The Effect of Country of Birth on the Pattern of Disease and Survival From Cervical Cancer

Moss, Esther L.; Askew, Sarah; Cheung, Shan; Dawson, P J; Singh, Kavita; Redman, C. W. E.; Pearmain, Philippa

doi:10.1097/lgt.0000000000000160

Cited by 3 publications

(3 citation statements)

References 21 publications

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“…The views and attitudes expressed by the Eastern European migrant women in this study suggest that they are not fully participating in cervical screening in England, supporting the findings from previous work in Birmingham that the majority of Eastern European migrant women had not attended screening prior to their cervical cancer diagnosis. 20 Because the uptake of cervical screening in their countries of birth is suboptimal, 21 there is also the potential that many of these women will not have been screened prior to migration. For example, the largest Eastern European population in England is from Poland, 22 where screening uptake is only 25%.…”

Section: Discussionmentioning

confidence: 99%

Awareness of and attitudes towards cervical cancer prevention among migrant Eastern European women in England

et al. 2019

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Objectives It has been hypothesized that, in England, the rise in incidence of cervical cancer and the fall in screening coverage might be attributable in part to the effect of migration of Eastern European born women. We explored the attitudes and behaviours of these women towards cervical cancer prevention strategies. Methods A mixed methods study using quantitative surveys and in-depth semi-structured qualitative interviews was conducted between April 2015 and December 2016. Results In total, 331 surveys and 46 interviews were completed. Native English women had greater knowledge that a smear test is a screening test for pre-cancerous cervical cells (90% vs. 71% p≤0.01), whereas migrant Eastern European women believed that it was conducted as part of a full gynaecological examination (46% vs. 21% p≤0.01) and that the screen interval was annual (18% vs. 4% p≤0.01). Distrust of the English healthcare system resulted in some Eastern European women returning to their country of birth for screening. Poor awareness of cervical cancer prior to migration and lack of information at registration with a general practitioner in England were associated with failure to participate in screening. Conclusions The views and attitudes expressed by the migrant Eastern European women in this study suggest that they are not fully participating in cervical screening in England. Targeted education at the point of contact with healthcare services in England is needed to increase cervical screening participation among these women.

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Section: Discussionmentioning

confidence: 99%

Awareness of and attitudes towards cervical cancer prevention among migrant Eastern European women in England

et al. 2019

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“…showed that insurance status is an independent predictor for poorer survival outcome, as it is related to late‐stage presentation and under‐treatment in the USA. Low socio‐economic and educational status are important factors, as compliance with cancer screening is significantly lower in this population, even in the UK, where screening is free to all irrespective of insurance status . Reasons for non‐compliance when access and finance are not an issue could be a lack of understanding of the natural history of cervical cancer and the role of screening, or because patient focus is more on prominent daily life issues and concerns rather than attending smear test invitations.…”

Section: Discussionmentioning

confidence: 99%

“…Low socio-economic and educational status are important factors, as compliance with cancer screening is significantly lower in this population, even in the UK, where screening is free to all irrespective of insurance status. 22,23 Reasons for non-compliance when access and finance are not an issue could be a lack of understanding of the natural history of cervical cancer and the role of screening, or because patient focus is more on prominent daily life issues and concerns rather than attending smear test invitations. Practical barriers were raised more often by younger women, whereas older women had more negative attitudes to screening.…”

Section: Discussionmentioning

confidence: 99%

Cervical cancer still presents symptomatically 20 years after the introduction of a structured national screening programme

et al. 2016

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Knowledge, Attitude And Utilization of Cervical Cancer Screening Services Among Ethnic Minority Female Students in A UK University: A Cross-sectional Study.

Kinika,

Kinika

2024

Preprint

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Background: Cervical cancer is the most frequent cancer among ethnic minority women and the most prevalent cause of cancer mortality in the UK. Furthermore, women from ethnic minority origins are more likely than British women not to carry out cervical screening due to socioeconomic issues such as lack of health insurance, language barrier and poor understanding of cervical cancer screening. Good knowledge and a positive attitude towards receiving a cervical cancer screening are significant factors in the prevention and better outcome of cervical cancer. The study assessed the knowledge, attitude, and practice of cervical cancer screening among ethnic minority female students in the Faculty of Education, Health, and Wellbeing (FEHW), at a UK University. Methods: From May 2023 to September 2023 a cross-sectional study was conducted on a sample of 138 ethnic minority female students in FEHW aged between 25-64 years from four departments (Public Health, Health and Social care, Health and wellbeing and Occupational psychology) using a simple random sampling technique. Data was collected using a semi-structured questionnaire and analyzed using SPSS for descriptive analysis. Results: Of 138 participants, a mean age was 35.09 ±12.92 years and 56.7% were African, 21.0% Asia, 17.4% Bangladesh and 5.1% Caribbean. 82.6% of them have a good knowledge of cervical cancer screening. However, a substantial number (54%) of them had negative attitudes towards cervical cancer screening services which led to a low screening rate. Additionally, most of the participants 47.8% admitted embarrassment and fear as a barrier to preventing cervical cancer screening services while 78.3% of the participants have not carried out cervical cancer screening practices. Conclusion: Ethnic minority female students in the UK had good knowledge of cervical cancer screening. However, the negative attitude and barriers encountered by the ethnic minority female students led to poor practice in the utilization of cervical cancer screening services.

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The Effect of Country of Birth on the Pattern of Disease and Survival From Cervical Cancer

Abstract: Country of birth is not an independent prognostic indicator for cervical cancer survival.

Cited by 3 publications

References 21 publications

Awareness of and attitudes towards cervical cancer prevention among migrant Eastern European women in England

Awareness of and attitudes towards cervical cancer prevention among migrant Eastern European women in England

Cervical cancer still presents symptomatically 20 years after the introduction of a structured national screening programme

Knowledge, Attitude And Utilization of Cervical Cancer Screening Services Among Ethnic Minority Female Students in A UK University: A Cross-sectional Study.

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