Cervical cancer screening participation among women of Russian, Somali, and Kurdish origin compared with the general Finnish population: a register-based study.

Idehen, Esther E.; Virtanen, Anni; Lilja, Eero; Tuomainen, Tomi-Pekka; Korhonen, Tellervo; Koponen, Päivikki

Abstract

Migrant-origin women are less prone to cervical screening uptake compared with host populations. This study examined cervical cancer screening participation and factors associated with it in the Finnish mass screening program during 2008–2012 in women of Russian, Somali and Kurdish origin compared with the general Finnish population (Finns) in Finland. The study population consists of samples from the Finnish Migrant Health and Well-being Study 2010–2012 and Health 2011 Survey; aged 30–64 (n = 2579). Data from the Finnish screening register linked with other population-based registry data were utilized. For statistical analysis we employed logistic regression. Age-adjusted screening participation rates were Russians 63% (95% CI: 59.9–66.6), Somalis 19% (16.4–21.6), Kurds 69% (66.6–71.1), and Finns 67% (63.3–69.8). In the multiple-adjusted model with Finns as the reference; odds ratios for screening were among Russians 0.92 (0.74–1.16), Somalis 0.16 (0.11–0.22), and Kurds 1.37 (1.02–1.83). Among all women, the substantial factor for increased screening likelihood was hospital care related to pregnancy/birth 1.73 (1.27–2.35), gynecological 2.47 (1.65–3.68), or other reasons 1.53 (1.12–2.08). Screening participation was lower among students and retirees. In conclusion, screening among the migrant-origin women varies, being significantly lowest among Somalis compared with Finns. Efforts using culturally tailored/population-specific approaches may be beneficial in increasing screening participation among women of migrant-origin.

Citation

IDEHEN, E.E., VIRTANEN, A., LILJA, E., TUOMAINEN, T.-P., KORHONEN, T. and KOPONEN, P. 2020. Cervical cancer screening participation among women of Russian, Somali, and Kurdish origin compared with the general Finnish population: a register-based study. International journal of environmental research and public health [online], 17(21), article number 7899. Available from: https://doi.org/10.3390/ijerph17217899

• Journal Article Type: Article
• Acceptance Date: Oct 24, 2020
• Online Publication Date: Oct 28, 2020
• Publication Date: Nov 15, 2020
• Deposit Date: Jul 1, 2024
• Publicly Available Date: Jul 1, 2024
• Journal: International journal of environmental research and public health
• Print ISSN: 1661-7827
• Electronic ISSN: 1660-4601
• Publisher: MDPI
• Peer Reviewed: Peer Reviewed
• Volume: 17
• Issue: 21
• Article Number: 7899
• DOI: https://doi.org/10.3390/ijerph17217899
• Keywords: Cervical cancer screening; Cancer screening; Cancer prevention; Health inequities; Health inequalities; Migrants' health; Women's health; Public health; Health care services
• Public URL: https://rgu-repository.worktribe.com/output/2218852