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Non-attendance in cervical cancer screening among migrant women in Portugal

dc.contributor.authorMarques, Patrícia
dc.contributor.authorGeraldes, Mariana
dc.contributor.authorGama, Ana
dc.contributor.authorHeleno, Bruno
dc.contributor.authorDias, Sónia
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - Pólo ENSP
dc.contributor.institutionCentro de Investigação em Saúde Pública (CISP/PHRC)
dc.contributor.institutionComprehensive Health Research Centre (CHRC) - pólo NMS
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.pblSAGE Publications
dc.date.accessioned2022-05-09T22:36:43Z
dc.date.available2022-05-09T22:36:43Z
dc.date.issued2022-04-17
dc.descriptionFunding Information: The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The present publication was funded by Fundação Ciência e Tecnologia, IP national support through CHRC (UIDP/04923/2020). Publisher Copyright: © The Author(s) 2022.
dc.description.abstractObjectives: Cervical cancer has a high mortality rate among women worldwide. Although cervical cancer screening (CCS) is an effective strategy in reducing mortality of the disease, inequalities in accessing screening exist, particularly among migrant women. This study aims to characterize migrant women’s participation in CCS and determine factors associated with non-attendance to CCS. Methods: A cross-sectional study based on a web-based survey targeting adult migrant women living in Portugal was conducted. Prevalence of non-attendance to CCS was examined, and its associations with socioeconomic, migration-related, and health-related factors were determined using adjusted logistic regression models. Results: A total of 1100 migrant women were included in the study. Prevalence of CCS non-attendance was 24.5%. CCS non-attendance was associated with younger age, being born in Africa or Asia, being single/divorced/widowed, never having had a GP appointment in Portugal and not having regular gynecology appointments. Being born in South and Central America, shorter length of stay in Portugal, having had HPV vaccination, and not having children are associated with CCS attendance. Conclusion: These findings point out that an important percentage of migrant women do not attend CCS. Strategies to increase participation should be developed, considering the inequalities identified and designed to target the specific needs of migrant women to improve their CCS attendance and increase cervical cancer prevention.en
dc.description.versionpublishersversion
dc.description.versionepub_ahead_of_print
dc.format.extent265535
dc.identifier.doi10.1177/17455057221093034
dc.identifier.issn1745-5057
dc.identifier.otherPURE: 43619271
dc.identifier.otherPURE UUID: 383b7872-a70e-4a4c-8586-f70cef724ff1
dc.identifier.otherScopus: 85128424766
dc.identifier.otherPubMed: 35435057
dc.identifier.otherORCID: /0000-0002-3943-1858/work/112800091
dc.identifier.otherWOS: 000784034500001
dc.identifier.otherPubMedCentral: PMC9019366
dc.identifier.otherORCID: /0000-0001-5085-0685/work/131110336
dc.identifier.urihttp://hdl.handle.net/10362/137667
dc.identifier.urlhttps://www.scopus.com/pages/publications/85128424766
dc.language.isoeng
dc.peerreviewedyes
dc.subjectearly detection of cancer
dc.subjectemigrants and immigrants
dc.subjectreproductive health
dc.subjecttransients and migrants
dc.subjectuterine cervical neoplasms
dc.subjectwomen’s health
dc.subjectGeneral Medicine
dc.subjectSDG 3 - Good Health and Well-being
dc.titleNon-attendance in cervical cancer screening among migrant women in Portugalen
dc.title.subtitlea cross-sectional studyen
dc.typejournal article
degois.publication.titleWomen's Health
degois.publication.volume18
dspace.entity.typePublication
rcaap.rightsopenAccess

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