{"id":"https://openalex.org/W4415005653","doi":"https://doi.org/10.1370/afm.23.s1.7482","title":"Implementing primary care-based in-clinic HPV self-sampling to increase cervical cancer screening rates","display_name":"Implementing primary care-based in-clinic HPV self-sampling to increase cervical cancer screening rates","publication_year":2025,"publication_date":"2025-09-01","ids":{"openalex":"https://openalex.org/W4415005653","doi":"https://doi.org/10.1370/afm.23.s1.7482"},"language":"en","primary_location":{"id":"doi:10.1370/afm.23.s1.7482","doi":"https://doi.org/10.1370/afm.23.s1.7482","is_oa":true,"landing_page_url":"https://doi.org/10.1370/afm.23.s1.7482","pdf_url":"https://www.annfammed.org/content/annalsfm/23/Supplement_1/7482.full.pdf","source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Screening, prevention, and health promotion","raw_type":"proceedings-article"},"volume":null,"type":"conference-abstract","is_traditional":false,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.annfammed.org/content/annalsfm/23/Supplement_1/7482.full.pdf","any_repository_has_fulltext":null},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5037816406","display_name":"Rebekah J. Pratt","orcid":"https://orcid.org/0000-0003-3561-8276","observed_orcids":["https://orcid.org/0000-0003-3561-8276"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Rebekah Pratt","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091113735","display_name":"Rachel L. Winer","orcid":"https://orcid.org/0000-0002-8119-5107","observed_orcids":["https://orcid.org/0000-0002-8119-5107"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Rachel Winer","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5028262846","display_name":"Timothy J. Ramer","orcid":"https://orcid.org/0000-0003-0478-9005","observed_orcids":["https://orcid.org/0000-0003-0478-9005"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Timothy Ramer","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5044115888","display_name":"Rahel G. Ghebre","orcid":"https://orcid.org/0000-0001-7049-290X","observed_orcids":["https://orcid.org/0000-0001-7049-290X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Rahel Ghebre","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066153091","display_name":"Katelyn Tessier","orcid":"https://orcid.org/0000-0002-5513-583X","observed_orcids":["https://orcid.org/0000-0002-5513-583X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Katelyn Tessier","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5046685365","display_name":"Adam A. Szpiro","orcid":"https://orcid.org/0000-0003-4995-238X","observed_orcids":["https://orcid.org/0000-0003-4995-238X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Adam Szpiro","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5081081140","display_name":"Christina Bliss Barsness","orcid":"https://orcid.org/0000-0001-5538-9445","observed_orcids":["https://orcid.org/0000-0001-5538-9445"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Christina Bliss Barsness","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5001177354","display_name":"John W Lin","orcid":"https://orcid.org/0000-0002-5602-7881","observed_orcids":["https://orcid.org/0000-0002-5602-7881"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"John Lin","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"7482","last_page":"7482"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10146","display_name":"Cervical Cancer and HPV Research","score":0.9707000255584717,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10146","display_name":"Cervical Cancer and HPV Research","score":0.9707000255584717,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13544","display_name":"Women's cancer prevention and management","score":0.026799999177455902,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10556","display_name":"Global Cancer Incidence and Screening","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/hpv-self-testing","display_name":"HPV self-testing","score":0.9210000038146973},{"id":"https://openalex.org/keywords/cervical-cancer-screening","display_name":"cervical cancer