Moroccan and Pakistani women’s knowledge and perceptions on cervical cancer screening and HPV self-sampling acceptability in Catalonia, Spain: a mixed-methods study

BackgroundDisparities in cervical cancer (CC) screening participation persist, with lower rates among immigrant women from low-resource countries compared to native European women. Evidence-based strategies to reach under-screened women are thus needed, such as adopting self-sampling for human papil...

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Autores: Lurgain, Jone G., Peremiquel Trillas, Paula, Ouaarab-Essadek, Hakima, Mellouki, Khadija, Malik-Hameed, Sumaira, Sarif, Andleed, Rangel Sarmiento, Valentina, Bruni, Laia, Harling, Guy, Gilham, Clare
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Recursos:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/224964
Acesso em linha:https://hdl.handle.net/2445/224964
Access Level:acceso abierto
Palavra-chave:Càncer d'úter
Papil·lomavirus
Marroquins
Uterine cancer
Papillomaviruses
Moroccans
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spelling Moroccan and Pakistani women’s knowledge and perceptions on cervical cancer screening and HPV self-sampling acceptability in Catalonia, Spain: a mixed-methods studyLurgain, Jone G.Peremiquel Trillas, PaulaOuaarab-Essadek, HakimaMellouki, KhadijaMalik-Hameed, SumairaSarif, AndleedRangel Sarmiento, ValentinaBruni, LaiaHarling, GuyGilham, ClareCàncer d'úterPapil·lomavirusMarroquinsUterine cancerPapillomavirusesMoroccansBackgroundDisparities in cervical cancer (CC) screening participation persist, with lower rates among immigrant women from low-resource countries compared to native European women. Evidence-based strategies to reach under-screened women are thus needed, such as adopting self-sampling for human papillomavirus (HPV) testing. Studies have demonstrated that women are receptive to HPV self-sampling. However, results may not be generalizable to all ethnic groups and settings. This is the first study in Spain assessing HPV self-sampling acceptability among immigrant populations. A mixed-methods study was used to explore knowledge and perceptions of CC screening and attitudes towards HPV self-sampling among Moroccan and Pakistani women in Catalonia.MethodsEight focus group discussions and twenty-two semi-structured interviews were conducted. After a short demonstration of two self-sampling devices, women were invited to try them at home and complete an acceptability survey for each device, including questions assessing screening preferences, perceived self-efficacy, trust in the test results and willingness to use the self-collection method again.ResultsImportant barriers, such as lack of information about CC screening, and misconceptions about HPV risk were identified. Overall, Moroccan and Pakistani women expressed a preference for clinician-based screening over self-sampling. Over half of the participants (56%) accepted to try at least one self-sampling device. However, concerns about collecting the sample correctly and distrust in the test result were raised.ConclusionIncreasing awareness and empowering Moroccan and Pakistani women with culturally appropriate information about the benefits of CC screening is the first step to successfully implement HPV self-sampling. Concerns regarding self-efficacy need also to be addressed before implementing new organised screening programmes using HPV self-sampling in Catalonia, Spain. A peer-based approach using culturally appropriate materials is proposed to best inform, educate, foster confidence, and advocate for the uptake of HPV self-sampling among these two groups of women.Springer Science and Business Media LLC2025202520252025info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion16 p.application/pdfhttps://hdl.handle.net/2445/224964Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1186/s12913-025-13488-wBMC Health Services Research, 2025, vol. 25, article number 1502https://doi.org/10.1186/s12913-025-13488-wcc-by (c) Lurgain, Jone G. et al., 2025https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:2445/2249642026-05-29T05:05:01Z
dc.title.none.fl_str_mv Moroccan and Pakistani women’s knowledge and perceptions on cervical cancer screening and HPV self-sampling acceptability in Catalonia, Spain: a mixed-methods study
title Moroccan and Pakistani women’s knowledge and perceptions on cervical cancer screening and HPV self-sampling acceptability in Catalonia, Spain: a mixed-methods study
spellingShingle Moroccan and Pakistani women’s knowledge and perceptions on cervical cancer screening and HPV self-sampling acceptability in Catalonia, Spain: a mixed-methods study
Lurgain, Jone G.
Càncer d'úter
Papil·lomavirus
Marroquins
Uterine cancer
Papillomaviruses
