Cervical cancer screening preferences among African American women in the Mississippi delta

Allison G. Litton, Philip E. Castle, Edward E. Partridge, Isabel C. Scarinci

Research output: Contribution to journalArticlepeer-review

14 Scopus citations


Although cervical cancer screening rates have increased in the United States, there are still geographic areas that experience a high cervical cancer burden, including the Mississippi Delta. Human papillomavirus (HPV) self-collection may be a feasible alternative to traditional clinician-collection for cervical cancer screening for under-screened women. This study examined women's preferences for cervical cancer screening methods. Interviewer-administered questionnaires regarding cervical cancer screening preferences were completed by 524 African American women in the Mississippi Delta. Statistically significant differences were observed for age, employment status, and number of children across recruitment groups. Regardless of how women were recruited, the majority preferred self-sampling for HPV testing method to clinician-collection. Among women who preferred self-collected sampling for HPV testing, the most frequent reasons given were convenience, privacy, and comfort. Alternative strategies must be considered when targeting the underscreened to reduce the burden of cervical cancer.

Original languageEnglish (US)
Pages (from-to)46-55
Number of pages10
JournalJournal of health care for the poor and underserved
Issue number1
StatePublished - Feb 2013
Externally publishedYes


  • Cervical cancer screening
  • HPV self-collection
  • Medically underserved women
  • Preferences

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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