|作者：||Idehen Esther E, Korhonen Tellervo, Castaneda Anu, Juntunen Teppo, Kangasniemi Mari, Pietilä Anna-Maija, Koponen Päivikki|
1Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Yliopistoranta 1, P. O. Box 1627, 7021, Kuopio, Finland. firstname.lastname@example.org.
2Department of Public Health, University of Helsinki, Helsinki, Finland. email@example.com.
3Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Yliopistoranta 1, P. O. Box 1627, 7021, Kuopio, Finland.
4Department of Public Health, University of Helsinki, Helsinki, Finland.
5Department of Welfare, Equality and Inclusion Unit, National Institute for Health and Welfare (THL), Helsinki, Finland.
6Department of Nursing Science, University of Eastern Finland, Kuopio, Finland.
7Department of Public Health Solutions, National Institute for Health and Welfare (THL), Helsinki, Finland.
|刊名：||BMC women's health, 2017, Vol.17 (1), pp.19|
|关键词：||Cervical cancer; Early detection; Finland; Immigrants; Pap test; Screening participation;|
|原始语种摘要：||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.;;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.;;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.;;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.|