Inequalities in the use of gynecological visits and preventive services for breast and cervical cancer in Roma women in Spain.
Abstract
Objectives: The Roma population in Spain makes up about two percent of the population and has worse health indicators than the general population. We analyzed both populations in 2006 and 2014 to discover whether there are differences in terms of gynecological visits and preventive services for breast and cervical cancer in Spain. Methods: Cross-sectional study is based on the Spanish National Health Survey (SNHS) of 2006 and 2012 and the National Health Survey of the Roma Population (NHSRP) of 2006 and 2014. Results: Roma women used gynecological visits less than the general population in 2006 (ORa 0.5 [0.4; 0.6] and in 2014 (ORa 0.2 [0.2; 0.3)]. In addition, use of the mammogram was lower in Roma women (ORa 0.7 [0.6; 0.8]), especially in the ages of the screening tests, and they had lower probability of receiving cervical examinations in 2006 (ORa 0.5 [0.4; 0.6]) and in 2014 (ORa 0.7 [0.6; 0.9]). Conclusions: This study shows that the inequality gap in gynecological visits and preventive services for breast and cervical cancer in Roma women has persisted during the years studied (2006 and 2014), despite Spanish prevention policies.
Description
Publicación científica en revista indexada con índice de calidad relativo, incluida en los catálogos del Journal Citation Reports (JCR) del Science Citation Index. La revista científica International Journal of Public Health pertenece al segundo cuartil (Q2) de su categoría Public, Environmental & Occupational Health (SCIE): 70/203 y al primer cuartil (Q1) de su categoría Public, Environmental & Occupational Health (SSCI): 42/176. Factor de Impacto en el año 2020: 3.380 https://pubmed.ncbi.nlm.nih.gov/31938808/ Este artículo deriva de un Proyecto de Investigación financiado por el Ministerio de Ciencia, Innovación y Universidades de España, Fondos Europeos de Desarrollo Regional (FEDER) (‘‘Comparative impact evaluation: Roma National Integration Strategies’’, Project Ref. CSO2017-83787-P). Ministerio de Economía y Competitividad de España, Fondos Europeos de Desarrollo Regional (FEDER) (''National Health Survey of Roma Population 2013-2014'', Project Ref. PI12/ 00842).
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