Objectives Romania has Europe’s highest incidence and mortality rates of cervical cancer. Participation in the national cervical cancer-screening programme is low, especially among minority Roma women. Methods We conducted a cross-sectional study, using a structured questionnaire aiming to quantify reasons for screening attendance among women in North-Western region of Romania. Results 980 women were enrolled in this study. Data were analysed using logistic regression, estimating odds ratios (OR) and 95% conﬁdence intervals (CI). This study revealed that Roma women (46%) attended screening less frequently that non-Roma women (63%),; however, ethnicity in itself was not associated with screening attendance. Instead we found that attendance to the cervical cancer screening programme was determined by having ever heard about a screening oppor- tunity (OR 5.90, 95% CI 3.76-9.27) and having three or more sex partners (OR 5.99, 95% CI 1.71–21.04). Conclusions We concluded that information about the screening programme’s existence and its rationale does not reach the women targeted for screening sufﬁciently and argue that a process of user involvement aiming to build contact, interaction and cooperation between the programme and its potential participants is warranted. Keywords Cervical cancer screening attendance Minority Roma women Discrimination Access to health Health
International Journal of Public Health – Springer Journals
Published: Apr 27, 2018
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