Participation and Risk of High Grade Cytological Lesions Among Immigrants and Italian-Born Women in an Organized Cervical Cancer Screening Program ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2014-06-11

AUTHORS

Carmen Beatriz Visioli, Emanuele Crocetti, Marco Zappa, Anna Iossa, Karin Louise Andersson, Paolo Bulgaresi, Antonia Alfieri, Gianni Amunni

ABSTRACT

Few studies analyzed the risk for high-grade squamous intraepithelial lesions or worse (HSIL+) among immigrants and natives attending organized cervical cancer (CC) screening programs (SP). We evaluated participation and diagnosis of HSIL+ by country of birth with logistic models. Overall 540,779 invitation letters were delivered to target women of Florence SP in three screening rounds (years 2000–2002, 2003–2005, 2006–2008). The probability of attending screening was lower for immigrants than natives, but the difference decreased from 35 % (1st round) to 20 % (2nd–3rd round) for women born in high migration pressure (HMP) countries. The risk of HSIL+ was double than natives for HMP-born women from countries with high prevalence of human papillomavirus, even adjusting for age and previous history of Pap test. This is an important public health problem due to an increasing proportion over time of immigrant women with a lower attendance and greater risk for CC. More... »

PAGES

670-678

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10903-014-0050-7

DOI

http://dx.doi.org/10.1007/s10903-014-0050-7

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1018604272

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/24917238


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