"},"reference-count":44,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2023,10,26]],"date-time":"2023-10-26T00:00:00Z","timestamp":1698278400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"French National Cancer Institute (INCa)","award":["2021-158"],"award-info":[{"award-number":["2021-158"]}]},{"name":"French National Cancer Institute (INCa)","award":["INCA_16317"],"award-info":[{"award-number":["INCA_16317"]}]},{"name":"French National Cancer Institute (INCa)","award":["847845"],"award-info":[{"award-number":["847845"]}]},{"DOI":"10.13039\/501100000780","name":"Horizon 2020 Framework Programme for Research and Innovation of the European Commission","doi-asserted-by":"publisher","award":["2021-158"],"award-info":[{"award-number":["2021-158"]}],"id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000780","name":"Horizon 2020 Framework Programme for Research and Innovation of the European Commission","doi-asserted-by":"publisher","award":["INCA_16317"],"award-info":[{"award-number":["INCA_16317"]}],"id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000780","name":"Horizon 2020 Framework Programme for Research and Innovation of the European Commission","doi-asserted-by":"publisher","award":["847845"],"award-info":[{"award-number":["847845"]}],"id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cancers"],"abstract":"<jats:p>Self-sampling may improve participation in cervical cancer secondary prevention programs by women who do not respond or respond irregularly when invited to contact a health professional for the collection of a cervical specimen. It could also help resolve access problems in areas with a low physician density. The present qualitative study examined barriers to screening, effective screening strategies, and the advantages and disadvantages of sending women urine or vaginal self-sampling kits in two medically underserved administrative departments in France (Mayenne and Sarthe) showing low cervical screening coverage. As part of the CapU4 randomized trial, a team of psychologists investigated the attitudes and experiences of 59 healthcare professionals (gynecologists, general practitioners, and midwives) through semi-structured interviews. Results indicated that health professionals believe that self-sampling may address the issues of low physician density and underscreening by removing logistical, organizational, financial, and psychological obstacles. They confirmed trust in the use of vaginal self-sampling, with urine self-sampling as an alternative solution (e.g., for women with vaginismus). The health professionals also identified several limitations of the self-sampling kit that will need to be addressed in future screening campaigns (incomplete kit, complex instructions, poor anatomical knowledge, and obesity).<\/jats:p>","DOI":"10.3390\/cancers15215163","type":"journal-article","created":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T09:56:36Z","timestamp":1698400596000},"page":"5163","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Acceptability to Healthcare Professionals of Home-Based HPV Self-Sampling for Cervical Screening: A French Qualitative Study Conducted in an Area with Low Access to Health Services"],"prefix":"10.3390","volume":"15","author":[{"given":"Johane","family":"Le Goff","sequence":"first","affiliation":[{"name":"University of Angers, CLIPSY, SFR CONFLUENCES, F-49000 Angers, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne-Sophie","family":"Le Duc-Banaszuk","sequence":"additional","affiliation":[{"name":"Pays de la Loire Regional Cancer Screening Coordination Center (CRCDC Pays de La Loire), F-49000 Angers, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4934-5926","authenticated-orcid":false,"given":"Caroline","family":"Lefeuvre","sequence":"additional","affiliation":[{"name":"University of Angers, CHU Angers, HIFIH, SFR ICAT, F-49000 Angers, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adeline","family":"Pivert","sequence":"additional","affiliation":[{"name":"University of Angers, CHU Angers, HIFIH, SFR ICAT, F-49000 Angers, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Ducancelle","sequence":"additional","affiliation":[{"name":"University of Angers, CHU Angers, HIFIH, SFR ICAT, F-49000 Angers, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H\u00e9l\u00e8ne","family":"De Pauw","sequence":"additional","affiliation":[{"name":"Cancer Epidemiology Unit, Belgian Cancer Center, Sciensano, 1050 Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Arbyn","sequence":"additional","affiliation":[{"name":"Cancer Epidemiology Unit, Belgian Cancer Center, Sciensano, 1050 Brussels, Belgium"},{"name":"Department of Human Structure and Repair, Faculty of Medicine and Health Sciences, Ghent University, 9000 Ghent, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aubeline","family":"Vinay","sequence":"additional","affiliation":[{"name":"University of Angers, CLIPSY, SFR CONFLUENCES, F-49000 Angers, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6044-3933","authenticated-orcid":false,"given":"Franck","family":"Rexand-Galais","sequence":"additional","affiliation":[{"name":"University of Angers, CLIPSY, SFR CONFLUENCES, F-49000 Angers, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,10,26]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e191","DOI":"10.1016\/S2214-109X(19)30482-6","article-title":"Estimates of incidence and mortality of cervical cancer in 2018: A worldwide analysis","volume":"8","author":"Arbyn","year":"2020","journal-title":"Lancet Glob. 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