title: Easy screening for everyone.
abstract: OBJECTIVE
  to increase participation of immigrant women at cervical cancer screening programmes.
  
  
  METHODS
  pre-post study to evaluate the efficacy of recall by phone call in immigrant women.
  
  
  METHODS
  6,133 immigrant women in Cesena (Emilia-Romagna Region, Northern Italy) who have never made a Pap test in the last three years.
  
  
  METHODS
  increment of percentage of immigrant women who participated in cervical cancer screening.
  
  
  RESULTS
  the recall by phone call and counselling by linguistic mediators to immigrant women from high-pressure to migrate Country moved their participation percentage to cervical screening programmes from 46% (period 2006-2008) to 56% (period 2011-2013). Linguistic mediators contacted 2,131 of these women and they verified that 1,437 of them have not made a Pap test in the last three years. These women were suggested to do the Pap test and 555 of them (39%) did it; these tests cost about 25 euros each for counselling and telephone recall. Pap tests, colposcopies, and histology results permitted to find out and treat: 2 cervical dysplasia of grade I (mild), 3 of grade II (moderate), and 3 of grade III (severe). These 6 women with moderate or severe dysplasia had an average age of 37 years and have never done a Pap test. The cost to find out these cases of moderate or severe dysplasia was about 2,000 euros each.
  
  
  CONCLUSIONS
  the recall phone call and counselling by linguistic mediators is effective and low cost to increase the participation of foreign women in screening programmes.
authors.affiliation: Centro screening oncologici Cesena, Azienda unità sanitaria locale della Romagna, Cesena. mauro.palazzi@auslromagna.it.
authors.forename: Mauro
authors.initials: M
authors.lastname: Palazzi
authors.affiliation: Centro screening oncologici Cesena, Azienda unità sanitaria locale della Romagna, Cesena.
authors.forename: Mirna
authors.initials: M
authors.lastname: Severi
authors.affiliation: Centro screening oncologici Cesena, Azienda unità sanitaria locale della Romagna, Cesena.
authors.forename: Claudia
authors.initials: C
authors.lastname: Imolesi
authors.affiliation: Centro screening oncologici Cesena, Azienda unità sanitaria locale della Romagna, Cesena.
authors.forename: Patrizia
authors.initials: P
authors.lastname: Vitali
authors.affiliation: Centro screening oncologici Cesena, Azienda unità sanitaria locale della Romagna, Cesena.
authors.forename: Massimo
authors.initials: M
authors.lastname: Farneti
authors.affiliation: Associazione romagnola ricerca tumori, Cesena.
authors.forename: Alessia
authors.initials: A
authors.lastname: Bianchini
authors.affiliation: Associazione romagnola ricerca tumori, Cesena.
authors.forename: Tiziana
authors.initials: T
authors.lastname: Cristallo
mesh_terms: D000328:Adult; D003365:Costs and Cost Analysis; D003376:Counseling; D055088:Early Detection of Cancer / Q000191:economics; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D015994:Incidence; D007558:Italy / Q000453:epidemiology; D008403:Mass Screening / Q000191:economics; D065006:Papanicolaou Test / Q000191:economics; D002578:Uterine Cervical Dysplasia / Q000175:diagnosis / Q000453:epidemiology; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000191:economics / Q000453:epidemiology*; D014626:Vaginal Smears