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

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...

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Autores principales: Idehen, Esther E., Koponen, Päivikki, Härkänen, Tommi, Kangasniemi, Mari, Pietilä, Anna-Maija, Korhonen, Tellervo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5935973/
https://www.ncbi.nlm.nih.gov/pubmed/29728104
http://dx.doi.org/10.1186/s12939-018-0768-2
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author Idehen, Esther E.
Koponen, Päivikki
Härkänen, Tommi
Kangasniemi, Mari
Pietilä, Anna-Maija
Korhonen, Tellervo
author_facet Idehen, Esther E.
Koponen, Päivikki
Härkänen, Tommi
Kangasniemi, Mari
Pietilä, Anna-Maija
Korhonen, Tellervo
author_sort Idehen, Esther E.
collection PubMed
description 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% CI 72.9–84.4), Somalis 41% (95% CI 31.4–50.1), and Kurds 64% (95% CI 57.2–70.8), compared with 94% (95% CI 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% CI 0.18–0.58), Somalis 0.10 (95% CI 0.04–0.23), and Kurds 0.17 (95% CI 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.
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spelling pubmed-59359732018-05-11 Disparities in cervical screening participation: a comparison of Russian, Somali and Kurdish immigrants with the general Finnish population Idehen, Esther E. Koponen, Päivikki Härkänen, Tommi Kangasniemi, Mari Pietilä, Anna-Maija Korhonen, Tellervo Int J Equity Health Research 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% CI 72.9–84.4), Somalis 41% (95% CI 31.4–50.1), and Kurds 64% (95% CI 57.2–70.8), compared with 94% (95% CI 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% CI 0.18–0.58), Somalis 0.10 (95% CI 0.04–0.23), and Kurds 0.17 (95% CI 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. BioMed Central 2018-05-04 /pmc/articles/PMC5935973/ /pubmed/29728104 http://dx.doi.org/10.1186/s12939-018-0768-2 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Idehen, Esther E.
Koponen, Päivikki
Härkänen, Tommi
Kangasniemi, Mari
Pietilä, Anna-Maija
Korhonen, Tellervo
Disparities in cervical screening participation: a comparison of Russian, Somali and Kurdish immigrants with the general Finnish population
title Disparities in cervical screening participation: a comparison of Russian, Somali and Kurdish immigrants with the general Finnish population
title_full Disparities in cervical screening participation: a comparison of Russian, Somali and Kurdish immigrants with the general Finnish population
title_fullStr Disparities in cervical screening participation: a comparison of Russian, Somali and Kurdish immigrants with the general Finnish population
title_full_unstemmed Disparities in cervical screening participation: a comparison of Russian, Somali and Kurdish immigrants with the general Finnish population
title_short Disparities in cervical screening participation: a comparison of Russian, Somali and Kurdish immigrants with the general Finnish population
title_sort disparities in cervical screening participation: a comparison of russian, somali and kurdish immigrants with the general finnish population
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5935973/
https://www.ncbi.nlm.nih.gov/pubmed/29728104
http://dx.doi.org/10.1186/s12939-018-0768-2
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