A randomized trial of mailed HPV self-sampling for cervical cancer screening among ethnic minority women in South Florida

Erin Kobetz, Julia Seay, Tulay Koru-Sengul, Jordan Baeker Bispo, Dinah Trevil, Martha Gonzalez, Andrew Brickman, Olveen Carrasquillo

Research output: Contribution to journalArticle

5 Scopus citations


Purpose: HPV self-sampling has previously been shown to increase cervical cancer screening among ethnic minority and immigrant women. We conducted a randomized pragmatic trial to examine the effectiveness of HPV self-sampling delivered via in-person versus by US mail for medically underserved Hispanic, Haitian, and non-Hispanic Black women living in South Florida. Methods: We randomized women aged 30–65 who had not completed Pap smear screening in the past 3 years into two groups: (1) HPV self-sampling delivered in-person (IP) by a community health worker (CHW; IP + SS) or (2) HPV self-sampling delivered via US mail (SS + Mail). Our primary outcome was HPV self-sampling completion by 6-month post-study enrollment. Results: We enrolled 600 women. Approximately 65% were Hispanic and 35% were Haitian or non-Hispanic Black. Nearly half (43%) had an income of less than $20,000/year and 67% were uninsured. In intent-to-treat analyses, 71.6% of participants in the SS + Mail group and 81.0% of participants in the IP + SS group completed HPV self-sampling. Conclusion: Mailed HPV self-sampling is an effective strategy to increase cervical cancer screening among underserved immigrant and ethnic minority women.

Original languageEnglish (US)
Pages (from-to)793-801
Number of pages9
JournalCancer Causes and Control
Issue number9
StatePublished - Sep 1 2018



  • Cervical cancer screening
  • HPV
  • Immigrant
  • Self-sampling
  • Women

ASJC Scopus subject areas

  • Oncology
  • Cancer Research

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