Disparities in cervical screening participation : a comparison of Russian, Somali and Kurdish immigrants with the general Finnish population

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dc.contributor.author Idehen, Esther E.
dc.contributor.author Koponen, Päivikki
dc.contributor.author Härkänen, Tommi
dc.contributor.author Kangasniemi, Mari
dc.contributor.author Pietilä, Anna-Maija
dc.contributor.author Korhonen, Tellervo
dc.date.accessioned 2018-06-12T09:42:01Z
dc.date.available 2018-06-12T09:42:01Z
dc.date.issued 2018-05-04
dc.identifier.citation Idehen , E E , Koponen , P , Härkänen , T , Kangasniemi , M , Pietilä , A-M & Korhonen , T 2018 , ' Disparities in cervical screening participation : a comparison of Russian, Somali and Kurdish immigrants with the general Finnish population ' , International Journal for Equity in Health , vol. 17 , 56 . https://doi.org/10.1186/s12939-018-0768-2
dc.identifier.other PURE: 107550443
dc.identifier.other PURE UUID: 49a09b5f-bfa9-44c1-9df5-4de33fef75ec
dc.identifier.other WOS: 000431920100001
dc.identifier.other Scopus: 85046552691
dc.identifier.uri http://hdl.handle.net/10138/235989
dc.description.abstract Background: Cervical cancer is currently ranked as the fourth commonly diagnosed cancer in women globally. A higher incidence has been reported in low- and-middle-income countries, and the disease poses significant public health challenges. Evidence suggests that this disease is preventable by means of regular screening using the Papanicolaou (Pap) test. However, limited knowledge exists about disparities in cervical screening participation among immigrants compared with non-immigrants, in countries with universal cervical screening programmes. We aimed to examine disparities in cervical screening participation among women of Russian, Somali, and Kurdish, origin in Finland, comparing them with the general Finnish population (Finns). We controlled for differences in several socio-demographic and health-related variables as potential confounders. Methods: We employed data from the Finnish Migrant Health and Well-being Study 2010-2012 and the National Health 2011 Survey. Data collection involved face-to-face interviews. Data on screening participation in the previous five years from women aged 29-60 were available from 537 immigrants (257 Russians, 113 Somalis, 167 Kurds) and from 436 Finns. For statistical analyses, we used multiple logistic regression. Results: Age-adjusted screening participation rates were as follows: Russians 79% (95% Cl 72.9-84.4), Somalis 41% (95% Cl 31.4-50.1), and Kurds 64% (95% Cl 57.2-70.8), compared with 94% (95% Cl 91.4-95.9) among Finns. After additionally adjusting for socio-demographic and health-related confounders, all the immigrant groups showed a significantly lower likelihood of screening participation when compared with Finns. The Odds Ratios were as follows: Russians 0.32 (95% Cl 0.18-0.58), Somalis 0.10 (95% Cl 0.04-0.23), and Kurds 0.17 (95% Cl 0.09-0.35). However, when additionally accounting for country of origin-confounder interactions, such differences were attenuated. Conclusions: Our results indicate disparities in screening participation among these immigrants and a lower likelihood of screening participation compared with the general Finnish population. To improve equity in cervical cancer screening participation, appropriate culturally tailored intervention programmes for each immigrant group might be beneficial. en
dc.format.extent 9
dc.language.iso eng
dc.relation.ispartof International Journal for Equity in Health
dc.rights cc_by
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject Cervical cancer
dc.subject Cervical screening
dc.subject Equity
dc.subject Disparities
dc.subject Healthcare service
dc.subject Health inequities
dc.subject Immigrants
dc.subject Pap test
dc.subject CANCER
dc.subject WOMEN
dc.subject HEALTH
dc.subject RISK
dc.subject CARE
dc.subject PROGRAM
dc.subject FINLAND
dc.subject SWEDEN
dc.subject BORN
dc.subject DETERMINANTS
dc.subject 3142 Public health care science, environmental and occupational health
dc.title Disparities in cervical screening participation : a comparison of Russian, Somali and Kurdish immigrants with the general Finnish population en
dc.type Article
dc.contributor.organization Clinicum
dc.contributor.organization Department of Public Health
dc.contributor.organization University of Helsinki
dc.contributor.organization Genetic Epidemiology
dc.description.reviewstatus Peer reviewed
dc.relation.doi https://doi.org/10.1186/s12939-018-0768-2
dc.relation.issn 1475-9276
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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