TY - JOUR T1 - HPV self-sampling for cervical cancer screening: a systematic review of values and preferences JF - BMJ Global Health JO - BMJ Global Health DO - 10.1136/bmjgh-2020-003743 VL - 6 IS - 5 SP - e003743 AU - Holly Nishimura AU - Ping Teresa Yeh AU - Habibat Oguntade AU - Caitlin E Kennedy AU - Manjulaa Narasimhan Y1 - 2021/05/01 UR - http://gh.bmj.com/content/6/5/e003743.abstract N2 - Introduction The WHO recommends human papillomavirus (HPV) cervical self-sampling as an additional screening method and HPV DNA testing as an effective approach for the early detection of cervical cancer for women aged ≥30 years. This systematic review assesses end user’s values and preferences related to HPV self-sampling.Methods We searched four electronic databases (PubMed, Cumulative Index to Nursing and Allied Health Literature, Latin American and Caribbean Health Sciences Literature and Embase) using search terms for HPV and self-sampling to identify articles meeting inclusion criteria. A standardised data extraction form was used to capture study setting, population, sample size and results related to values and preferences.Results Of 1858 records retrieved, 72 studies among 52 114 participants published between 2002 and 2018 were included in this review. Almost all studies were cross-sectional surveys. Study populations included end users who were mainly adolescent girls and adult women. Ages ranged from 14 to 80 years. Most studies (57%) were conducted in high-income countries. Women generally found HPV self-sampling highly acceptable regardless of age, income or country of residence. Lack of self-confidence with collecting a reliable sample was the most commonly cited reason for preferring clinician-collected samples. Most women preferred home-based self-sampling to self-sampling at a clinic. The cervical swab was the most common and most accepted HPV DNA sampling device.Conclusions HPV self-sampling is generally a highly accepted method of cervical cancer screening for end users globally. End user preferences for self-sampling device, method and setting can inform the development of new and expanded interventions to increase HPV screening.Data are available on request. All data relevant to the study are included in the article or uploaded as supplementary information. Extracted data are available on request to the corresponding author. ER -