@article{fdi:010079462,
  title = {{A}cceptability of {HPV} screening among {HIV}-infected women attending an {HIV}-dedicated clinic in {A}bidjan, {C}ote d'{I}voire},
  author = {{M}ensah, {K}. and {A}ssoumou, {N}. and {D}uchesne, {V}. and {P}ourette, {D}olores and {B}eaudrap, {P}ierre de and {D}umont, {A}lexandre},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground {C}ervical cancer incidence is high among women living with {HIV} due to high-risk {HPV} persistence in the cervix. {I}n low-income countries, cervical cancer screening is based on visual inspection with acetic acid. {I}mplementing human papilloma virus ({HPV}) screening through self-sampling could increase women's participation and screening performance. {O}ur study aims to assess the preintervention acceptability of {HPV} screening among {HIV}-infected women in {A}bidjan, {C}ote d'{I}voire. {M}ethods {A}pplying the {H}ealth {B}elief {M}odel theoretical framework, we collected qualitative data through in-depth interviews with 21 {HIV}-infected women treated in an {HIV}-dedicated clinic. {M}aximum variation sampling was used to achieve a diverse sample of women in terms of level of health literacy. {I}nterviews were recorded and transcribed with the participants' consent. {D}ata analysis was performed using {NV}ivo 12. {R}esults {S}creening acceptability relies on cervical cancer representations among women. {B}arriers were the fear of diagnosis and the associated stigma disregard for {HIV}-associated health conditions, poor knowledge of screening and insufficient resources for treatment. {F}ees removal, higher levels of knowledge about cervical cancer and of the role of {HIV} status in cancer were found to facilitate screening. {H}ealthcare providers are obstacle removers by their trusting relationship with women and help navigating through the healthcare system. {S}elf-confidence in self-sampling is low.{C}onclusions {F}ree access to cervical screening, communication strategies increasing cervical cancer knowledge and healthcare provider involvement will foster {HPV} screening. {K}nowledge gathered through this research is crucial for designing adequate {HPV}-based screening interventions for women living with {HIV} in this setting.},
  keywords = {{C}ervical cancer ; {HIV} ; {H}ealth belief model ; {S}elf-sampling ; {S}creening ; {Q}ualitative ; {C}ote d'{I}voire ; {S}ub-{S}aharan countries ; {W}omen's health ; {COTE} {D}'{IVOIRE} ; {ABIDJAN} ; {AFRIQUE} {SUBSAHARIENNE}},
  booktitle = {},
  journal = {{BMC} {W}omen's {H}ealth},
  volume = {20},
  numero = {1},
  pages = {art. 155 [8 ]},
  year = {2020},
  DOI = {10.1186/s12905-020-01021-6},
  URL = {https://www.documentation.ird.fr/hor/fdi:010079462},
}