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Morrison B, Flynn P, Weaver A, Wieland M. Cervical cancer screening adherence among Somali immigrants and refugees to the United States. Health Care Women Int. 2013;34(11):980–8. Kadra Ahmed Omar is an Ethiopian mannequin of Somali descent. This Somali sexy girl was working with modeling agencies and designers from all over the world. Kadra represented Heffner Management and Elite Model Management, Toronto agencies. She appeared in the 2000 Sports Illustrated Swimsuits. Cici Ali Olden A. Somali refugees in London: Oral culture in a western information environment. Libri. 1999;49(4):212–24. Cici Ali is a Canadian mannequin of Somali descent. She was cooperating with such model agencies as Modelwerk (Hamburg) and Elmer Olsen Model Management Toronto, Next Paris and Ford Models New York. This hot girl was a participant of many fashion shows. Fatima Siad

As it was already mentioned, a woman in Somalia has no rights. Parents may sell their daughter to bandits or marry her off in exchange for water or food, so the number of unions increases dramatically during a drought. Almost half of Somali women married before the age of 18. Although most participants believe they can control the risk of cervical cancer through sexual behavior, the Somali mothers particularly believe that all diseases are determined by God and indicate low self-efficacy. However, there is also individual religious responsibility to improve one’s health and prevent disease. Glanz K, Rimer B, Viswanath K. The Health Belief Model. In: Glanz K, Rimer B, Viswanath K, editors. Health behavior and health education: Theory, research, and practice. 4th ed. San Francisco: John Wiley & Sons; 2008. p. 45–65. Ubah Hassan is a Somali-Canadian fashion model. She worked for many famous designers. ThisSomali beautiful girlis also engaged in the philanthropic work. Ubah was born in Somalia in 1987. When she was 10, her family immigrated to Canada where her life has changed drastically. Hawa Ahmed Second, in a few cases, a participant’s friend was present during an interview and some interviews were held in public spaces, which may have influenced the responses to some questions. Third, group discussions and interviews with Somali mothers were conducted in Somali. Meanings of some responses by participants may have inadvertently changed during translation, which could affect the validity of this study [ 38]. Fourth, some mothers have declined audio-recording, and nuances may have been lost because the information gathered from them is based on extended field reports.The executing researcher (JS), who is a young female of Somali origin and studied Health Sciences in Amsterdam, approached Somali organizations and Community Health Services (CHSs) through gatekeepers who had access to the Somali community. Participants were recruited from a wide range of settings, including community gatherings, CHSs, the university, and Facebook. The recruitment was mostly done by JS and via members of the Somali organizations and CHS professionals. Warfa N, Curtis S, Watters C, Carswell K, Ingleby D, Bhui K. Migration experiences, employment status and psychological distress among Somali immigrants: a mixed-method international study. BMC Public Health. 2012;12:749. Health Council of the Netherlands. Population screening for cervical cancer. The Hague: Health Council of the Netherlands; 2011. The Somali women in the study had not been aware of possible susceptibility to HPV through partners, even though they had been aware of a cultural double sexual standard, as also found in a study among Turkish and Moroccan mothers [ 33]. Also, cancer is perceived as a sensitive topic by the women [ 14]. The Somali mothers particularly attribute cervical cancer to metaphysical beliefs such as fate and God’s will [ 37]. However, the Islamic faith also plays the role of a cue to action: some participants state that their religion supports preventive care and/or medicine to improve health.

The inclusion criteria has been comprised of being female and of Somali origin, living in the Netherlands, aged between 18 and 65, and having a migration date from the first or second wave of migration (see Table 1). Daughters whose mothers have participated in the study were excluded and vice versa because sexuality issues and health issues are sensitive to discuss in the Somali community, and it would have limited building rapport between the interviewees and the interviewer. Furthermore, convenience sampling has been used at community gatherings of the Somali women. A 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 Gele A, Kumar B, Hjelde K, Sundby J. Attitudes toward female circumcision among Somali immigrants in Oslo: A qualitative study. Int J Womens Health. 2012;4:7–17. Somalian femmes can appreciate life. These women are forced to suffer from early childhood, and their death means nothing in their country. Despite this, Somalian women are very beautiful and nice. Somalia Girls are Beautiful, Shy, and Religious

All individual participants signed the consent letter and filled out the questionnaire. Several mothers from group discussions refused to sign and fill out the questionnaire because they were not used to giving this type of written information during their usual group gatherings. It is common that minority communities decline to provide this kind of information during research at the community level [ 14]. Also, participants did not feel compelled to stay for the whole session. Nevertheless, these mothers gave oral consent for participating and were actively engaged in giving information. Ethical approval is not required for this type of study in the Netherlands [ 23], as only particular types of behavioral research fall under the Medical Research Involving Human Subjects Act [ 24]. Measures and procedures Rahma Mohamed (born in 1990) is a Somali model. Rahma was working for such famous model agencies as Next Model Management (Paris), Models 1, MD Management, Just WM. Mistakes When Dating Sexy Somali Girls Online Van der Avoort H, Berbers G, Van Binnendijk R, Boogaards H, Boot H, Van den Dobbelsteen G, et al. The National Immunisation Programme in the Netherlands. Bilthoven: National Immunisation Programme; 2010.