Predicting cervical screening and HPV vaccination attendance of Roma women in Hungary: community nurse contribution is key

BMC Nursing

Research

Réka Mihály-Vajda¹  Zsuzsanna Kívés Horváthné¹  Miklós Zrínyi²  Adrienn Siket Újváriné²  Krisztina Szabó Gabara³  Eszter Basa Bogdánné⁴  András Oláh⁵  Annamária Pakai⁶ 

[1] Faculty of Health Sciences, Institute of Health Insurance, University of Pécs, Pécs, Hungary;Faculty of Health, University of Pécs, Vörösmarty utca 4, 7621, Pécs, Hungary;Faculty of Pharmacy, University of Pécs, Pécs, Hungary;Kaposvár Campus, University of Pécs, Pécs, Hungary;Living Lab Based Smart Care Research Center, University of Pécs, Pécs, Hungary;Szombathely University Campus, Faculty of Health, University of Pécs, Pécs, Hungary;

关键词: HPV;    Screening;    Vaccination;    Roma;    Women;    Community nurse;    Hungary;   

DOI  :  10.1186/s12912-022-00813-5

 received in 2020-11-22, accepted in 2021-12-21,  发布年份 2021

来源: Springer

【 摘 要 】

BackgroundHPV screening/vaccination has been observed lower for ethic minorities. Understanding factors that predict and can improve attendance is therefore key. Hence, the aim was to identify causes, especially concerning the quality of the patient-provider relationship, that predict past HPV screening and vaccination turnout of Roma women in Hungary.MethodsCross-sectional research design with self-developed, culturally sensitive questionnaire. A final, female Roma sample of 368 participants was randomly selected from census register. Community nurses contacted participants and distributed surveys. Surveys were mailed-in by participants. Bivariate logistic regression was used to predict former participation in HPV screening/vaccination.ResultsOf the total sample, 17.4% of women attended at least one cervical screening and HPV vaccination in the past. Bad screening experience was positively associated with racially unfair behaviors of physicians. The odds of past attendance were 4.5 times greater if ‘no negative earlier experience’ occurred, 3.3 times likelier if community nurse performed screening/immunization and 1.6 times more probable if respondent felt ‘no shame’. Evaluating the screening/vaccination process painful, being only financially motivated and attendance involving a lot of travel decreased the odds of ‘no show’ by 50%, 40% and 41%, respectively.ConclusionsWhen considering the ratio of past cervical screening attendance, we conclude that our female Roma sample did not behave differently from the general population. We saw no evidence that racial mistreatment made any contribution to explaining cervical screening participation. Past positive screening experience and the quality of patient-provider relationship increased the odds of participation the most. Cancer of friends, pain, financial motivation and travel distance decreased odds of participation to a lesser extent. In order to improve future screening and immunization, community nurses should play more central and advanced role in the organization and implementation of such services specifically targeting Roma populations.

【 授权许可】

CC BY   
© The Author(s) 2022. corrected publication 2023