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).
自我采样可能提高那些在受邀联系医疗专业人员采集宫颈样本时不响应或不规律响应女性对宫颈癌二级预防项目的参与度。它还有助于解决医生密度较低地区的就医难题。本项定性研究在法国两个医疗服务不足且宫颈筛查覆盖率较低的行政区（马耶讷省和萨尔特省），探讨了筛查障碍、有效筛查策略以及向女性寄送尿液或阴道自我采样工具包的利弊。作为CapU4随机试验的一部分，心理学研究团队通过半结构化访谈调查了59名医疗专业人员（妇科医生、全科医生和助产士）的态度与经验。结果显示，医疗专业人员认为自我采样通过消除后勤、组织、经济和心理障碍，可能解决医生密度低和筛查不足的问题。他们确认了对阴道自我采样的信任，并将尿液自我采样作为替代方案（例如针对阴道痉挛女性）。医疗专业人员也指出了自我采样工具包存在的若干局限性，需要在未来的筛查活动中加以解决（工具包不完整、说明复杂、解剖知识缺乏以及肥胖问题）。
肿瘤(癌症)患者之家