Anaman Judith A, Correa-Velez Ignacio, King Julie
School of Public Health and Social Work, Queensland University of Technology, Victoria Park Road, Kelvin Grove, Qld 4059, Australia.
Health Promot J Austr. 2017 Dec;28(3):217-224. doi: 10.1071/HE16017.
Issue addressed To compare the level of cervical screening uptake between refugee and non-refugee African immigrant women living in Brisbane, Australia, and examine factors associated with Pap smear testing. Methods Cross-sectional survey with a convenience sample of 254 women aged 21-62 years from 22 African countries (144 refugees, 110 non-refugees). Chi-square tests were used to compare the demographic and health-related characteristics between refugee and non-refugee women. Bivariate and multiple logistic regression analyses were used to assess the relationship between the outcome variable (Pap smear testing) and the independent variables. Results Two-thirds of women had used Pap smear services in Australia. Chi-square test analysis established that non-refugee women were significantly more likely to have used Pap smear services than refugee women (73.6% vs 61.8% respectively; P=0.047). Immigration status, however, was not a significant predictor of cervical screening uptake in the multiple regression analyses. The significant predictors for screening uptake in these analyses were work arrangement, parity, healthcare visit, knowledge about Pap smear and perceived susceptibility to cervical cancer. Conclusion Most women relied on opportunistic screening after receiving invitation letters to screen or after visiting health professionals for antenatal or postnatal care. So what? The findings suggest that organised cervical screening programs are not reaching most African immigrant women living in Brisbane. It is incumbent on the public health sector, including healthcare professionals and settlement agencies working with African communities, to develop health promotion strategies that meaningfully engage African immigrant women, including those from refugee backgrounds, to enhance their knowledge about cervical cancer and screening practices.
研究问题 比较居住在澳大利亚布里斯班的难民和非难民非洲移民妇女的宫颈癌筛查接受程度，并研究与巴氏涂片检查相关的因素。方法 采用横断面调查，对来自22个非洲国家的254名年龄在21至62岁的妇女进行便利抽样（144名难民，110名非难民）。使用卡方检验比较难民妇女和非难民妇女的人口统计学和健康相关特征。采用二元和多元逻辑回归分析评估结果变量（巴氏涂片检查）与自变量之间的关系。结果 三分之二的妇女在澳大利亚使用过巴氏涂片服务。卡方检验分析表明，非难民妇女比难民妇女更有可能使用巴氏涂片服务（分别为73.6%和61.8%；P=0.047）。然而，在多元回归分析中，移民身份并不是宫颈癌筛查接受程度的显著预测因素。这些分析中筛查接受程度的显著预测因素是工作安排、生育状况、医疗就诊、对巴氏涂片的了解以及对宫颈癌的易感性认知。结论 大多数妇女在收到筛查邀请函或在因产前或产后护理就诊于医疗专业人员后依赖机会性筛查。那又怎样？研究结果表明，有组织的宫颈癌筛查项目并未覆盖大多数居住在布里斯班的非洲移民妇女。公共卫生部门，包括与非洲社区合作的医疗专业人员和定居机构，有责任制定健康促进策略，切实让非洲移民妇女，包括那些有难民背景的妇女参与进来，以增强她们对宫颈癌和筛查做法的了解。
