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In the United Kingdom, embarrassment due to Female Genital Mutilation (FGM) is a barrier for getting Pap smears among Somali women [ 13]. Don’t send her seven messages one after another to ask why she doesn’t answer, even if you really liked her and you want to meet her in real life.

However, if you have any questions regarding a specific piece of information in our evaluations, you should contact the respective site owners.Individual participants were informed about the study during face-to-face recruitment, by telephone and e-mail, and (again) at the start of data collection. This study explores the perceptions of Somali women in the Netherlands about the prevention of cervical cancer. 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].

Issues such as a lack of information and knowledge, how information is given, distrust towards the Dutch health care system and government, vaccination age, language barriers, FGM, having a Dutch, male general practitioner (GP), other traditions of information exchange, the roles of mothers, daughters, and peers in decision-making, and beliefs about sex are discussed within these three major themes, as well as how intersections of gender and culture play out in each of these themes. However, five interviews with mothers were not recorded because those mothers were suspicious of recording. However, the women in this study generally have felt safe to discuss sensitive topics within their already established group of cultural peers. The civil war was caused by many factors, none of them being Islam, the loss of our reputation was subsequently caused by the civil war, and Somali women being "lost" would definitely still happen even if they weren't muslim. Another study in the US has found that Somali girls accept HPV vaccination, but are less likely to complete the HPV vaccination series in comparison with white non-Hispanic girls [ 15].

Susceptibility to HPV is perceived to be low for Somali girls because they are expected to not engage in premarital sex. 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].