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Participation in cervix screening by migrant vs. indigenous women in The Netherlands.
Koopmans, G.T., Devillé, W., Foets, M. Participation in cervix screening by migrant vs. indigenous women in The Netherlands. European Journal of Public Health: 2012, 22(suppl. 2), p. 76. Abstract. 5th European Public Health Conference 'All inclusive public health'. 7-10 November 2012, St. Julians (Malta).
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Background: Cervix carcinoma is a serious life threatening disease among women. Early detection raises the chances of survival and therefore screening programs have been established. In The Netherlands the target group is set to women aged 30–60 year. Participation rates in screening differ across subgroups. Most striking is the difference between indigenous and migrant women. We therefore undertook a study in order to get a better understanding of possible reasons not to participate. We focus on factors that are expected to be distinctive for migrants and indigenous women, i.e. educational level, language mastery, health beliefs and social bonding. Methods: Data were derived from the Second National Survey of General Practice carried out in 2001–2003. In this survey indigenous as well as respondents from the four largest migrant groups in The Netherlands are represented. From these data measures could be derived for the aforementioned factors. Logistic regression analyses were used to test whether these explained diversity in participation. Results: From the original sample a selection was made of women aged 30 to 60 years. This resulted in 2485 indigenous women, 75 of Moroccan, 100 of Turkish, 84 of Antillean and 104 of Surinamese origin. The participation rates of these different subgroups were respectively: 83.6, 42.9, 57.0, 70.2 and 76.2%. Results of logistic regression analyses show that a higher educational level, better language mastery and having an intimate friend or family member are all significantly associated with a higher chance of participation. Belief in traditional healing practices is marginally associated with a lower chance of participation. Although these factors were associated with participation, they were not explaining differences between migrants and indigenous groups. Results of additional analyses are hinting to a differentiated role of having a intimate friend or family member. Especially among Moroccans this constellation seems to have a negative effect on participation. However, sample sizes for the migrants groups are to small to warrant final conclusions. Conclusions: Factors that are related to migrant background are associated with screening participation, but cannot explain fully differences in participation rate. (aut. ref.)
Background: Cervix carcinoma is a serious life threatening disease among women. Early detection raises the chances of survival and therefore screening programs have been established. In The Netherlands the target group is set to women aged 30–60 year. Participation rates in screening differ across subgroups. Most striking is the difference between indigenous and migrant women. We therefore undertook a study in order to get a better understanding of possible reasons not to participate. We focus on factors that are expected to be distinctive for migrants and indigenous women, i.e. educational level, language mastery, health beliefs and social bonding. Methods: Data were derived from the Second National Survey of General Practice carried out in 2001–2003. In this survey indigenous as well as respondents from the four largest migrant groups in The Netherlands are represented. From these data measures could be derived for the aforementioned factors. Logistic regression analyses were used to test whether these explained diversity in participation. Results: From the original sample a selection was made of women aged 30 to 60 years. This resulted in 2485 indigenous women, 75 of Moroccan, 100 of Turkish, 84 of Antillean and 104 of Surinamese origin. The participation rates of these different subgroups were respectively: 83.6, 42.9, 57.0, 70.2 and 76.2%. Results of logistic regression analyses show that a higher educational level, better language mastery and having an intimate friend or family member are all significantly associated with a higher chance of participation. Belief in traditional healing practices is marginally associated with a lower chance of participation. Although these factors were associated with participation, they were not explaining differences between migrants and indigenous groups. Results of additional analyses are hinting to a differentiated role of having a intimate friend or family member. Especially among Moroccans this constellation seems to have a negative effect on participation. However, sample sizes for the migrants groups are to small to warrant final conclusions. Conclusions: Factors that are related to migrant background are associated with screening participation, but cannot explain fully differences in participation rate. (aut. ref.)