Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Access Alliance Multicultural Health and Community Services, Toronto, ON, Canada.
J Immigr Minor Health. 2019 Jun;21(3):473-482. doi: 10.1007/s10903-018-0779-5.
Mammography and fecal occult blood testing (FOBT) improve the detection, management, and prognosis of breast and colorectal cancer, respectively, but are underperformed in the recent immigrant and refugee population. We aimed to identify barriers to screening and potential solutions in this population. A mixed-methods study involving a retrospective chart review and focus group interviews was conducted, with data analyzed using univariate logistic regression and thematic analysis, respectively. Mammography completion was associated with greater time in Canada (p = 0.01) and region of origin (p = 0.04), while FOBT completion was associated with region of origin (p = 0.03). Barriers included time constraints, language and cultural differences, and poor interprofessional communication. This study of recent immigrants and refugees identifies barriers to screening and supports potential solutions including culturally-congruent peer workers, targeted screening workshops, and visual screening aids. Further work is needed to address the unique healthcare needs of this diverse and growing population.
乳腺 X 线摄影和粪便潜血检测（FOBT）分别提高了乳腺癌和结直肠癌的检出率、管理和预后，但在最近移民和难民群体中的效果不佳。我们旨在确定该人群中筛查的障碍和潜在解决方案。本研究采用混合方法，包括回顾性病历审查和焦点小组访谈，分别使用单变量逻辑回归和主题分析进行数据分析。乳腺 X 线摄影完成与在加拿大的时间（p=0.01）和原籍地区（p=0.04）有关，而 FOBT 完成与原籍地区（p=0.03）有关。障碍包括时间限制、语言和文化差异以及专业间沟通不畅。本项针对最近移民和难民的研究确定了筛查障碍，并支持潜在解决方案，包括文化一致的同伴工作人员、有针对性的筛查研讨会和视觉筛查辅助工具。需要进一步开展工作，以满足这一多样化和不断增长的人群的独特医疗保健需求。
