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BMC Womens Health. 2017 Mar 11;17(1):19. doi: 10.1186/s12905-017-0375-1.

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

Author information

1
Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Yliopistoranta 1, P. O. Box 1627, 7021, Kuopio, Finland. estheri@uef.fi.
2
Department of Public Health, University of Helsinki, Helsinki, Finland. estheri@uef.fi.
3
Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Yliopistoranta 1, P. O. Box 1627, 7021, Kuopio, Finland.
4
Department of Public Health, University of Helsinki, Helsinki, Finland.
5
Department of Welfare, Equality and Inclusion Unit, National Institute for Health and Welfare (THL), Helsinki, Finland.
6
Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.
7
Department of Public Health Solutions, National Institute for Health and Welfare (THL), Helsinki, Finland.

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.

KEYWORDS:

Cervical cancer; Early detection; Finland; Immigrants; Pap test; Screening participation

PMID:
28284203
PMCID:
PMC5346186
DOI:
10.1186/s12905-017-0375-1
[Indexed for MEDLINE]
Free PMC Article

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