Journal of Practical Oncology ›› 2025, Vol. 39 ›› Issue (5): 412-417.doi: 10.11904/j.issn.1002-3070.2025.05.008

• Cancer Screening • Previous Articles     Next Articles

Analysis of the acceptance and influencing factors of self-collection urine HPV testing in cervical cancer screening

LI Yifan1, QIN Chuanyu1, ZENG Xi2, LU Yajiao1, LIAO Guangdong2, KANG Leni3, YANG Ying1, ZHOU Min4, XI Mingrong2, YANG Chunxia1, LI Jing1   

  1. 1. West China School of Public Health and West China Fourth Hospital,Sichuan University,Chengdu 610041,China;
    2. Department of Gynaecology,West China Second University Hospital,Sichuan University;
    3. National Maternal and Child Health Monitoring Office,West China Second Hospital,Sichuan University;
    4. Department of Maternal and Child Health,Chengdu Shuangliu District Maternal and Child Health Care Hospital
  • Received:2024-05-21 Revised:2025-09-23 Online:2025-10-28 Published:2025-11-07

PDF (PC)

5

Abstract: Objective The aim of this study was to explore the acceptance and influencing factors of self-collected urine samples for human papillomavirus(HPV)testing in cervical cancer screening among eligible women,and to provide scientific evidence for promoting this testing in low resource areas. Methods A population-based cross-sectional study was conducted from 2022 to 2023 at the Maternal and Child Health Hospital in Shuangliu district,Chengdu City Sichuan Province.The study subjects were women aged 21 to 69 years old,and a customized questionnaire was used to conduct general information and acceptance surveys on the participants. Results A total of 2,062 women were included,with an average age of 51.58±9.34 years.Among them,1,501(72.79%)women believed that self-sampling urine was very easy.However,although 1,333(64.65%)women were still willing to accept doctor sampling as a cervical cancer screening method,only 729(35.35%)were more willing to accept self-sampling urine HPV testing.Age,educational level,annual household income,awareness of HPV,HPV vaccination status,and a sense of shame about the doctor's sampling process were all associated with the acceptance of self-collected urine HPV testing among women undergoing cervical cancer screening(P＜0.001).The results of multivariate logistic regression analysis indicated that older women(OR=0.965,95% CI:0.951-0.979)and those who were not familiar with HPV(OR=0.760,95% CI:0.602-0.961)were more likely to undergo self sampling urine HPV testing,while those with junior high school education(OR=1.330,95% CI:1.053-1.682),high school education or above(OR=1.990,95% CI:1.401-2.827),and a sense of shame towards the doctor's sampling process(OR=2.314,95% CI:1.706-3.142)were more likely to undergo self sampling urine for HPV testing. Conclusions Most women believe that self sampling urine for HPV testing is very easy,but compared to doctor sampling,only some women choose to self sample urine for HPV testing.Key health education interventions should be carried out for older and lower educated populations to promote acceptance of urine HPV testing.

Key words: urine human papilloma virus testing, cervical cancer screening population, acceptance

CLC Number: