Factors associated with cervical cancer screening participation among immigrants of Russian, Somali and Kurdish origin : a population-based study in Finland

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http://hdl.handle.net/10138/188613

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Idehen , E E , Korhonen , T , Castaneda , A , Juntunen , T , Kangasniemi , M , Pietila , A-M & Koponen , P 2017 , ' Factors associated with cervical cancer screening participation among immigrants of Russian, Somali and Kurdish origin : a population-based study in Finland ' , BMC Women's Health , vol. 17 , 19 . https://doi.org/10.1186/s12905-017-0375-1

Title: Factors associated with cervical cancer screening participation among immigrants of Russian, Somali and Kurdish origin : a population-based study in Finland
Author: Idehen, Esther E.; Korhonen, Tellervo; Castaneda, Anu; Juntunen, Teppo; Kangasniemi, Mari; Pietila, Anna-Maija; Koponen, Paivikki
Contributor: University of Helsinki, Clinicum
University of Helsinki, Clinicum
Date: 2017-03-11
Language: eng
Number of pages: 10
Belongs to series: BMC Women's Health
ISSN: 1472-6874
URI: http://hdl.handle.net/10138/188613
Abstract: Background: Previous studies revealed low participation in cervical cancer screening among immigrants compared with non-immigrants. Only a few studies about factors associated with immigrants' lower participation rates have been conducted in European countries that have universal access for all eligible women. Our study aimed to explore factors associated with cervical screening participation among women of Russian, Somali, and Kurdish origin in Finland. Methods: We used data from the Migrant Health and Well-being Survey, 2010-2012. Structured face-to-face interviews of groups of immigrants aged 25-60 yielded 620 responses concerning screening participation in the previous five years. Statistical analysis employed logistic regression. Results: The age-adjusted participation rates were as follows: among women of Russian origin 73.9% (95% CI 68.1-79.7), for Somalis 34.7% (95% CI 26.4-43.0), and for Kurds 61.3% (95% CI 55.0-67.7). Multiple logistic regressions showed that the most significant factor increasing the likelihood of screening participation among all groups was having had at least one gynecological check-up in the previous five years (Odds ratio [OR] = 6.54-26.2; p <0.001). Other factors were higher education (OR = 2.63; p = 0.014), being employed (OR = 4.31; p = 0.007), and having given birth (OR = 9.34; p= 0.014), among Kurds; and literacy in Finnish/Swedish (OR = 3.63; p = 0.003) among Russians. Conclusions: Our results demonstrate that women who refrain from using reproductive health services, those who are unemployed and less educated, as well as those with poor language proficiency, might need more information on the importance of screening participation. Primary and occupational healthcare services may have a significant role in informing immigrant women about this importance.
Subject: Cervical cancer
Early detection
Finland
Immigrants
Pap test
Screening participation
WOMENS KNOWLEDGE
BREAST
RISK
PROGRAM
CANADA
PAP
METAANALYSIS
PREVENTION
ONTARIO
SWEDEN
3142 Public health care science, environmental and occupational health
3123 Gynaecology and paediatrics
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