Aminisani Nayyereh, Armstrong Bruce K, Canfell Karen
School of Public Heath, University of Sydney, Sydney, Australia ; Cancer Council New South Wales, Sydney, Australia ; Faculty of Health and Nutrition, Tabriz University of Medical Sciences, Tabriz, Iran.
School of Public Heath, University of Sydney, Sydney, Australia.
Health Promot Perspect. 2012 Dec 28;2(2):274-86. doi: 10.5681/hpp.2012.033. eCollection 2012.
There is little information on the detailed patterns of cervical screening uptake in older migrant women in Australia. This linkage study was performed to assess cervical screening participation in older migrants.
We linked year 2000-2001 records for 14,228 Middle Eastern/Asian-born women 40-64 years of age, and an age and area matched random sample of 13,939 Australian-born women in the New South Wales (NSW) Admitted Patients Data Collection (APDC), which records country of birth, to screening register records. Screening behaviour after 1st July 2001 was assessed in women without a recorded prior cervical abnormality
Compared to Australian-born women, women born in South Central Asia had a lower screening participation rate (odds ratio for being screened at least once within a 3 year period 0.78, 95% CI 0.70-0.88). However, participation appeared relatively higher (17%-25%) in women born in the Middle East or other parts of Asia. Screening increased with increasing socioeconomic status (SES) in Australian-born women, but this trend was not observed in the migrant women. When we broadly corrected for hysterectomy, the apparent excess of screening in women from the Middle East and other parts of Asia was substantially eliminated and in contrast, the apparent deficiency in screening in women from South Central Asia increased.
Older women from the Middle East, and North East and South East Asian countries appeared to have similar overall screening participation to that of Australian-born women. Women from South Central Asia appeared less likely than Australian-born women to participate in cervical screening at the recommended interval.
关于澳大利亚老年移民妇女宫颈筛查接受情况的详细模式，相关信息较少。本关联研究旨在评估老年移民的宫颈筛查参与情况。
我们将新南威尔士州（NSW）入院患者数据收集（APDC）中14228名40 - 64岁中东/亚洲出生女性以及13939名年龄和地区匹配的澳大利亚出生女性（随机抽样）2000 - 2001年的记录（该记录包含出生国家）与筛查登记记录进行关联。对2001年7月1日后首次记录宫颈无异常的女性的筛查行为进行评估。
与澳大利亚出生的女性相比，中亚出生的女性筛查参与率较低（3年内至少接受一次筛查的优势比为0.78，95%可信区间为0.70 - 0.88）。然而，中东或亚洲其他地区出生的女性参与率相对较高（17% - 25%）。澳大利亚出生女性的筛查率随社会经济地位（SES）升高而增加，但在移民女性中未观察到这一趋势。当我们大致校正子宫切除术后，中东和亚洲其他地区女性明显过多的筛查情况基本消除，相反，中亚女性明显不足的筛查情况有所增加。
来自中东、东北亚和东南亚国家的老年女性总体筛查参与情况似乎与澳大利亚出生的女性相似。与澳大利亚出生的女性相比，中亚女性按推荐间隔参与宫颈筛查的可能性较小。
