Kristiansen M, Lue-Kessing L, Mygind A, Razum O, Norredam M
Research Centre for Migration, Ethnicity, and Health, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Eur J Cancer Care (Engl). 2014 Mar;23(2):206-13. doi: 10.1111/ecc.12100. Epub 2013 Jul 16.
Migrants are less likely to participate in mammography screening programmes compared with local-born populations in Europe. We explored perceptions of breast cancer risk and the influence on participation in mammography screening programmes among migrant women born in countries with low incidence rates of breast cancer. We conducted eight individual interviews and six group interviews including a total of 29 women aged 50-69 years living in Copenhagen, Denmark. Women were migrants born in Somalia, Turkey, Pakistan or Arab countries. Phenomenological analysis was used. Breast cancer was perceived to be caused by multiple factors, including genetics, health behaviour, stress, fertility and breastfeeding. Some women perceived breast cancer to be more prevalent in Denmark as compared with their country of birth, and perceived their risk of developing breast cancer to increase with length of stay in Denmark. Although most women agreed on the relevance of mammography screening, other cancers, chronic and infectious diseases and mental health problems were mentioned as equally or more important to target in public health programmes. A life course perspective comprising previous and current circumstances in country of birth as well as immigration country is important for understanding and influencing the screening behaviour of migrants.
与欧洲本地出生的人群相比，移民参与乳房X光筛查项目的可能性较小。我们探讨了乳腺癌风险认知以及乳腺癌发病率低的国家出生的移民女性参与乳房X光筛查项目的影响因素。我们进行了8次个人访谈和6次小组访谈，共有29名年龄在50 - 69岁之间、居住在丹麦哥本哈根的女性参与。这些女性是出生在索马里、土耳其、巴基斯坦或阿拉伯国家的移民。采用了现象学分析方法。乳腺癌被认为是由多种因素引起的，包括遗传、健康行为、压力、生育和母乳喂养。一些女性认为与她们的出生国相比，丹麦的乳腺癌更为普遍，并且认为她们患乳腺癌的风险会随着在丹麦居住时间的延长而增加。尽管大多数女性认同乳房X光筛查的重要性，但其他癌症、慢性和传染病以及心理健康问题在公共卫生项目中也被提及为同样重要或更重要的目标。一个包含出生国以及移民国既往和当前情况的生命历程视角对于理解和影响移民的筛查行为很重要。