Moroccans
title_short Moroccan and Pakistani women’s knowledge and perceptions on cervical cancer screening and HPV self-sampling acceptability in Catalonia, Spain: a mixed-methods study
title_full Moroccan and Pakistani women’s knowledge and perceptions on cervical cancer screening and HPV self-sampling acceptability in Catalonia, Spain: a mixed-methods study
title_fullStr Moroccan and Pakistani women’s knowledge and perceptions on cervical cancer screening and HPV self-sampling acceptability in Catalonia, Spain: a mixed-methods study
title_full_unstemmed Moroccan and Pakistani women’s knowledge and perceptions on cervical cancer screening and HPV self-sampling acceptability in Catalonia, Spain: a mixed-methods study
title_sort Moroccan and Pakistani women’s knowledge and perceptions on cervical cancer screening and HPV self-sampling acceptability in Catalonia, Spain: a mixed-methods study
dc.creator.none.fl_str_mv Lurgain, Jone G.
Peremiquel Trillas, Paula
Ouaarab-Essadek, Hakima
Mellouki, Khadija
Malik-Hameed, Sumaira
Sarif, Andleed
Rangel Sarmiento, Valentina
Bruni, Laia
Harling, Guy
Gilham, Clare
author Lurgain, Jone G.
author_facet Lurgain, Jone G.
Peremiquel Trillas, Paula
Ouaarab-Essadek, Hakima
Mellouki, Khadija
Malik-Hameed, Sumaira
Sarif, Andleed
Rangel Sarmiento, Valentina
Bruni, Laia
Harling, Guy
Gilham, Clare
author_role author
author2 Peremiquel Trillas, Paula
Ouaarab-Essadek, Hakima
Mellouki, Khadija
Malik-Hameed, Sumaira
Sarif, Andleed
Rangel Sarmiento, Valentina
Bruni, Laia
Harling, Guy
Gilham, Clare
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Càncer d'úter
Papil·lomavirus
Marroquins
Uterine cancer
Papillomaviruses
Moroccans
topic Càncer d'úter
Papil·lomavirus
Marroquins
Uterine cancer
Papillomaviruses
Moroccans
description BackgroundDisparities in cervical cancer (CC) screening participation persist, with lower rates among immigrant women from low-resource countries compared to native European women. Evidence-based strategies to reach under-screened women are thus needed, such as adopting self-sampling for human papillomavirus (HPV) testing. Studies have demonstrated that women are receptive to HPV self-sampling. However, results may not be generalizable to all ethnic groups and settings. This is the first study in Spain assessing HPV self-sampling acceptability among immigrant populations. A mixed-methods study was used to explore knowledge and perceptions of CC screening and attitudes towards HPV self-sampling among Moroccan and Pakistani women in Catalonia.MethodsEight focus group discussions and twenty-two semi-structured interviews were conducted. After a short demonstration of two self-sampling devices, women were invited to try them at home and complete an acceptability survey for each device, including questions assessing screening preferences, perceived self-efficacy, trust in the test results and willingness to use the self-collection method again.ResultsImportant barriers, such as lack of information about CC screening, and misconceptions about HPV risk were identified. Overall, Moroccan and Pakistani women expressed a preference for clinician-based screening over self-sampling. Over half of the participants (56%) accepted to try at least one self-sampling device. However, concerns about collecting the sample correctly and distrust in the test result were raised.ConclusionIncreasing awareness and empowering Moroccan and Pakistani women with culturally appropriate information about the benefits of CC screening is the first step to successfully implement HPV self-sampling. Concerns regarding self-efficacy need also to be addressed before implementing new organised screening programmes using HPV self-sampling in Catalonia, Spain. A peer-based approach using culturally appropriate materials is proposed to best inform, educate, foster confidence, and advocate for the uptake of HPV self-sampling among these two groups of women.
publishDate 2025
dc.date.none.fl_str_mv 2025
2025
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/224964
url https://hdl.handle.net/2445/224964
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1186/s12913-025-13488-w
BMC Health Services Research, 2025, vol. 25, article number 1502
https://doi.org/10.1186/s12913-025-13488-w
dc.rights.none.fl_str_mv cc-by (c) Lurgain, Jone G. et al., 2025
https://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Lurgain, Jone G. et al., 2025
https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 16 p.
application/pdf
dc.publisher.none.fl_str_mv Springer Science and Business Media LLC
publisher.none.fl_str_mv Springer Science and Business Media LLC
dc.source.none.fl_str_mv Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,81155

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