Adu Prince A, Ukah U Vivian, Palmer Sheena D
School of Population and Public Health, Faculty of Medicine, University of British Columbia, 2206 East Mall, Vancouver, BC, V6T 1Z3, Canada.
Department of Obstetrics and Gynaecology, Faculty of Medicine, University of British Columbia, Vancouver, Canada.
J Immigr Minor Health. 2017 Feb;19(1):228-235. doi: 10.1007/s10903-015-0298-6.
Despite the strong evidence for screening mammography in reducing mortality from breast cancer, uptake is hampered especially in recent immigrant populations. Although mammography screening behaviors of immigrant populations compared to the general population have been widely studied, evidence of the specific characteristics within the immigrant population in a universal healthcare setting, which explain differential uptake is lacking. The current cross sectional study used self-reported data from the 2011-2012 Canadian Community Health Survey to examine the association between recency of immigration and mammography uptake among 1825 immigrant women aged 50-69 years, using multivariable logistic model adjusted for confounders. In the adjusted analysis, non-recent immigrants had a nonsignificantly increased odds of recent mammography uptake, 1.19 (95 % CI 0.41, 3.44) compared to recent immigrants. In the face of evidence depicting differential health care utilization of recent immigrants compared to non-recent ones or the general population, findings from this study highlight further thinking into strategies for improving the health of immigrants.
尽管有强有力的证据表明乳腺钼靶筛查可降低乳腺癌死亡率,但该筛查的推广受到阻碍,尤其是在新移民群体中。虽然与普通人群相比,移民群体的乳腺钼靶筛查行为已得到广泛研究,但在全民医疗保健环境下,仍缺乏能解释不同接受率的移民群体具体特征的证据。当前的横断面研究使用了2011 - 2012年加拿大社区健康调查中的自我报告数据,通过多变量逻辑模型对混杂因素进行调整,来研究1825名年龄在50 - 69岁的移民女性中移民时间与乳腺钼靶筛查接受率之间的关联。在调整分析中,与新移民相比,非新移民近期接受乳腺钼靶筛查的几率虽有增加,但无统计学意义,比值比为1.19(95%置信区间0.41,3.44)。鉴于有证据表明新移民与非新移民或普通人群在医疗保健利用方面存在差异,本研究结果凸显了对改善移民健康策略的进一步思考。