Influencia del lugar de origen en la utilización de pruebas de cribado de cáncer ginecológico en España

Sanz-Barbero, Belén; Regidor, Enrique; Galindo, Silvia

doi:10.1590/s0034-89102011000600003

Cited by 19 publications

(10 citation statements)

References 20 publications

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“…Contrary, idiomatic, cultural, and social factors are reasons more likely to explained the lower coverage observed among women from Southern Asian rather than a higher enrollment in the private sector. This is consistent with a previous study exploring cancer screening uptake in Spain were a lower use of breast and cervical cancer screening activities were reported among women language barriers like Asian countries in contrast with Latin American from Central and South America countries (15). We suggest that the language barrier could be a major limitation that explains why Latin American women had higher access to the services.…”

Section: Discussionsupporting

confidence: 93%

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Coverage of Cervical Cancer Screening in Catalonia for the Period 2008–2011 among Immigrants and Spanish-Born Women

et al. 2013

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Background: Female immigration in Catalonia, Spain, increased dramatically in the last 10 years. The Public Health system in the Region, provides a free of charge opportunistic cervical cancer screening.Aim: This study examines cervical cancer screening coverage and prevalence of cytology abnormalities in Catalonia by immigration status.Methods: The study analyzes the cytologies registered among women aged 25–65 that have been attended at the Primary Health Centers (PHC) for any reason (n = 1,242,230) during 2008–2011. Coverage was estimated from Governmental data base Information System Primary Care (SISAP) that includes 77% of PHC. The database is anonymous, and includes information on age, country of birth, diagnostic center, and cytology results.Results: During the period 2008–2011, 642,643 smears were performed in a total of 506,189 women over 14 years, of whom 18.3% were immigrants. Cytology coverage was higher among immigrant women compared to Spanish born (51.2 and 39% respectively). Immigrant women also had a higher prevalence of abnormal Paps compared to the Spanish population, 4.5 and 2.9% respectively (p < 0.001).Conclusion: Immigrant women in Catalonia had a high access to the Public Health Services and to cervical cancer screening facilities. The higher prevalence of abnormal cytologies in immigrant women compared to native women indicates the relevance to prioritize cervical cancer screening activities on a regular base in new comers.

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Section: Discussionsupporting

confidence: 93%

“…Consistently we found that women irrespective of the country of origin between 40 and 65 years old had a lower participation rate than younger women. Unfortunately we could not verify whether this observation was related to the residence period, education, or socio-economic level as observed in other studies (5, 15, 18–20). …”

Section: Discussionmentioning

confidence: 59%

Coverage of Cervical Cancer Screening in Catalonia for the Period 2008–2011 among Immigrants and Spanish-Born Women

et al. 2013

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“…Studies on cancer focused on prevalence rates in migrants vs non-migrants [ 56 , 57 , 93 - 99 ], uptake of gynaecological screening [ 55 , 100 , 101 ] and psychosocial vulnerabilities in affected children [ 102 ]. Prevalence of cancer in HAs vs locals varied depending on the type of cancer [ 98 ].…”

Section: Resultsmentioning

confidence: 99%

“…Some studies suggest that genetic and childhood environmental risk factors might explain differences in nervous system, breast, gallbladder and thyroid cancer rates better than exposures after migration [ 94 - 97 ]. Other factors could also influence some types of cancers as illustrated by the lower mammogram uptake reported in HAs vs locally born females [ 100 , 101 ].…”

Section: Resultsmentioning

confidence: 99%

Hispano-Americans in Europe: what do we know about their health status and determinants? A scoping review

et al. 2015

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BackgroundPolicy makers and health practitioners are in need of guidance to respond to the growing geographic mobility of Hispano-American migrants in Europe. Drawing from contributions from epidemiology, social sciences, demography, psychology, psychiatry and economy, this scoping review provides an up-to-date and comprehensive synthesis of studies addressing the health status and determinants of this population. We describe major research gaps and suggest specific avenues of further inquiry.MethodsWe identified systematically papers that addressed the concepts “health” and “Hispano Americans” indexed in five data bases from Jan 1990 to May 2014 with no language restrictions. We screened the 4,464 citations retrieved against exclusion criteria and classified 193 selected references in 12 thematic folders with the aid of the reference management software ENDNOTE X6. After reviewing the full text of all papers we extracted relevant data systematically into a table template to facilitate the synthesising process.ResultsMost studies focused on a particular disease, leaving unexplored the interlinkages between different health conditions and how these relate to legislative, health services, environmental, occupational, and other health determinants. We elucidated some consistent results but there were many heterogeneous findings and several popular beliefs were not fully supported by empirical evidence. Few studies adopted a trans-national perspective and many consisted of cross-sectional descriptions that considered “Hispano-Americans” as a homogeneous category, limiting our analysis. Our results are also constrained by the availability and varying quality of studies reviewed.ConclusionsBurgeoning research has produced some consistent findings but there are huge gaps in knowledge. To prevent unhelpful generalisations we need a more holistic and nuanced understanding of how mobility, ethnicity, income, gender, legislative status, employment status, working conditions, neighbourhood characteristics and social status intersect with demographic variables and policy contexts to influence the health of the diverse Hispano-American populations present in Europe.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-015-1799-x) contains supplementary material, which is available to authorized users.

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“…According to the midwives the underutilization of family planning services, also described in relation to the cervical cancer prevention program elsewhere ( 2 , 3 , 14 ) is, again, likely related to cultural differences, the main barrier being the male partner's opposition, due to gender inequality ( 24 ), and to certain family planning practices.…”

Section: Discussionmentioning

confidence: 99%

Special Issue: Gender and Health

Öhman¹,

Eriksson²,

Goicolea³

2015

Global Health Action

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BackgroundTo date, whilst there have been many published studies exploring the links between masculinity and HIV, not much work has been done to explore how an HIV-positive diagnosis impacts men's sense of masculinity and contextualizing the masculinities as fluid and changing.ObjectiveTo explore how human immunodeficiency virus (HIV) impacts the lives of men and their constructions of masculinity through interviews with 18 men living with HIV.DesignQualitative study involving conveniently and purposively selected black South African adult men who lived with HIV. In-depth interviews were conducted with 18 men who resided in Johannesburg and Mthatha, South Africa.ResultsOur analysis suggests that the performance of risky masculinity may influence the acquisition of HIV. Yet, it also reveals that HIV can have a significant effect on men and their masculinities. Men's constructions of harmful notions of hegemonic masculinity pre-HIV diagnosis negatively affected their help-seeking behavior and coping and adjustment to living with HIV, post-diagnosis. The dominant discourse that men are strong and healthy visibly presented challenges for men when faced with an HIV-positive status. They interpreted HIV diagnosis as a loss, a sign of failure as a man, and evidence of an inability to retain control. Being sick undermined their ability to perform roles expected of them, and this led to feelings of powerlessness, worthlessness, and distress.ConclusionsInterventions with men living with HIV need to provide safe spaces for men to critically explore gender and constructions of social identities and the pressures these place on men and implications for their health. With this approach, harmful constructions of masculinities may be challenged and mitigated, and this process may render men amenable to change.

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Influencia del lugar de origen en la utilización de pruebas de cribado de cáncer ginecológico en España

Cited by 19 publications

References 20 publications

Coverage of Cervical Cancer Screening in Catalonia for the Period 2008–2011 among Immigrants and Spanish-Born Women

Coverage of Cervical Cancer Screening in Catalonia for the Period 2008–2011 among Immigrants and Spanish-Born Women

Hispano-Americans in Europe: what do we know about their health status and determinants? A scoping review

Special Issue: Gender and Health

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