Nørredam M, Krasnik A, Petersen J H
Afdeling for sundhedstjenesteforskning, Københavns Universitet.
Ugeskr Laeger. 1999 Aug 2;161(31):4385-8.
The study aim is to measure possible differences in access to health care among immigrant women with breast cancer compared with Danish women. We used tumour size at diagnosis as a proxy measure of access. The Danish Central Personal Register provided information from 1977-1996 on women between 20-75 years born in countries in which Islam is the dominating faith. These data were linked to the Danish Breast Cancer Cooperative Group, which registers data concerning tumour size. Sixty-five immigrant women with breast cancer were identified and matched with a control population of Danish women. The study showed larger tumours at diagnosis among women from ethnic minority groups compared to Danes. However, this tendency was not significant. Furthermore, mammographic screening had a significant effect on the tumour sizes of Danish women, but not on those of immigrants. The study indicates ethnic inequalities related to access to health services as measured by tumour size.
本研究旨在衡量患乳腺癌的移民女性与丹麦女性在获得医疗保健方面可能存在的差异。我们将诊断时的肿瘤大小用作获得医疗保健情况的替代指标。丹麦中央个人登记处提供了1977年至1996年期间出生于以伊斯兰教为主导信仰国家的20至75岁女性的信息。这些数据与丹麦乳腺癌合作组织相关联，该组织记录有关肿瘤大小的数据。共识别出65名患乳腺癌的移民女性，并与丹麦女性对照人群进行匹配。研究表明，与丹麦女性相比，少数族裔女性在诊断时肿瘤更大。然而，这种趋势并不显著。此外，乳房X光筛查对丹麦女性的肿瘤大小有显著影响，但对移民女性则没有。该研究表明，以肿瘤大小衡量，在获得医疗服务方面存在种族不平等。
