Abstract
In the United States, cervical cancer is the second leading cause of cancer deaths among women ages 20-39, causing ten deaths per week (Siegel et al., 2023). Rural women experience higher incidence and mortality rates of cervical cancer. In Northern California, 11 rural counties experience disproportionately high rates of cervical cancer. These women face numerous barriers to cervical cancer screening, including financial costs, travel times, limited provider availability, lack of strong healthcare provider recommendations, and low perceived risk. In the Do-it-Yourself intervention, all eligible women will receive a self-sampling kit by mail and undergo two virtual educational trainings informed by social cognitive theory. Simultaneously, this intervention educates rural providers on up-to-date cervical cancer screening practices and self-sampling. The intervention provides ongoing support and supplies to providers to continue distribution of self-sampling swabs to non-responders. The overarching goal of this intervention is to eliminate rural-urban disparities in cervical cancer.