scholarly journals Do vulnerable groups access prevention services? Cervical cancer screening and HIV testing among homeless migrant women in the Paris metropolitan area

PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0255900
Author(s):  
Lorraine Poncet ◽  
Henri Panjo ◽  
Virginie Ringa ◽  
Armelle Andro
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Hiv Testing ◽  
Cervical Cancer Screening ◽  
Metropolitan Area ◽  
Regression Models ◽  
Migrant Women ◽  
Duration Of Residence ◽  
Hiv Test ◽  
Emergency Housing

Introduction Homeless migrant women, facing adverse living conditions and barriers to legal status, are at risk of cervical cancer, HIV infection and may encounter barriers to screening services. We investigate factors associated with each screening in a population of migrant women in France and aim to determine the mean time since last HIV testing according to duration of residence in France. Methods We use data from the DSAFHIR study (Rights and Health of Migrant Women in Emergency Housing) investigating health and migration experience of homeless migrant women housed in emergency housing hotels in the Paris Metropolitan area in 2017. We computed multivariate logistic regression models to investigate no lifetime cervical cancer screening (CCS) and no lifetime HIV test. We used linear regression models to analyze time since last HIV test. Results We included 469 women. 46% of respondents had no lifetime CCS, 31% had no lifetime HIV test. Both screenings were associated with educational attainment and French proficiency. Compared with duration of residence < 1 year, duration ≥ 7 years was associated with a lower likelihood of no lifetime CCS (adjusted Odd Ratio = 0.17; 95% CI = 0.07–0.39). Compared to women born in North Africa, women born in West (aOR = 0.15; 95% CI = 0.07–0.33) and East Africa (aOR = 0.06; 95% CI = 0.02–0.20) were less likely to have no lifetime HIV test. Time since last HIV test increased for each additional year spent in France (coef = 0.21; 95% CI = 0.09, 0.33). Conclusion While access to CCS remains poor for recent migrants, HIV testing is more likely to occur shortly after migration.

scholarly journals Factors associated with cervical cancer screening participation among migrant women in Europe: a scoping review

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Patrícia Marques ◽  
Mariana Nunes ◽  
Maria da Luz Antunes ◽  
Bruno Heleno ◽  
Sónia Dias
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Scoping Review ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Migrant Women ◽  
Factors Associated ◽  
Screening Participation ◽  
Cancer Screening Participation

Abstract Background Cervical cancer screening has been effective in reducing incidence and mortality of cervical cancer, leading European countries to implement screening programs. However, migrant women show lower screening participation compared to nationals. This scoping review aims to provide a synthesis of the growing evidence on factors associated with participation in cervical cancer screening among migrant women in Europe. Methods Electronic peer-reviewed databases were searched in November 2019 for studies on factors related to the participation of migrants in cervical cancer screening conducted in EU/EFTA countries, using comprehensive search expressions. Retrieved articles were screened and those eligible were selected for data extraction. Quantitative and qualitative studies were included. Factors were classified in barriers and facilitators and were divided into further categories. Results Twenty out of 96 articles were selected and analyzed. Factors associated with participation in cervical cancer screening were classified in categories related to sociodemographic, healthcare-system, psychological, migration, knowledge, language, and cultural factors. Lack of information, lack of female healthcare providers, poor language skills, and emotional responses to the test (especially fear, embarrassment and discomfort) were the most reported barriers to cervical cancer screening. Encouragement from healthcare providers and information available in migrants’ languages were frequently stated as facilitators. Results on the role of sociodemographic factors, such as age, education, employment and marital status, are the most conflicting, highlighting the complexity of the issue and the possibility of interactions between factors, resulting in different effects on cervical cancer screening participation among migrant women. Several identified barriers to screening are like those to access to healthcare services in general. Conclusions Efforts to increase migrant women’s participation in CCS must target barriers to access to healthcare services in general but also specific barriers, including cultural differences about sexuality and gender, past traumatic personal experiences, and the gender and competences of healthcare professionals performing CCS. Healthcare services should strengthen resources to meet migrants’ needs, including having CCS information translated and culturally adapted, as well as healthcare providers with skills to deal with cultural background. These findings can contribute to improve CCS programs among migrant women, reducing health disparities and enhancing their overall health and well-being.

