Participation in cervical cancer screening among immigrants and Danish-born women in Denmark

Preventive Medicine
Rasmus Hertzum-LarsenLouise T Thomsen

Abstract

In this nationwide register-based cohort study, we examined cervical cancer screening participation among immigrants in Denmark by country and region of origin. Furthermore, we assessed whether differences in screening participation between immigrants and Danish-born women were explained by sociodemographic or health-related characteristics, and examined predictors of participation among immigrants. Using high-quality registries, we identified women invited for cervical cancer screening during 2008-2009 and retrieved individual-level data on sociodemographic-, health- and immigration-related characteristics. A total of 610,907 women were followed for up to 2.9 years after screening invitation. We estimated the probability of participation using the Aalen-Johansen estimator and the hazard ratios (HRs) of participation using Cox regression. The probability of participation within follow-up was 74.5% (95% CI, 74.4%-74.6%) in Danish-born women; 61.2% (95% CI, 60.4%-62.1%) in Western immigrants; and 61.3% (95% CI, 60.9%-61.8%) in non-Western immigrants. Participation in immigrants varied by region of origin from 44.3% (95% CI, 41.4%-47.4%) in immigrants from North America, New Zealand and Australia to 67.8% (95% CI, 65.4%-70.3%) in ...Continue Reading

Citations

Sep 13, 2020·International Journal for Equity in Health·Patrícia MarquesSónia Dias
Oct 18, 2020·International Journal of Environmental Research and Public Health·Esther E IdehenMari Kangasniemi
Aug 20, 2019·European Journal of Cancer Prevention : the Official Journal of the European Cancer Prevention Organisation (ECP)·Rasmus Hertzum-LarsenSusanne K Kjær
Nov 1, 2020·International Journal of Environmental Research and Public Health·Esther E IdehenPäivikki Koponen
Apr 9, 2021·Asia-Pacific Journal of Public Health·Zufishan AlamMonika Janda
Jul 8, 2021·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Camilla Rahr TatariPia Kirkegaard
Sep 14, 2021·Scandinavian Journal of Public Health·Signe Smith JervelundNana Folmann Hempler

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