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Non-attendance in cervical cancer screening among migrant women in Portugal: A cross-sectional study

OBJECTIVES: Cervical cancer has a high mortality rate among women worldwide. Although cervical cancer screening (CCS) is an effective strategy in reducing mortality of the disease, inequalities in accessing screening exist, particularly among migrant women. This study aims to characterize migrant wo...

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Autores principales: Marques, Patrícia, Geraldes, Mariana, Gama, Ana, Heleno, Bruno, Dias, Sónia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9019366/
https://www.ncbi.nlm.nih.gov/pubmed/35435057
http://dx.doi.org/10.1177/17455057221093034
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author Marques, Patrícia
Geraldes, Mariana
Gama, Ana
Heleno, Bruno
Dias, Sónia
author_facet Marques, Patrícia
Geraldes, Mariana
Gama, Ana
Heleno, Bruno
Dias, Sónia
author_sort Marques, Patrícia
collection PubMed
description OBJECTIVES: Cervical cancer has a high mortality rate among women worldwide. Although cervical cancer screening (CCS) is an effective strategy in reducing mortality of the disease, inequalities in accessing screening exist, particularly among migrant women. This study aims to characterize migrant women’s participation in CCS and determine factors associated with non-attendance to CCS. METHODS: A cross-sectional study based on a web-based survey targeting adult migrant women living in Portugal was conducted. Prevalence of non-attendance to CCS was examined, and its associations with socioeconomic, migration-related, and health-related factors were determined using adjusted logistic regression models. RESULTS: A total of 1100 migrant women were included in the study. Prevalence of CCS non-attendance was 24.5%. CCS non-attendance was associated with younger age, being born in Africa or Asia, being single/divorced/widowed, never having had a GP appointment in Portugal and not having regular gynecology appointments. Being born in South and Central America, shorter length of stay in Portugal, having had HPV vaccination, and not having children are associated with CCS attendance. CONCLUSION: These findings point out that an important percentage of migrant women do not attend CCS. Strategies to increase participation should be developed, considering the inequalities identified and designed to target the specific needs of migrant women to improve their CCS attendance and increase cervical cancer prevention.
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spelling pubmed-90193662022-04-21 Non-attendance in cervical cancer screening among migrant women in Portugal: A cross-sectional study Marques, Patrícia Geraldes, Mariana Gama, Ana Heleno, Bruno Dias, Sónia Womens Health (Lond) Original Research Article OBJECTIVES: Cervical cancer has a high mortality rate among women worldwide. Although cervical cancer screening (CCS) is an effective strategy in reducing mortality of the disease, inequalities in accessing screening exist, particularly among migrant women. This study aims to characterize migrant women’s participation in CCS and determine factors associated with non-attendance to CCS. METHODS: A cross-sectional study based on a web-based survey targeting adult migrant women living in Portugal was conducted. Prevalence of non-attendance to CCS was examined, and its associations with socioeconomic, migration-related, and health-related factors were determined using adjusted logistic regression models. RESULTS: A total of 1100 migrant women were included in the study. Prevalence of CCS non-attendance was 24.5%. CCS non-attendance was associated with younger age, being born in Africa or Asia, being single/divorced/widowed, never having had a GP appointment in Portugal and not having regular gynecology appointments. Being born in South and Central America, shorter length of stay in Portugal, having had HPV vaccination, and not having children are associated with CCS attendance. CONCLUSION: These findings point out that an important percentage of migrant women do not attend CCS. Strategies to increase participation should be developed, considering the inequalities identified and designed to target the specific needs of migrant women to improve their CCS attendance and increase cervical cancer prevention. SAGE Publications 2022-04-17 /pmc/articles/PMC9019366/ /pubmed/35435057 http://dx.doi.org/10.1177/17455057221093034 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research Article
Marques, Patrícia
Geraldes, Mariana
Gama, Ana
Heleno, Bruno
Dias, Sónia
Non-attendance in cervical cancer screening among migrant women in Portugal: A cross-sectional study
title Non-attendance in cervical cancer screening among migrant women in Portugal: A cross-sectional study
title_full Non-attendance in cervical cancer screening among migrant women in Portugal: A cross-sectional study
title_fullStr Non-attendance in cervical cancer screening among migrant women in Portugal: A cross-sectional study
title_full_unstemmed Non-attendance in cervical cancer screening among migrant women in Portugal: A cross-sectional study
title_short Non-attendance in cervical cancer screening among migrant women in Portugal: A cross-sectional study
title_sort non-attendance in cervical cancer screening among migrant women in portugal: a cross-sectional study
topic Original Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9019366/
https://www.ncbi.nlm.nih.gov/pubmed/35435057
http://dx.doi.org/10.1177/17455057221093034
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