ArticleScandinavian journal of primary health care2018
Cervical cancer screening among immigrant women in Norway- The healthcare providers' perspectives.
Article in Scandinavian journal of primary health care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.
- Effect of culturally tailored education on attendance at mammography and the Papanicolaou test.Health services research · 2020Pooled it
- Effect of an Intervention in General Practice to Increase the Participation of Immigrants in Cervical Cancer Screening: A Cluster Randomized Clinical Trial.JAMA network open · 2020Trial
- Knowledge and attitudes towards cervical cancer and screening among migrant women: a qualitative study in Portugal.BMJ open · 2024Article
- Trends in cervical cancer screening in Norway 2012-2017: a comparison study of non-immigrant and immigrant women.Scandinavian journal of public health · 2024Article
- Article
- What is the role of attitudinal barriers on cervical cancer screening non-attendance? Findings from a cross-sectional study with migrant women in Portugal.BMC women's health · 2023Article
- Article
- Understanding Cervical Cancer Screening Barriers among Migrant Women: A Qualitative Study with Healthcare and Community Workers in Portugal.International journal of environmental research and public health · 2021Article
- Effect of a community-based intervention to increase participation in cervical cancer screening among Pakistani and Somali women in Norway.BMC public health · 2021Article
- Factors associated with cervical cancer screening participation among migrant women in Europe: a scoping review.International journal for equity in health · 2020Article
- General Practitioners' Needs and Preferences Regarding the Provision of Self-sampling Tests for Cervical Cancer Screening in Flanders, Belgium.Journal of primary care & community healthArticle
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo explore health care providers' (HCPs) experiences regarding cervical cancer screening (CCS) among immigrant women, their strategies to facilitate these consultations and their need for further information.
designExploratory qualitative design.
settingHCPs who perform CCS: general practitioners, midwives and private gynaecologists, working in Oslo, Norway. SUBJECTS: We interviewed 26 general practitioners, 3 midwives and 3 gynaecologists.
methodBoth focus groups and personal in depth semi structured interviews. Interview transcripts were analysed using a thematic analysis approach.
resultsSome of the HCPs' experiences related to CCS were common for all women regardless of their immigrant background, such as the understanding of routines and responsibilities for prevention. Aspects specific for immigrant women were mainly related to organization, language, health literacy levels, culture and gender. Several strategies targeting organizational (longer consultations), language (using interpreters), health literacy (using anatomy models to explain) and culture (dealing with the expression of pain) were reported. Most HCPs had not previously reflected upon specific challenges linked to CCS among immigrant women, thus the interviews were an eye-opener to some extent. HCPs acknowledged that they need more knowledge on immigrant women's' reproductive health.
conclusionHCPs' biases, stereotypes and assumptions could be a key provider-level barrier to low uptake of CCS test among immigrants if they remained unexplored and unchallenged. HCPs need more information on reproductive health of immigrant women in addition to cultural awareness. Key Points The participation rate of immigrant women to cervical cancer screening in Norway is low, compared to non-immigrants. This might be partly attributed to health care system and provider, and not only due to the women's preferences. Our focus groups and interviews among health care providers show, that in addition to cultural competence and awareness, they need knowledge on reproductive health of immigrants. We recommend an intervention targeting health care providers to close the gap in cervical cancer screening.
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