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There is nothing more sad than seeing a xalimo showing off an ajnabi as if she won the lottery. Sad because in a few months or years the ajnabi 9/10 would dump her and move on to someone else. Participation in HPV vaccination and Pap smears is particularly low among ethnic minorities in the Netherlands [ 1, 4], however, the morbidity of cervical cancer in the Netherlands is also low among ethnic minorities. According to a Dutch study, statistically significant lower numbers of cervical cancer related deaths were identified among ethnic minority women when compared to native Dutch women: 35 compared to 2922 cases, respectively [ 6]. What to do if you still want to find ahot Somali girlfor marriage? There is a way out. Nowadays, you do not need to go to Somalia to find a bride. Just register on a reliable dating platform that offers plenty ofsexy Somali womenfor sale. Although the goal for HPV vaccination coverage was set at 70 % [ 4], less than half of invited girls born between 1993–1996 (45 %) showed up to receive all three injections during the campaign of 2009, when the vaccination program started [ 2]. Also in 2013, the vaccination coverage remained low: slightly more than half of the girls born in 1997 (56 %) and 1998 (58 %) received the three injections [ 5]. Teachers can provide culturally sensitive information to young Somali women in schools. For Somali mothers, oral education (e.g., poetry or theater) about the Dutch health care system and men’s roles in HPV transmission may be useful.

Every mother tells a lie to herself [and thinks]: ‘My daughter is great.’ While the daughter was just two months old when she arrived in the Netherlands, she is now 22 or 24 years old. What is the outcome? The child takes over the [Dutch] culture. Your child will not take over your [Somali] culture. Who is stronger than you? The people your child associates with. These people give her freedom. So we are obligated to vaccinate or examine her. [A mother in group discussion] Semi-structured interviews have been conducted with young Somali women aged 17–21 years ( n = 14) and Somali mothers aged 30–46 years ( n = 6). Two natural group discussions have been conducted with 12 and 14 Somali mothers aged 23–66 years. The collected data has been analyzed thematically for content. Results Malik S. A qualitative study into the perceptions of Dutch Turkish and Dutch Moroccan mothers on HPV vaccination for their 12 years old daughters, Master thesis. Amsterdam: Department of Medical Humanities, VU University Amsterdam; 2012.Woonink F. Objections against vaccination: the perspective of those who refuse [ http://www.rivm.nl/dsresource?objectid=rivmp:55451&type=org&disposition=inline&ns_nc=1] Remschmidt C, Fesenfeld M, Kaufmann A, Deleré Y. Sexual behavior and factors associated with young age at first intercourse and HPV vaccine uptake among young women in Germany: implications for HPV vaccination policies. BMC Public Health. 2014;14:1248. What word will YOU hear that will make u think of sex right away> ??? what thing that has no sexualness, totally innocent and harmless but when u hear it, or see it that makes u a little bit hot. Van Nes F, Abma T, Jonsson H, Deeg D. Language differences in qualitative research: Is meaning lost in translation? Eur J Ageing. 2010;7(4):313–6.

The information in the natural group discussions was collected only after JS was introduced by the moderators and she had become acquainted with the mothers who participated in the weekly group gatherings. Information on (the prevention of) HPV and cervical cancer was presented by JS to the participants at different moments. Facilitating a discussion with mothers who only recently moved to the Netherlands would have been difficult without the provision of any information on HPV and cervical cancer. Branković I, Verdonk P, Klinge I. Applying a gender lens on Human Papillomavirus infection: Cervical cancer screening, HPV DNA testing, and HPV vaccination. Int J Equity Health. 2013;12(1):14. Drain P, Halperin D, Hughes J, Klausner J, Bailey R. Male circumcision, religion, and infectious diseases: An ecologic analysis of 118 developing countries. BMC Infectious Diseases. 2006;6(1):172. In this study, we have identified perceived barriers to the use of preventive measures across three major themes: (1) Somali women and preventive healthcare; (2) Language, knowledge, and negotiating decisions; and (3) Sexual standards, culture, and religion. Many issues have been identified across these themes, e.g., distrust of the Dutch health care system or being embarrassed to get Pap smears due to Female Genital Mutilation (FGM) and having a Dutch, male practitioner; or a perceived low susceptibility to HPV and cancer because of the religious norms that prohibit sex before marriage. ConclusionsA Somali girl is Muslim and does not have premarital sex. Is vaccination really necessary?” A qualitative study into the perceptions of Somali women in the Netherlands about the prevention of cervical cancer Since 2009, prevention of cervical cancer in the Netherlands consists of two measures: first, the Papanicolaou Screening (Pap smear), for which all women aged 30 to 60 years receive an invitation every 5 years, is free of charge [ 1]. The second measure - the Human Papillomavirus (HPV) vaccination - was introduced in 2009, after the bivalent vaccine (Cervarix) targeting HPV 16 and 18 became available [ 2]. Since there is a risk of contracting HPV from the first time of intercourse [ 3], the HPV vaccination program, which is managed by the Centre for Infectious Disease Control (CIb) and is only free of charge for 12-year old girls [ 2], ensures that most girls can be vaccinated before they become sexually active [ 4]. I personally think that they [homosexual people] should do whatever they want. If I think of the Moroccan youth, all so tough [macho]…He [a Moroccan person] really does not choose to be gay if he will be disowned, scolded [and] beaten up. I do not think that someone would choose for that. He also wants to have kids and a wife, right? Look, maybe Dutch boys like it [being homosexual], but I really do not think that certain people choose for it. [N 18 (Somali girl)] People usually underestimate the beauty of Somali women because they are religious and they wear hijab and usually they don’t wear any makeup. But when you look closely at their faces, they have such beautiful faces even without makeup. Somalia Girls are Hardworking and are Good Housekeepers Semi-structured interviews and natural group discussions were held. An interview guide was developed that covered topics based upon intersectionality and earlier studies that explored factors significant for the decision to participate in the prevention of cervical cancer [ 25, 26]. The HBM, particularly, guided the construction of probing questions.