However, high participation was also noted in demonstration studies when women had to contact health centers to obtain or return the self sampling kit, as observed in rural Bhutan (average participation of 71%, with a negative trend by distance). 127 The proportion of hrHPV tests applied on inadequate self samples in participation studies was low, showing that this sampling method is suitable for hrHPV testing.
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Detecting cervical precancer and reaching underscreened women by using HPV testing on self samples: updated meta-analyses.
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