Women’s Preferences for Home-Based Self-Sampling or Clinic-Based Testing for Cervical Cancer Screening

Do women prefer home-based self-sampling over clinic-based testing for cervical cancer screening, and what factors are associated with this preference?In this population-based cross-sectional study of 2300 screening-eligible women, 20% preferred home-based self-sampling, 61% preferred clinic-based testing, and 19% were uncertain. Non-Hispanic Black compared with non-Hispanic White individuals had lower odds of preferring home-based self-sampling, while individuals who had experienced prejudice or discrimination in medical settings had higher odds.Fewer individuals preferred home-based vs clinic-based testing, but higher odds of preferring home-based self-sampling among marginalized groups suggest that if incorporated into national guidelines, the home-based modality could increase cervical cancer screening uptake.

Corresponding Author: Sanjay Shete, PhD, Division of Cancer Prevention and Population Sciences, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd, Houston, TX 77030 (sshete@mdanderson.org).

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