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dc.contributor.authorMøen, Kathy Ainulen_US
dc.contributor.authorKumar, Bernadette. Nen_US
dc.contributor.authorQureshi, Samera Azeemen_US
dc.contributor.authorDiaz, Esperanzaen_US
dc.date.accessioned2017-06-09T12:37:04Z
dc.date.available2017-06-09T12:37:04Z
dc.date.issued2017
dc.PublishedMøen KAM, Kumar B, Qureshi SA, Diaz E. Differences in cervical cancer screening between immigrants and non-immigrants in Norway-A primary health care register based study. European Journal of Cancer Prevention. 2017, 26:521-527eng
dc.identifier.issn0959-8278
dc.identifier.urihttps://hdl.handle.net/1956/15955
dc.description.abstractThe prevalence of cervical cancer is high among some groups of immigrants. Although there is evidence of low participation in cervical cancer screening programs among immigrants, studies have been subject to selection bias and accounted for few immigrant groups. The aim of this study was to compare the proportion of several groups of immigrants versus nonimmigrants attending the cervical cancer-screening program in Norway. In addition, we aimed to study predictors for attendance to the screening program. Register-based study using merged data from four national registries. All Norwegian-born women (1 168 832) and immigrant women (152 800) of screening age for cervical cancer (25–69 years) registered in Norway in 2008 were included. We grouped the immigrants by world’s geographic region and carried out descriptive analyses and constructed several logistic regression models. The main outcome variable was whether the woman was registered with a Pap smear in 2008 or not. Immigrants had lower rates of participation compared with Norwegian-born women; Western Europe [adjusted odds ratio (OR), 95% confidence interval (CI): 0.84, 0.81–0.88], Eastern Europe (OR 0.64, 95% CI: 0.60–0.67), Asia (OR 0.74, 95% CI: 0.71–0.77), Africa (OR 0.61, 95% CI: 0.56–0.67) and South America (OR 0.87, 95% CI: 0.79–0.96). Younger age, higher income, residence in rural areas, and having a female general practitioner (GP) were associated with Pap smear. Longer residential time in Norway and having a nonimmigrant GP were associated with screening for some immigrant groups. Appropriate interventions targeting both immigrants and GPs need to be developed and evaluated.en_US
dc.language.isoengeng
dc.publisherWolters Kluwereng
dc.rightsAttribution CC BYeng
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/eng
dc.subjectcancer screeningeng
dc.subjectEmigrants and immigrantseng
dc.subjectpopulation registereng
dc.subjectprimary healthcareeng
dc.subjectuterine cervical neoplasmseng
dc.titleDifferences in cervical cancer screening between immigrants and non-immigrants in Norway: a primary health care register based studyen_US
dc.typePeer reviewed
dc.typeJournal article
dc.date.updated2017-05-09T09:13:13Z
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright 2016 Wolters Kluwer Health, Inc
dc.identifier.doihttps://doi.org/10.1097/cej.0000000000000311
dc.identifier.cristin1442512
dc.source.journalEuropean Journal of Cancer Prevention


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