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

Marisa Usera-Clavero, Diana Gil-González (), Daniel La Parra-Casado, Carmen Vives-Cases, Pilar Carrasco-Garrido and Pablo Caballero
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Marisa Usera-Clavero: University of Alicante
Diana Gil-González: University of Alicante
Daniel La Parra-Casado: Alicante University
Carmen Vives-Cases: University of Alicante
Pilar Carrasco-Garrido: Universidad Rey Juan Carlos
Pablo Caballero: University of Alicante

International Journal of Public Health, 2020, vol. 65, issue 3, No 10, 273-280

Abstract: 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.

Keywords: Roma health; Mammography; Cervical screening; Screening programs; Gynecological visits; Inequality (search for similar items in EconPapers)
Date: 2020
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DOI: 10.1007/s00038-019-01326-w

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