{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T15:04:23Z","timestamp":1770822263914,"version":"3.50.1"},"reference-count":90,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T00:00:00Z","timestamp":1770163200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["165905"],"award-info":[{"award-number":["165905"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Current Oncology"],"abstract":"<jats:p>Background: Canada\u2019s cervical cancer elimination plan is challenged by suboptimal screening participation and rising incidence of cervical cancer over the past decade. Cytology, the primary cervical screening method in Canada, is being replaced with HPV testing, which offers superior sensitivity for detecting pre-cancerous lesions and supports initiating screening at age 25 or older and extending screening intervals to five years. Research has shown that women\u2019s insufficient knowledge and negative attitudes toward HPV screening represent a significant barrier to screening uptake. Methods: We conducted a web-based national survey using Best\u2013Worst Scaling (trade off utilities) to quantify women\u2019s preferences for screening test modality, age of initiation, and screening intervals. We also assessed preferences for information sources, provider type, and communication methods. Underscreened individuals were oversampled. Results: Among adequately screened (N = 1778) and underscreened (N = 1570) individuals, preferences favoured co-testing (cytology plus HPV testing), initiating screening at age 21, and three-year screening intervals. Underscreened participants showed relatively higher preference for HPV self-sampling, and as opposed to adequately screened participants, preferred screening by a gynecologist rather than a family physician. Across groups, participants preferred receiving screening-related information and communication by email over postal mail. Conclusions: The misalignment between women\u2019s preferences and current HPV test-based screening implementation plans requires immediate education interventions and modernized, user-preferred communication channels for cervical screening-eligible individuals in Canada.<\/jats:p>","DOI":"10.3390\/curroncol33020095","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T10:02:57Z","timestamp":1770199377000},"page":"95","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Transitioning from Cytology to HPV Test-Based Primary Cervical Screening in Canada: A Population-Based Survey of Women\u2019s Screening and Information Preferences"],"prefix":"10.3390","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1886-6390","authenticated-orcid":false,"given":"Ovidiu","family":"Tatar","sequence":"first","affiliation":[{"name":"Lady Davis Institute for Medical Research, Jewish General Hospital, McGill University, Montreal, QC H3T 1E1, Canada"},{"name":"Douglas Hospital Research Center, Montreal, QC H4H 1R3, Canada"},{"name":"Department of Psychiatry, McGill University, Montreal, QC H3A 1A1, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6549-3668","authenticated-orcid":false,"given":"Patricia","family":"Zhu","sequence":"additional","affiliation":[{"name":"Lady Davis Institute for Medical Research, Jewish General Hospital, McGill University, Montreal, QC H3T 1E1, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8061-375X","authenticated-orcid":false,"given":"Shannon","family":"Salvador","sequence":"additional","affiliation":[{"name":"Division of Gynecologic Oncology, Jewish General Hospital, McGill University, Montreal, QC H3T 1E2, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susie","family":"Lau","sequence":"additional","affiliation":[{"name":"Division of Gynecologic Oncology, Jewish General Hospital, McGill University, Montreal, QC H3T 1E2, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6108-838X","authenticated-orcid":false,"given":"Jessica","family":"Ruel-Lalibert\u00e9","sequence":"additional","affiliation":[{"name":"Department of Obstetrics & Gynecology, Division of Gynecologic Oncology, Universit\u00e9 de Sherbrooke, Sherbrooke, QC J1H 5N4, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4849-8616","authenticated-orcid":false,"given":"Samara","family":"Perez","sequence":"additional","affiliation":[{"name":"Department of Oncology, McGill University, Montreal, QC H4A 3T2, Canada"},{"name":"Research Institute of McGill University Health Centre, Montr\u00e9al, QC H3H 2R9, Canada"},{"name":"Psychosocial Oncology Program, Division of Supportive & Palliative Care, Cedars Cancer Centre, McGill University Health Centre, Montr\u00e9al, QC H4A 3J1, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9926-429X","authenticated-orcid":false,"given":"Emily","family":"McBride","sequence":"additional","affiliation":[{"name":"Institute of Psychology, Psychiatry and Neuroscience, King\u2019s College London, London SE5 8AF, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4248-1909","authenticated-orcid":false,"given":"Zeev","family":"Rosberger","sequence":"additional","affiliation":[{"name":"Lady Davis Institute for Medical Research, Jewish General Hospital, McGill University, Montreal, QC H3T 1E1, Canada"},{"name":"Department of Psychiatry, McGill University, Montreal, QC H3A 1A1, Canada"},{"name":"Department of Oncology, McGill University, Montreal, QC H4A 3T2, Canada"},{"name":"Department of Psychology, McGill University, Montreal, QC H3A 1G1, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,2,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"102751","DOI":"10.1016\/j.ijgc.2025.102751","article-title":"Global, regional, and national burden of cervical cancer in 2022 and projections to 2050: A population-based analysis of GLOBOCAN","volume":"36","author":"Son","year":"2025","journal-title":"Int. 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