Scientific article
Review
English

Rates of Cervical Cancer Screening and Dysplasia Among Refugees in a Health Care Safety Net System

Published inJournal of immigrant and minority health, vol. 25, no. 6, p. 1315-1322
Publication date2023-12
First online date2023-05-30
Abstract

Refugees may be at higher risk of cervical dysplasia. The prevalence of screening, pathology, risk factors, and management of patients in our Refugee Women's Health Clinic (RWHC) was assessed. A retrospective review of RWHC patient records between 2009 and 2015 assessed demographic factors, medical history, initial chief complaint, prevalence of screening, HPV status, and loss to follow-up. We reviewed 696 charts; 84.2% (n = 586) were successfully screened. Prevalence of dysplasia was 6.8% (n = 40). Among those, 5% (n = 2) had high-grade dysplasia, equivalent to 0.34% of the screened population. Only 43.6% received indicated colposcopy. FGM/C was associated with non-statistically significant higher rate of dysplasia, at 11.3%. HIV was associated with a statistically significant higher rate of dysplasia at 36.8% (p < 0.001). The rate of high-grade cervical dysplasia among refugees in RWHC is similar to their home countries. RWHC patients were screened at a higher rate than the general Arizona population.

Keywords
  • Cervical cancer screening
  • Cervical dysplasia
  • Female Genital Mutilation/Cutting (FGM/C)
  • Refugee women’s health
Citation (ISO format)
FINK, Geetha, ABDULCADIR, Jasmine, JOHNSON-AGBAKWU, Crista E. Rates of Cervical Cancer Screening and Dysplasia Among Refugees in a Health Care Safety Net System. In: Journal of immigrant and minority health, 2023, vol. 25, n° 6, p. 1315–1322. doi: 10.1007/s10903-023-01491-4
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Article (Published version)
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Identifiers
Additional URL for this publicationhttps://link.springer.com/10.1007/s10903-023-01491-4
Journal ISSN1557-1912
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