Achimaș-Cadariu Teodora, Pașca Andrei, Nicoară Delia, Dumitrașcu Dan Lucian
Faculty of Medicine, "Iuliu Hațieganu" University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.
"Prof. Dr. Ion Chiricuta" Institute of Oncology, 400015 Cluj-Napoca, Romania.
Healthcare (Basel). 2025 Jul 18;13(14):1744. doi: 10.3390/healthcare13141744.
: Scarce data are available regarding preventive medicine in forcibly displaced populations especially regarding non-communicable diseases like neoplasia, while even more limited data are available on Ukrainian refugees in Romania. To address this research gap, the present analysis was performed to investigate Ukrainian refugee women's beliefs, attitudes, and opinions towards the Romanian and Ukrainian healthcare system in a comparison model while focusing on the HPV immunization rates and factors influencing the uptake for themselves and their children. : Participants were recruited using the snowball sampling method through their General Practitioner (GP) and a health mediator. : In total, 105 women completed the online or physical survey. The mean age was 50 years. In total, 40% of women had not been to a gynecological check-up in 3 or more years, and more than 56% had never been screened. Only four were vaccinated against HPV, and none remembered which type of vaccine was dispensed or how many doses were utilized. The primary hindrances to accessing health services or immunization programs were language barriers, financial burdens, and a lack of information. Respondents' general distrust of health systems and healthcare workforces were recurrent themes. Relationship status, living arrangements, and previous engagement in screening practices influenced immunization rates. Perceiving the healthcare officials as proactive concerning optional vaccination programs such as HPV immunization and actively receiving recommendations drove respondents to pursue vaccination. : This analysis offers a foundational insight into the specific needs of refugee women. It can guide the development of effective public health interventions to improve health outcomes and vaccination rates among Ukrainian refugees in Romania. Tailored preventive campaigns with adequate native language information and prompts from medical experts in designated centers should be deployed to ensure inclusive tactics for vulnerable populations.
关于被迫流离失所人群的预防医学，尤其是关于肿瘤等非传染性疾病的数据稀缺，而关于罗马尼亚境内乌克兰难民的数据更是有限。为了填补这一研究空白，本分析旨在通过比较模型调查乌克兰难民妇女对罗马尼亚和乌克兰医疗系统的信念、态度和看法，同时关注人乳头瘤病毒（HPV）疫苗接种率以及影响她们自己和孩子接种疫苗的因素。参与者通过他们的全科医生（GP）和健康调解人采用滚雪球抽样法招募。总共105名妇女完成了在线或实地调查。平均年龄为50岁。总共有40%的妇女在三年或更长时间内没有进行过妇科检查，超过56%的妇女从未接受过筛查。只有四人接种了HPV疫苗，而且没有人记得接种的是哪种疫苗或接种了多少剂。获得医疗服务或免疫计划的主要障碍是语言障碍、经济负担和信息缺乏。受访者对医疗系统和医护人员的普遍不信任是反复出现的主题。关系状况、生活安排以及以前参与筛查的情况影响了疫苗接种率。认为医疗官员在HPV免疫等选择性疫苗接种计划方面积极主动并积极接受建议促使受访者寻求接种疫苗。本分析为难民妇女的具体需求提供了基础性见解。它可以指导制定有效的公共卫生干预措施，以改善罗马尼亚境内乌克兰难民的健康状况和疫苗接种率。应部署有足够母语信息且有指定中心医学专家提示的量身定制的预防宣传活动，以确保为弱势群体采取包容性策略。
