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

Andreassen, Trude; Melnic, Adriana; Figueiredo, Rejane Augusta de Oliveira; Moen, Kåre; Şuteu, Ofelia; Nicula, Florian; Ursin, Giske; Weiderpass, Elisabete

doi:10.1007/s00038-018-1107-5

Cited by 16 publications

(19 citation statements)

References 28 publications

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“…Our findings fit with the available CEE evidence in showing the poor availability of and substandard frontline services towards segregated Roma, including overt ethnic discrimination and racism, and in showing how this can contribute to Roma using such services less and rating their health as worse (e.g. Andreassen et al 2018;Andreassen et al 2017;Arora et al 2016;CRR 2017;Duval et al 2016;Filadelfiova 2013b;Janevic et al 2015;Janevic et al 2017;Janevic et al 2011;Kolarcik et al 2015;Watson et al 2017). Regarding health-mediation, no previous rigorous assessments are available.…”

Section: B) Health-system Frontline Practices Affecting Exposure Pattsupporting

confidence: 83%

“…Scientifically, higher health-endangering exposures among CEE Roma have been corroborated most rigorously, first by comparative studies on material conditions and lifestyle-related exposures in children (Cook et al 2013;Orton et al 2017) and lately also by studies on healthcare access and quality (e.g. Andreassen et al 2018;Arora et al 2016;Duval et al 2016;Földes et al 2012a;McFadden et al 2018;Sándor et al 2018;Stojanovski et al 2017;Tambor et al 2014). Overall, studies focusing on material circumstances and health-related behaviours in Roma adults, including aspects of sexual and reproductive health, support this picture.…”

Section: Figure 12 Health Indicators For Roma and The General Populamentioning

confidence: 99%

“…However, scientific studies mostly do not document the whole region, as most are only focused on single countries (e.g. Andreassen et al 2018;Cook et al 2013;Dimitrova et al 2013;Dimitrova et al 2018;Kamberi et al 2015;Kósa et al 2015;Nikolic et al 2015;Sedlecky et al 2015;Walfisch et al 2013;Zeljko et al 2013). Findings on other determinants of health in CEE Roma are even more varied and sparse.…”

Section: Figure 12 Health Indicators For Roma and The General Populamentioning

confidence: 99%

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The health of segregated Roma: first-line views and practices: a case study in Slovakia using ethnographic methods

Belák¹

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Segregated Roma are also being oppressed through their self-exclusionary hopes and tastes. Chapter 3 of this thesis 2. Pushed and pulled towards the so-called margins, most segregated Roma become skilled at escaping the relative disadvantages of life standard in the so-called centers. Chapter 4 of this thesis 3. Many people who happen to serve segregated Roma feel that such position gradually forces them to choose between useless burnout and cynical neglect. Chapter 5 of this thesis 4. Trusting segregated Roma with more decision power and resources causes many of them to challenge the local structures that oppress them. Chapter 6 of this thesis 5. It would require a rather explicit selection process to make any risky genes concentrate in any Roma group-much more selective than Roma history could lead to. Chapter 7 of this thesis 6. Antigypsyism drives the poor health status of the Roma, mostly because most people involved, including segregated Roma, do not understand that it is so. Discussion of this thesis 7. We cannot claim to have formulated a convincing denial of the inequality of the human races, so long as we fail to consider the problem of the inequality-or diversity-of human cultures, which is in fact-however unjustifiably-closely associated with it in the public mind. Claude Levi-Strauss 8. We're all going to die, all of us, what a circus! That alone should make us love each other but it doesn't. We are terrorized and flattened by trivialities, we are eaten up by nothing. Charles Bukowski 9. We live in a world where we have to hide to make love, while violence is practiced in broad daylight. John Lennon 10. We are lost, but other animals point to the right road. They are the right road.

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Section: B) Health-system Frontline Practices Affecting Exposure Pattsupporting

confidence: 83%

Section: Figure 12 Health Indicators For Roma and The General Populamentioning

confidence: 99%

Section: Figure 12 Health Indicators For Roma and The General Populamentioning

confidence: 99%

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The health of segregated Roma: first-line views and practices: a case study in Slovakia using ethnographic methods

