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dc.contributor.authorIdehen, Esther E
dc.contributor.authorVirtanen, Anni
dc.contributor.authorLilja, Eero
dc.contributor.authorTuomainen, Tomi-Pekka
dc.contributor.authorKorhonen, Tellervo
dc.contributor.authorKoponen, Päivikki
dc.date.accessioned2021-01-12T07:56:17Z
dc.date.available2021-01-12T07:56:17Z
dc.date.issued2020
dc.identifier.urihttps://erepo.uef.fi/handle/123456789/24194
dc.description.abstractMigrant-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.
dc.language.isoenglanti
dc.publisherMDPI AG
dc.relation.ispartofseriesInternational journal of environmental research and public health
dc.relation.urihttp://dx.doi.org/10.3390/ijerph17217899
dc.rightsCC BY http://creativecommons.org/licenses/by/4.0/
dc.subjectcervical cancer screening
dc.subjectcancer prevention
dc.subjectdisparities
dc.subjecthealthcare service utilization
dc.subjecthealth inequities
dc.subjectmigrant health
dc.subjectwomen health
dc.subjectpublic health
dc.subjectpopulation-based study
dc.subjectquantitative research
dc.titleCervical Cancer Screening Participation among Women of Russian, Somali, and Kurdish Origin Compared with the General Finnish Population: A Register-Based Study
dc.description.versionpublished version
dc.contributor.departmentSchool of Medicine / Public Health
uef.solecris.id74479914en
dc.type.publicationTieteelliset aikakauslehtiartikkelit
dc.rights.accessrights© 2020 by the authors
dc.relation.doi10.3390/ijerph17217899
dc.description.reviewstatuspeerReviewed
dc.relation.articlenumber7899
dc.relation.issn1661-7827
dc.relation.issue21
dc.relation.volume17
dc.rights.accesslevelopenAccess
dc.type.okmA1
uef.solecris.openaccessOpen access -julkaisukanavassa ilmestynyt julkaisu


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