screening","score":0.9340000152587891},{"id":"https://openalex.org/keywords/primary-health-care-center","display_name":"primary health centers","score":0.796999990940094},{"id":"https://openalex.org/keywords/screening-disparities","display_name":"screening disparities","score":0.9279999732971191},{"id":"https://openalex.org/keywords/social-vulnerability-index","display_name":"Social Vulnerability Index","score":0.8209999799728394},{"id":"https://openalex.org/keywords/screening-participation","display_name":"screening uptake","score":0.7749999761581421},{"id":"https://openalex.org/keywords/implementation-evaluation","display_name":"implementation evaluation","score":0.4390000104904175},{"id":"https://openalex.org/keywords/health-equity","display_name":"health equity","score":0.4440000057220459},{"id":"https://openalex.org/keywords/social-determinants-of-health","display_name":"social determinants of health","score":0.6700000166893005},{"id":"https://openalex.org/keywords/language-barriers","display_name":"language barriers","score":0.3160000145435333}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9210000038146973},{"id":"https://openalex.org/C2776135927","wikidata":"https://www.wikidata.org/wiki/Q5242559","display_name":"Referral","level":2,"score":0.6686000227928162},{"id":"https://openalex.org/C2984752397","wikidata":"https://www.wikidata.org/wiki/Q3259956","display_name":"Primary care","level":2,"score":0.5884000062942505},{"id":"https://openalex.org/C2993522905","wikidata":"https://www.wikidata.org/wiki/Q5065348","display_name":"Cervical cancer screening","level":4,"score":0.5458999872207642},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.5037999749183655},{"id":"https://openalex.org/C2776463041","wikidata":"https://www.wikidata.org/wiki/Q3044843","display_name":"Cancer screening","level":3,"score":0.48829999566078186},{"id":"https://openalex.org/C2778220009","wikidata":"https://www.wikidata.org/wiki/Q160105","display_name":"Cervical cancer","level":3,"score":0.4871000051498413},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.3935999870300293},{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.3560999929904938},{"id":"https://openalex.org/C121608353","wikidata":"https://www.wikidata.org/wiki/Q12078","display_name":"Cancer","level":2,"score":0.32580000162124634},{"id":"https://openalex.org/C163432668","wikidata":"https://www.wikidata.org/wiki/Q623543","display_name":"Primary health care","level":3,"score":0.30250000953674316},{"id":"https://openalex.org/C38180746","wikidata":"https://www.wikidata.org/wiki/Q1952580","display_name":"Multivariate analysis","level":2,"score":0.29109999537467957},{"id":"https://openalex.org/C50382708","wikidata":"https://www.wikidata.org/wiki/Q223218","display_name":"Proportional hazards model","level":2,"score":0.28519999980926514},{"id":"https://openalex.org/C2777120189","wikidata":"https://www.wikidata.org/wiki/Q780067","display_name":"Triage","level":2,"score":0.28459998965263367},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.2775999903678894},{"id":"https://openalex.org/C207103383","wikidata":"https://www.wikidata.org/wiki/Q3930246","display_name":"Hazard ratio","level":3,"score":0.27570000290870667},{"id":"https://openalex.org/C2780647465","wikidata":"https://www.wikidata.org/wiki/Q5065348","display_name":"Cervical screening","level":4,"score":0.26829999685287476},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.2556000053882599},{"id":"https://openalex.org/C12174686","wikidata":"https://www.wikidata.org/wiki/Q1058438","display_name":"Risk assessment","level":2,"score":0.25029999017715454}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1370/afm.23.s1.7482","doi":"https://doi.org/10.1370/afm.23.s1.7482","is_oa":true,"landing_page_url":"https://doi.org/10.1370/afm.23.s1.7482","pdf_url":"https://www.annfammed.org/content/annalsfm/23/Supplement_1/7482.full.pdf","source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Screening, prevention, and health promotion","raw_type":"proceedings-article"}],"best_oa_location":{"id":"doi:10.1370/afm.23.s1.7482","doi":"https://doi.org/10.1370/afm.23.s1.7482","is_oa":true,"landing_page_url":"https://doi.org/10.1370/afm.23.s1.7482","pdf_url":"https://www.annfammed.org/content/annalsfm/23/Supplement_1/7482.full.pdf","source":null,"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Screening, prevention, and health promotion","raw_type":"proceedings-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"},{"id":"https://metadata.un.org/sdg/10","score":0.7307999730110168,"display_name":"Reduced inequalities"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4415005653.pdf","grobid_xml":"https://content.openalex.org/works/W4415005653.