Belák¹

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“…Several studies have assessed barriers to cervical cancer screening in the USA, England, Serbia, Mexico, and other parts of Latin America (Lee 2000;Watkins et al 2002;Agurto et al 2004;Markovic et al 2005;Waller et al 2009). Barriers to screening include practical factors such lack of knowledge (Agurto et al 2004;Markovic et al 2005;Andreassen et al 2018), prohibitive costs (Lee 2000), and difficulty accessing the healthcare system (Lee 2000;Watkins et al 2002;Agurto et al 2004;Markovic et al 2005;Waller et al 2009), as well as emotional factors such as embarrassment (Lee 2000;Watkins et al 2002;Agurto et al 2004), fear of pain (Lee 2000;Agurto et al 2004), and socio-cultural health beliefs (Lee 2000;Watkins et al 2002). In response to these, increases in screening education, taking into account cultural beliefs and local context, and increased accessibility to health services have been proposed.…”

Section: Introductionmentioning

confidence: 99%

Barriers to cervical cancer screening in Guatemala: a quantitative analysis using data from the Guatemala Demographic and Health Surveys

Gottschlich

Ochoa²,

Rivera-Andrade

et al. 2019

Int J Public Health

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Objectives Examine the association between commonly reported barriers to health care, including discordant spoken languages between patients and providers, and reported previous cervical cancer screening. Methods Data from the nationally representative Guatemala National Maternal and Child Health Survey from the Demographic and Health Surveys Program were used to explore associations between barriers and screening rates nationwide and in high-risk populations, such as rural and indigenous communities. Negative binomial regressions were run accounting for survey sample weights to calculate prevalence ratios. Results 64.0%, 57.5% and 47.5% of women reported ever screening, in the overall, indigenous, and rural populations, respectively. Overall, never screened for cervical cancer was associated with the following health barriers: needing permission, cost, distance, not wanting to go alone, and primary language not spoken by health providers, even after adjustment for age, ethnicity, and literacy. Conclusions Offering screening programs alone is not enough to reduce the burden of cervical cancer in Guatemala. Measures need to be taken to reduce barriers to health care, particularly in rural areas, where screening rates are lowest.

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“…Over 10% of Romanian women is represented by non-ethnic Romanians [6]: 3.3% of those are estimated to be of Roma ethnicity although this number is likely underestimated [7]. Other ethnic groups, particularly the Roma population, participate less frequently in screening compared to the main population in Romania [8], which is linked to Roma women not knowing about the program’s existence, not believing the program is for free, and not believing that taking part in screening would lead to better health [9]. Further, there is no published data on the cervical health of other ethnic groups in Romania, including Roma, Hungarian-, Slovakian-, Ukrainian- and Russian-Romanian women.…”

Section: Introductionmentioning

confidence: 99%

HPV Testing for Cervical Cancer in Romania: High-Risk HPV Prevalence among Ethnic Subpopulations and Regions

Ilisiu

Hashim

Andreassen

et al. 2019

Annals of Global Health

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Background: Romania has had one of the highest rates of cervical cancer incidence and mortality in Europe for decades. Data on the high-risk human papillomavirus (hrHPV) prevalence within the Romanian population are crucial for cervical cancer intervention in high risk groups. The aim of this study was to determine the prevalence of hrHPV infection in Romania, identifying high-risk areas for cervical cancer prevention efforts. Methods: The target population of this study were women of all forms in Romania, including ethnic minorities, women from urban and rural areas, and women in various regions. Women with no history of precancerous or cancerous lesions were offered hrHPV screening. The specimens were tested with Hybrid Capture 2 (HC2) DNA test. Age-standardized hrHPV prevalence rates with 95% confidence intervals (CI) were estimated. Results: hrHPV results of 2060 women aged 18 to 70 years were analyzed. The highest hrHPV prevalence rates were observed among: Romanians (17.9%; 95 CI: 15.5–20.7%), Hungarians (16.6%; 95% CI: 13.1–20.8%), Russians (15.6%; 95% CI: 11.3–21.3%), women living in North (19.2%; 95% CI: 16.5–22.3%), and West regions (23.0%; 95 CI: 18.6–28.0%), and women living in urban areas (20.0%; 95 CI: 18.5–28.0%). hrHPV prevalence rates were lower for the Roma population (7.8%; 95% CI: 4.7–12.5%). Conclusions: These hrHPV prevalence rates in a high cervical cancer incidence country provide baseline information for targeted cervical cancer intervention strategies as well as a baseline to measure the impact of hrHPV vaccination in the future.

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

Cited by 16 publications

References 28 publications

The health of segregated Roma: first-line views and practices: a case study in Slovakia using ethnographic methods

The health of segregated Roma: first-line views and practices: a case study in Slovakia using ethnographic methods

Barriers to cervical cancer screening in Guatemala: a quantitative analysis using data from the Guatemala Demographic and Health Surveys

HPV Testing for Cervical Cancer in Romania: High-Risk HPV Prevalence among Ethnic Subpopulations and Regions

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