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

Author

Listed:
  • Trude Andreassen

    (Cancer Registry of Norway, Institute of Population-Based Cancer Research
    University of Oslo
    University of Oslo)

  • Adriana Melnic

    (The Romanian Cancer Society)

  • Rejane Figueiredo

    (Folkhälsan Research Center, Genetic Epidemiology Group)

  • Kåre Moen

    (University of Oslo)

  • Ofelia Şuteu

    (University of Medicine and Pharmacy, “Iuliu Haţieganu”
    Institute of Oncology “Prof. Dr. Ion Chiricuţă” Cluj-Napoca (IOCN))

  • Florian Nicula

    (Institute of Oncology “Prof. Dr. Ion Chiricuţă” Cluj-Napoca (IOCN))

  • Giske Ursin

    (Cancer Registry of Norway, Institute of Population-Based Cancer Research
    University of Oslo
    University of Southern California)

  • Elisabete Weiderpass

    (Cancer Registry of Norway, Institute of Population-Based Cancer Research
    Folkhälsan Research Center, Genetic Epidemiology Group
    University of Tromsø, The Arctic University of Norway
    Karolinska Institutet)

Abstract

Objectives 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. Methods 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. Results 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). Conclusions 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.

Suggested Citation

  • Trude Andreassen & Adriana Melnic & Rejane Figueiredo & Kåre Moen & Ofelia Şuteu & Florian Nicula & Giske Ursin & Elisabete Weiderpass, 2018. "Attendance to cervical cancer screening among Roma and non-Roma women living in North-Western region of Romania," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(5), pages 609-619, June.
    • Handle: RePEc:spr:ijphth:v:63:y:2018:i:5:d:10.1007_s00038-018-1107-5
    DOI: 10.1007/s00038-018-1107-5
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    References listed on IDEAS

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    Cited by:

    1. Marisa Usera-Clavero & Diana Gil-González & Daniel La Parra-Casado & Carmen Vives-Cases & Pilar Carrasco-Garrido & Pablo Caballero, 2020. "Inequalities in the use of gynecological visits and preventive services for breast and cervical cancer in Roma women in Spain," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(3), pages 273-280, April.
    2. Anna Gottschlich & Pamela Ochoa & Alvaro Rivera-Andrade & Christian S. Alvarez & Carlos Mendoza Montano & Claudia Camel & Rafael Meza, 2020. "Barriers to cervical cancer screening in Guatemala: a quantitative analysis using data from the Guatemala Demographic and Health Surveys," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 65(2), pages 217-226, March.

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