Impact of geographic origin on gynecological cancer screening in Spain

  • Belén Sanz-Barbero Ministerio de Ciencia e Innovación; Instituto de Salud Carlos III (España); Escuela Nacional de Sanidad
  • Enrique Regidor Universidad Complutense de Madrid; Facultad de Medicina; Departamento de Medicina Preventiva, Salud Pública e Historia de la Ciencia
  • Silvia Galindo Ministerio de Ciencia e Innovación; Instituto de Salud Carlos III (España); Escuela Nacional de Sanidad
Keywords: Vaginal Smears, Mammography, Equity in Access, Emigrants and Immigrants, Socioeconomic Factors, Health Inequalities, Mass Screening

Abstract

OBJECTIVE: To assess the association between geographic origin and the use of screening cervical smears and mammograms. METHODS: Data was obtained from the 2006 Spanish National Health Survey that included 13,422 females over 16 years of age. The dependent variable was use of screening mammograms and cervical smears in the past 12 months. The measure of association (odds ratio and its related 95% confidence interval) was estimated using logistic regression. RESULTS: African women were 0.36 (95% CI 0.21,0.62), Eastern European 0.40 (95%CI 0.22;0.74), Western European, American and Canadian 0.60 (95%CI 0.43,0.84), and Central and South American 0.64 times (95%CI 0.52, 0.81) less likely to undergo a mammogram compared with the general population of Spain. In regard to cervical cancer screening, Eastern European women were 0.38 (95%CI 0.28,0.50), African 0.47 (95%CI 0.33,0.67) and Western European, American and Canadian 0.61 times (95%CI 0.46, 0.81) less likely to undergo cervical smears. These associations were independent of age, socioeconomic condition, health status and health insurance coverage. CONCLUSIONS: Immigrant women use less screening programs than native Spanish women. This finding may suggest difficult access to prevention programs.
Published
2011-12-01
How to Cite
Sanz-Barbero, B., Regidor, E., & Galindo, S. (2011). Impact of geographic origin on gynecological cancer screening in Spain . Revista De Saúde Pública, 45(6), 1019-1026. https://doi.org/10.1590/S0034-89102011000600003
Section
Original Articles