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dc.contributor.authorIdehen EE
dc.contributor.authorKorhonen T
dc.contributor.authorCastaneda A
dc.contributor.authorJuntunen T
dc.contributor.authorKangasniemi M
dc.contributor.authorPietilä A-M
dc.contributor.authorKoponen P
dc.date.accessioned2017-11-08T13:39:14Z
dc.date.available2017-11-08T13:39:14Z
dc.date.issued2017
dc.identifier.urihttps://erepo.uef.fi/handle/123456789/4483
dc.description.abstractBackground 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.en
dc.language.isoENen
dc.publisherSpringer Natureen
dc.relation.ispartofseriesBMC WOMEN'S HEALTHen
dc.relation.urihttp://dx.doi.org/10.1186/s12905-017-0375-1en
dc.rightsCC BY http://creativecommons.org/licenses/by/4.0/en
dc.subjectCervical canceren
dc.subjectEarly detectionen
dc.subjectFinlanden
dc.subjectImmigrantsen
dc.subjectPap testen
dc.subjectScreening participationen
dc.titleFactors associated with cervical cancer screening participation among immigrants of Russian, Somali and Kurdish origin: a population-based study in Finlanden
dc.description.versionpublished versionen
dc.contributor.departmentDepartment of Nursing Science, activitiesen
dc.contributor.departmentSchool of Medicine / Public Healthen
uef.solecris.id45919442en
dc.type.publicationinfo:eu-repo/semantics/articleen
dc.rights.accessrights© Authorsen
dc.relation.doi10.1186/s12905-017-0375-1en
dc.description.reviewstatuspeerRevieweden
dc.format.pagerange1-10en
dc.relation.articlenumber19en
dc.relation.issn1472-6874en
dc.relation.issue1en
dc.relation.volume17en
dc.rights.accesslevelopenAccessen
dc.type.okmA1en
dc.type.versioninfo:eu-repo/semantics/publishedVersionen


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