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4404454205","https://openalex.org/W4317895156","https://openalex.org/W4414991037","https://openalex.org/W7171454885","https://openalex.org/W4416690512","https://openalex.org/W3176585190","https://openalex.org/W4307382073","https://openalex.org/W4390636455","https://openalex.org/W2797978971","https://openalex.org/W1984066971"],"abstract_inverted_index":{"Context":[0],"HPV":[1,24,41,59,269],"self-testing":[2,25,111],"is":[3],"FDA":[4],"approved":[5],"and":[6,33,49,72,78,103,117,122,136,154,163,203,250,278],"can":[7],"be":[8],"offered":[9],"by":[10],"primary":[11,30,62,91,99,272],"care":[12,31,63,92,100,273],"clinics":[13,64,102,152,217,242,259],"as":[14,43],"a":[15,44,204],"cervical":[16,66,275],"cancer":[17,67],"screening":[18,48,51,68,134,144,161,188,230,276],"option.":[19],"The":[20],"Isbaar":[21],"Project":[22],"implemented":[23],"in":[26,28,61,73,148,200,226,236,240,253,257,260,271,279],"2023":[27],"three":[29,98],"clinics,":[32],"conducted":[34],"the":[35,55],"first":[36],"U.S.":[37,88],"evaluation":[38],"of":[39,57],"in-clinic":[40,268],"self-sampling":[42,60,270],"strategy":[45],"for":[46,159],"increasing":[47],"addressing":[50],"disparities.":[52],"Objective":[53],"Assess":[54],"effect":[56],"implementing":[58],"on":[65],"uptake,":[69],"both":[70],"overall":[71,232,277],"Somali-American":[74,208],"patients.":[75],"Study":[76],"Design":[77],"Analysis":[79],"Hybrid":[80],"Type":[81],"2":[82],"effectiveness-implementation":[83],"study.":[84],"Setting":[85],"or":[86],"Dataset":[87],"Midwest":[89],"urban":[90],"clinics.":[93,106],"Population":[94],"Studied":[95],"Patients":[96],"attending":[97,213],"intervention":[101,149,214,237,254],"37":[104],"control":[105,151,172,216,241,258],"Intervention/Instrument":[107],"Intervention":[108,169],"components":[109],"included":[110],"instructions;":[112],"clinical":[113],"staff":[114],"training":[115],"materials;":[116],"workflow":[118],"guidance,":[119],"referral":[120],"processes,":[121],"results":[123],"reporting/communication.":[124],"Outcome":[125],"Measures":[126],"We":[127],"used":[128],"Kaplan-Meier":[129],"methods":[130],"to":[131,142,156,184],"calculate":[132],"12-month":[133,229],"completion":[135],"difference-in-difference":[137],"Cox":[138],"proportional":[139],"hazards":[140],"regression":[141],"compare":[143],"changes":[145],"12-months":[146],"pre-/post-implementation":[147,235,252],"versus":[150,171,179,191,198,210,215,224,238,255],"(overall":[153],"restricting":[155],"Somali-Americans),":[157],"adjusting":[158],"age,":[160],"history,":[162],"social":[164],"vulnerability":[165],"index":[166],"(SVI).":[167],"Results":[168],"(N=5,661)":[170],"(N=61,577)":[173],"patients":[174],"were":[175,207],"younger":[176],"(mean":[177],"44.4":[178],"47.1":[180],"years),":[181],"more":[182],"likely":[183],"have":[185],"no":[186],"prior":[187],"documented":[189],"(66.5%":[190],"62.8%),":[192],"had":[193,219],"higher":[194,205,220],"SVI":[195,221],"scores":[196,222],"(44.1%":[197],"13.0%":[199],"highest":[201,227],"quartile),":[202],"proportion":[206],"(34.4%":[209],"2.3%).":[211],"Somali-Americans":[212,261],"also":[218],"(53.5%":[223],"30.3%":[225],"quartile).":[228],"increased":[231,274],"from":[233],"22.0%-34.4%":[234],"54.5%-57.2%":[239],"(difference-in-difference":[243,262],"adjusted":[244],"hazard":[245],"ratio":[246],"[aHR]:1.39,":[247],"95%":[248,264],"CI:1.25-1.55),":[249],"17.2%-31.5%":[251],"63.6%-66.0%":[256],"aHR:1.80,":[263],"CI:1.40-2.32).":[265],"Conclusions":[266],"Offering":[267],"Somali-Americans.":[280]},"counts_by_year":[],"updated_date":"2026-10-14T16:39:01.820549","created_date":"2025-10-10T00:00:00"}
