Marisa Usera-Clavero1, Diana Gil-González2,3, Daniel La Parra-Casado4, Carmen Vives-Cases1,5, Pilar Carrasco-Garrido6, Pablo Caballero1. 1. Department of Community Nursing, Preventive Medicine and Public Health and History of Science, University of Alicante, Carretera de San Vicente del Raspeig s/n, 03690, San Vicente Del Raspeig Alicante, Spain. 2. Department of Community Nursing, Preventive Medicine and Public Health and History of Science, University of Alicante, Carretera de San Vicente del Raspeig s/n, 03690, San Vicente Del Raspeig Alicante, Spain. diana.gil@ua.es. 3. CIBER of Epidemiology and Public Health (CIBER-ESP), Barcelona, Spain. diana.gil@ua.es. 4. Department of Sociology II, Alicante University, Alicante, Spain. 5. CIBER of Epidemiology and Public Health (CIBER-ESP), Barcelona, Spain. 6. Preventive Medicine and Public Health Teaching and Research Unit, Health Sciences Faculty, Universidad Rey Juan Carlos, Avenida Atenas s/n. 28922. Alcorcón, Madrid, 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.
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.
Authors: Benjamin Cook; Geoffrey Ferris Wayne; Anne Valentine; Anna Lessios; Ethan Yeh Journal: Int J Public Health Date: 2013-10-05 Impact factor: 3.380
Authors: Timothy M Dall; Ritashree Chakrabarti; Michael V Storm; Erika C Elwell; William F Rayburn Journal: J Womens Health (Larchmt) Date: 2013-07 Impact factor: 2.681
Authors: János Sándor; Zsigmond Kósa; Klára Boruzs; Julianna Boros; Ildikó Tokaji; Martin McKee; Róza Ádány Journal: Int J Public Health Date: 2017-03-29 Impact factor: 3.380
Authors: Daniel La Parra-Casado; Paola A Mosquera; Carmen Vives-Cases; Miguel San Sebastian Journal: Int J Environ Res Public Health Date: 2018-01-12 Impact factor: 3.390