Predictors of Breast and Cervical Cancer Screening in a Spanish Metropolitan Area

2010 ◽  
Vol 19 (9) ◽  
pp. 1675-1681 ◽  
Author(s):  
Ana López-de-Andrés ◽  
Rocio Martin-Lopez ◽  
Valentín Hernández-Barrera ◽  
Pilar Carrasco-Garrido ◽  
Ángel Gil-de-Miguel ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Metropolitan Area ◽  
Breast And Cervical Cancer

scholarly journals Prevalence and Predictor of Cervical Cancer Screening Service Uptake Among Women Aged 25 Years and Above in Sidama Zone, Southern Ethiopia, Using Health Belief Model

2020 ◽  
Vol 27 (1) ◽  
pp. 107327482095446
Author(s):  
Ermias Yunkura Gemeda ◽  
Belayneh Bekele Kare ◽  
Dereje Geleta Negera ◽  
Lalisa Gemechu Bona ◽  
Bedilu Deribe Derese ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Self Efficacy ◽  
Invasive Cervical Cancer ◽  
Southern Ethiopia ◽  
P Value ◽  
Screening Service ◽  
Screening Uptake ◽  
Hiv Test

Cervical cancer is the fourth most common cancer affecting women worldwide, and the second leading cancer in Ethiopia. Screening gives protective benefits associated with a reduction in the incidence of invasive cervical cancer and mortality. However, the level of cervical cancer screening uptake is not well document in the country. This study aimed to determine the prevalence and predictors of cervical cancer screening service uptake among women aged 25 years and above in Sidama zone, southern Ethiopia, 2019. A cross-sectional study was conducted among 838 women aged 25 and above years by using an interviewer-administered questionnaire. Multi-stage sampling technique was employed to identify households with women age of 25 and above years who were residing in the selected kebele for more than 6 months. Descriptive and multivariable logistic regression done. P-value <0.05 was considered as significant and presented by adjusted odds ratio (AOR) with 95% C.I. This study showed that among 838 women, only 17.8% (95%CI, 15.2%-20.5%) have undergone for cervical cancer screening. Being age of 35-39 (AOR = 5.2, 95% CI = 2.6-10.6), College and above Educational level (AOR = 3.8, 95% CI = 1.5-9.6), Ever had HIV test (AOR = 2.8, 95% CI = 1.82-4.4) and high perceived self-efficacy (AOR = 4.4, 95% CI = 1.527-12.84) were significant predictors for cervical cancer screening service uptake. The magnitude of cervical cancer screening uptake among women aged 25 years and above was lower than that of the recommended coverage of the target group by the national guideline. Age of women, educational status of women, ever had HIV test, and high perceived self-efficacy were important factors of cervical cancer screening service uptake. So it is very crucial improving cervical cancer screening uptake, through creating awareness and educating women, about the advantage of screening in early detection and management of cervical cancer screening utilization

scholarly journals Utilization of cervical cancer screening among migrants and non-migrants in Germany: results from a large-scale population survey

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Patrick Brzoska ◽  
Tuğba Aksakal ◽  
Yüce Yilmaz-Aslan
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Health Services ◽  
Cervical Cancer Screening ◽  
Large Scale ◽  
Population Survey ◽  
Age Groups ◽  
Migrant Women ◽  
Health Services Use ◽  
Eu Countries

