Grant: Master's Award: Canada Graduate Scholarships

Cervical cancer (CC) is preventable, with rates dropping dramatically due to human papillomavirus (HPV) immunization, regular screening and timely follow-up of results. However, it is still the fourth most common cancer in women globally. It is estimated that in 2020, 553 individuals in Ontario were diagnosed with invasive CC, with 185 deaths. Screening attendance rates in Ontario are below both provincial and national targets, with less than 70% participation in the general population and even lower rates among Indigenous women living remotely. Disparities stem from the historic and ongoing harmful impacts of colonization on traditional ways of living. HPV self-sampling has proven viable for reaching under-screened populations. This study will use a community-based participatory research approach in partnership with Weeneebayko Area Health Authority communities to co-create community-informed strategies and integrate evidence-based, culturally safe strategies to close gaps in cervical cancer screening and follow-up care. This study will utilize hybrid group concept mapping to gain insights into CC prevention, barriers, and opportunities for HPV self-testing and follow-up care. Participatory thematic analysis of talking circles will involve sorting and rating tasks using concept mapping software. This phase will occur over two weeks and enable culturally appropriate storytelling and listening in Indigenous contexts. Hybrid gatherings will follow the data collection and synthesis phases to interpret results and plan strategic use of concept maps. Concept Systems® Global Max™ software will be used for analysis. This study will address critical gaps in effective implementation and uptake of HPV testing among remote Indigenous women and help prevent CC in these communities.