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.
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.
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.
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.
Finnish Mass screening. Cervical cancer screening. https://www.cancer.fi/syoparekisteri/en/mass-screening-registry/cervical_cancer_screening/. Accessed 9 Mar 2017.
World Health Organization. Screening for Cervical Cancer. http://www.who.int/cancer/detection/cervical_cancer_screening/en/. Accessed 9 Mar 2017.
De Peralta AM, Holaday B, McDonell JR. Factors affecting hispanic women's participation in screening for cervical cancer. J Immigr Minor Health. 2015;17(3):684–95. CrossRef
Schwei RJ, Kadunc K, Nguyen AL, Jacobs EA. Impact of sociodemographic factors and previous interactions with the health care system on institutional trust in three racial/ethnic groups. Patient Educ Couns. 2014;96(3):333–8. http://dx.doi.org/ 10.1016/j.pec.2014.06.003. CrossRefPubMedPubMedCentral
Van Leeuwen A, de Nooijer P, Hop W. Screening for cervical carcinoma - Participation and results for ethnic groups and socioeconomic status. Cancer Cytopathol. 2005;105(5):270–6. CrossRef
Statistics Finland. Immigration and its gain increased from the previous year 2014. http://www.stat.fi/til/muutl/2015/muutl_2015_2016-05-17_tie_001_en.html. Accessed 9 Mar 2017.
Castaneda A, Rask S, Koponen P, Mölsä M, Koskinen S. Migrant Health and Wellbeing. A study on persons of Russian, Somali and Kurdish origin in Finland. Finnish, with English abstract, Report 61. Helsinki: National Institute for Health and Welfare (THL); 2012. Also available from https://www.thl.fi/documents/10531/697263/Maamu_loppuraportti_tiivistelma_EN_.pdf/3042f532-c876-45ec-a1d4-756943fe7b94.
Finnish Ministry of the Interior Annual Report on Immigration 2012. http://www.migri.fi/download/46518_46515_Maahanmuuton_tilastokatsaus_2012_ENG_web.pdf?fe8bed62c55bd488. Accessed 9 Mar 2017.
Robins J, Rotnitzky A, Zhao L. Estimation of regression coefficients when some regressors are not always observed. J Am Statist Assoc. 1994;89(427):846–66. CrossRef
UNICEF. Female genital mutilation/cutting: A statistical overview and exploration of the dynamics of change. New York: UNICEF Google Scholar; 2013.
Grange G, Malvy D, Lancon F, Gaudin A, El Hasnaoui A. Factors associated with regular cervical cancer screening. Int J Gynecol Obstet. 2008;102(1):28–33. CrossRef
Coughlin S, Breslau E, Thompson T, Benard V. Physician recommendation for Papanicolaou testing among US women, 2000. Cancer Epidemiol Biomark Prev. 2005;14(5):1143–8. CrossRef
- Factors associated with cervical cancer screening participation among immigrants of Russian, Somali and Kurdish origin: a population-based study in Finland
Esther E. Idehen
- BioMed Central
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