Attendance to cervical cancer screening among Roma and non-Roma women living in North-Western region of Romania

作者：Andreassen Trude^*; Melnic Adriana; Figueiredo Rejane; Moen Kare; Suteu Ofelia; Nicula Florian; Ursin Giske; Weiderpass Elisabete

来源：International Journal of Public Health, 2018, 63(5): 609-619.

DOI：10.1007/s00038-018-1107-5

• Cervical cancer screening attendance
• Minority Roma women
• Discrimination
• Access to health
• Health insurance
• Odds ratio

Romania has Europe's highest incidence and mortality rates of cervical cancer. Participation in the national cervical cancer-screening programme is low, especially among minority Roma women.
We conducted a cross-sectional study, using a structured questionnaire aiming to quantify reasons for screening attendance among women in North-Western region of Romania.
980 women were enrolled in this study. Data were analysed using logistic regression, estimating odds ratios (OR) and 95% confidence intervals (CI). This study revealed that Roma women (46%) attended screening less frequently that non-Roma women (63%),; however, ethnicity in itself was not associated with screening attendance. Instead we found that attendance to the cervical cancer screening programme was determined by having ever heard about a screening opportunity (OR 5.90, 95% CI 3.76-9.27) and having three or more sex partners (OR 5.99, 95% CI 1.71-21.04).
We concluded that information about the screening programme's existence and its rationale does not reach the women targeted for screening sufficiently and argue that a process of user involvement aiming to build contact, interaction and cooperation between the programme and its potential participants is warranted.

• 出版日期2018-6