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Inequalities in the use of gynecological visits and preventive services for breast and cervical cancer in Roma women in Spain

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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.

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Acknowledgements

The authors give thanks to the interviewers and associations of the Roma community in Spain for participating in this study.

Funding

Ministry of Science, Innovation and Universities of Spain, European Regional Development Funds (ERDF) (“Comparative impact evaluation: Roma National Integration Strategies”, Project Ref. CSO2017-83787-P). Ministry of Economy and Competitiveness of Spain, European Regional Development Funds (ERDF) (“National Health Survey of Roma Population 2013–2014”, Project Ref. PI12/00842). University Research Institute for Gender Studies (IUIEG), for contributing economically in activities leading to doctoral theses that include a gender perspective (2017).

Author information

Correspondence to Diana Gil-González.

Ethics declarations

Conflict of interest

The authors have no conflict of interest.

Ethical approval

The research was approved by the Ethics Committee of the University of Alicante (Spain). Those interviewed were informed in writing and verbally of the objective of the survey, the voluntary nature of participation, the protection of anonymity and confidentiality, and of the institution and team responsible for conducting the survey. No incentive for participation was offered to respondents.

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Usera-Clavero, M., Gil-González, D., La Parra-Casado, D. et al. Inequalities in the use of gynecological visits and preventive services for breast and cervical cancer in Roma women in Spain. Int J Public Health (2020). https://doi.org/10.1007/s00038-019-01326-w

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Keywords

  • Roma health
  • Mammography
  • Cervical screening
  • Screening programs
  • Gynecological visits
  • Inequality