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*NHS Direct self sampling initiated on 28 May 2009.
All participants received a faecal occult blood test kit for self sampling.
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We considered three groups defined as follows: (1) 'no intervention' (2) 'recall', women received a letter to visit a GP, gynaecologist or midwife to have a Pap smear; and (3) 'self-sampling', women received a vaginal self-sampling kit.
Those who returned a self-sample were asked about their experience with self-sampling, their willingness to participate in future self-sampling and their preference for collection at home or clinic.
Another strong determinant of women's likelihood of self-sampling for HPV was priority considerations for HPV self-sampling (Table 3).
Secondly, assuming similar CIN2+ detection rates by self-sampling and reminder letters, or even a 20%% or 50%% higher detection rate by self-sampling, the cost per treated CIN2+ lesion by self-sampling was higher than with a reminder letter.
The attendance rate differs only slightly in these studies, possibly either due to the type of self-sampling device or because women had prior knowledge of self-sampling.
Women in the HPV self-sampling arm who attend for a Pap smear instead of self-sampling will be counted as 'successes'successes
S-DRY dry vaginal swabs used for self-sampling, S-WET vaginal swabs with wet transport medium used for self-sampling.
Hanselman et al. have used nasal self-sampling, and found S. aureus percentages in US teachers consistent with literature, indicating appropriateness of self-sampling [ 12].
HPV vaginal self-sampling can be an alternative for women refusing cytological screening.
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