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Inequalities in the use of gynecological visits and preventive services for breast and cervical cancer in Roma women in Spain

Author

Listed:
  • Marisa Usera-Clavero

    (University of Alicante)

  • Diana Gil-González

    (University of Alicante
    CIBER of Epidemiology and Public Health (CIBER-ESP))

  • Daniel La Parra-Casado

    (Alicante University)

  • Carmen Vives-Cases

    (University of Alicante
    CIBER of Epidemiology and Public Health (CIBER-ESP))

  • Pilar Carrasco-Garrido

    (Universidad Rey Juan Carlos)

  • Pablo Caballero

    (University of Alicante)

Abstract

Objectives The Roma population in Spain makes up about two percent of the population and has worse health indicators than the general population. We analyzed both populations in 2006 and 2014 to discover whether there are differences in terms of gynecological visits and preventive services for breast and cervical cancer in Spain. Methods Cross-sectional study is based on the Spanish National Health Survey (SNHS) of 2006 and 2012 and the National Health Survey of the Roma Population (NHSRP) of 2006 and 2014. Results Roma women used gynecological visits less than the general population in 2006 (ORa 0.5 [0.4; 0.6] and in 2014 (ORa 0.2 [0.2; 0.3)]. In addition, use of the mammogram was lower in Roma women (ORa 0.7 [0.6; 0.8]), especially in the ages of the screening tests, and they had lower probability of receiving cervical examinations in 2006 (ORa 0.5 [0.4; 0.6]) and in 2014 (ORa 0.7 [0.6; 0.9]). Conclusions This study shows that the inequality gap in gynecological visits and preventive services for breast and cervical cancer in Roma women has persisted during the years studied (2006 and 2014), despite Spanish prevention policies.

Suggested Citation

  • 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.
    • Handle: RePEc:spr:ijphth:v:65:y:2020:i:3:d:10.1007_s00038-019-01326-w
    DOI: 10.1007/s00038-019-01326-w
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    References listed on IDEAS

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    1. Benjamin Cook & Geoffrey Wayne & Anne Valentine & Anna Lessios & Ethan Yeh, 2013. "Revisiting the evidence on health and health care disparities among the Roma: a systematic review 2003–2012," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 58(6), pages 885-911, December.
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    6. Bosiljka Djikanovic & Željka Stamenkovic & Vesna Bjegovic Mikanovic & Dejana Vukovic & Vladimir S. Gordeev & Natasa Maksimovic, 2018. "Negative attitudes related to violence against women: gender and ethnic differences among youth living in Serbia," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 63(8), pages 923-932, November.
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