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. 2021 Oct 18;8(4):340-346.
doi: 10.17294/2330-0698.1835. eCollection 2021 Fall.

Patient-Centered Home Cancer Screening Attitudes During COVID-19 Pandemic

Christelle El Khoury  1 , Elizabeth Haro  1 , Martha Alves  1 , Marie Claire O'Dwyer  1 , Kate Meixner  1 , Laura Crespo Albiac  1 , J Nicoll Capizzano  1 , Manasi Ramakrishnan  1 , Cullen Salada  1 , Sherri Sheinfeld Gorin  1 , Masahito Jimbo  1 , Ananda Sen  1 , Diane M Harper  1
Affiliations

Patient-Centered Home Cancer Screening Attitudes During COVID-19 Pandemic

Christelle El Khoury et al. J Patient Cent Res Rev. .

Abstract

The COVID-19 pandemic disrupted health care delivery of cancer screenings. The primary aim of our work was to evaluate the degree to which populations were accepting of home-based screenings for colorectal cancer (CRC) and cervical cancer (ie, primary human papillomavirus [HPV] testing). Three groups of adults having distinct health burdens that may affect acceptance of home-based cancer screening were identified through outpatient electronic medical records: those having survived a COVID-19 hospitalization; those having been positive for a non-COVID-19 respiratory illness; or those having type 2 diabetes. A total of 132 respondents (58% female) completed an online survey with hypothetical cases about their acceptance of home-based CRC or cervical cancer screening. Among women respondents, urine and vaginal screening for primary HPV testing was acceptable to 64% and 59%, respectively. Among both men and women, at-home CRC screening with fecal immunochemical test or Cologuard® was acceptable to 60% of the respondents. When adjusting for education, women with a positive attitude toward home-based urine and vaginal screening were 49 times and 23 times more likely, respectively, to have a positive attitude toward CRC screening. These findings indicate that home-based cancer screens for CRC and primary HPV testing are acceptable to men and women and may allow for greater compliance with screening in the future.

Keywords: HPV screening; cervical cancer; colorectal cancer; home-based cancer screening; human papillomavirus.

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Conflict of interest statement

Conflicts of Interest None.

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