Abstract Background Studies from European and non-European countries have shown that migrants utilize cervical cancer screening less often than non-migrants. Findings from Germany are inconsistent. This can be explained by several limitations of existing investigations, comprising residual confounding and data which is restricted to only some regions of the country. Using data from a large-scale and nationwide population survey and applying the Andersen Model of Health Services Use as the theoretical framework, the aim of the present study was to examine the role that different predisposing, enabling and need factors have for the participation of migrant and non-migrant women in cervical cancer screening in Germany. Methods We used data from the ‘German Health Update 2014/2015’ survey on n = 12,064 women ≥20 years of age. The outcome of interest was the participation in cancer screening (at least once in lifetime vs. no participation). The outcome was compared between the three population groups of non-migrants, migrants from EU countries and migrants from non-EU countries. We employed multivariable logistic regression to examine the role of predisposing, enabling and need factors. Results Non-EU and EU migrant women reported a lower utilization of cervical cancer screening (50.1 and 52.7%, respectively) than non-migrant women (57.2%). The differences also remained evident after adjustment for predisposing, enabling and need factors. The respective adjusted odds ratios (OR) for non-EU and EU migrants were OR = 0.67 (95%-CI = 0.55–0.81) and OR = 0.80 (95%-CI = 0.66–0.97), respectively. Differences between migrants and non-migrants were particularly pronounced for younger age groups. Self-rated health was associated with participation in screening only in non-migrants, with a poorer health being indicative of a low participation in cancer screening. Conclusions The disparities identified are in line with findings from studies conducted in other countries and are indicative of different obstacles this population group encounters in the health system. Implementing patient-oriented health care through diversity-sensitive health services is necessary to support informed decision-making.

scholarly journals Integrating HIV testing into cervical cancer screening in Tanzania: an analysis of routine service delivery statistics

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Marya Plotkin ◽  
Giulia VR Besana ◽  
Safina Yuma ◽  
Young Mi Kim ◽  
Yusuph Kulindwa ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Service Delivery ◽  
Hiv Testing ◽  
Cervical Cancer Screening ◽  
Routine Service

scholarly journals Risk of late cervical cancer screening according to prosperity and medical density in daily frequented neighborhoods in Greater Paris.

2019 ◽  
Author(s):  
Médicoulé TRAORE ◽  
Julie Vallée ◽  
Pierre CHAUVIN
Keyword(s):  
Cervical Cancer ◽  
Logistic Regression ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Regression Models ◽  
Individual Characteristics ◽  
Multilevel Logistic Regression ◽  
Logistic Regression Models ◽  
Daily Mobility ◽  
Paris Area

Abstract Background: The consideration of multiple spaces frequented daily by individuals is attracting interest for the analysis of socioterritorial health and healthcare inequalities in light of the high daily mobility in urban settings and the increasing availability of mobility data. Our objective was to estimate the associations between attributes of daily frequented neighborhoods and delayed cervical smear tests in the Greater Paris area. Methods: Data were extracted from the 2010 SIRS cohort survey. Participants could report three neighborhoods (residence, work, and the next most regularly frequented). All multivariate analyses were conducted: simple multilevel logistic regression models, cross-classified multilevel logistic regression models were used to simultaneously consider the three types of neighborhoods studied (residential, work or study, visit) with active and mobile women. Finally, associations with socioeconomic and medical diversity scores (adjusted for the five individual characteristics) were estimated by logistic regression models that took sampling design into consideration. Results: One-quarter of the women reported that they had not had a smear test in the previous three years. After adjusting for individual characteristics, there was a significant association between the socioeconomic and medical diversity scores for the multiple neighborhoods frequented and the risk of a delayed smear test. Women who reside and work in poor neighborhoods and whose next most regularly frequented neighborhood was also poor had a significantly higher risk of late cervical cancer screening. Conclusions: In the characterization of social and territorial inequalities in healthcare, social epidemiology and health geography show a growing interest in considering multiple spaces frequented daily by individuals. A cumulative exposure score, such as the one presented here, may be a relevant approach for analyzing their effects. Keywords: Multilevel analysis, neighborhood, daily mobility, cancer prevention, cervical cancer, social inequalities, Paris area

scholarly journals Use of claims data to estimate annual cervical cancer screening percentages in Portland metropolitan area, Oregon

2016 ◽  
Vol 41 ◽  
pp. 106-112 ◽  
Author(s):  
Nasreen Abdullah ◽  
Robert S. Laing ◽  
Susan Hariri ◽  
Collette M. Young ◽  
Sean Schafer
Keyword(s):  
Cervical Cancer ◽  
Cancer Screening ◽  
Cervical Cancer Screening ◽  
Metropolitan Area ◽  
Claims Data ◽  
Portland Metropolitan Area
Sign in / Sign up

Export Citation Format

Share Document