Department of Health Services Research and Nursing Science, Bielefeld School of Public Health, Bielefeld University, Bielefeld, Germany.
Department of Epidemiology and International Public Health, Bielefeld School of Public Health, Bielefeld University, Bielefeld, Germany.
J Immigr Minor Health. 2019 Jun;21(3):674-677. doi: 10.1007/s10903-018-0785-7.
Our aim was to provide data regarding uptake of gynecological early detection measures and performance of breast self-examinations among migrant women in Germany. Cross-sectional self-reported data were collected using paper-and-pencil questionnaires. Descriptive analyses, Chi square-tests, and logistic regression were applied. Results were adjusted for educational level. Of 5387 women, 89.9% were autochthonous, 4.1% German resettlers, 2.8% Turkish, 3.1% other migrants. Participation rates regarding cancer screening differed significantly, with the lowest proportion in Turkish migrants (65.0%), resettlers (67.8%), other migrants (68.2%) and autochthonous population (78.2%). No differences in performance of breast self-examinations were detected. When adjusted for education, results indicated only slight changes in the odds to participate in screening irregularly or not at all. Results support existing evidence by showing lower participation rates in cancer screening among migrant women, but there were no differences regarding breast self-examinations. Migrant women form a potential high-risk group for late-stage diagnosis of cervical or breast cancer.
我们的目的是提供有关德国移民女性接受妇科早期检测措施和进行乳房自我检查情况的数据。使用纸质问卷收集了横断面的自我报告数据。应用描述性分析、卡方检验和逻辑回归进行分析。结果根据教育水平进行了调整。在 5387 名女性中，89.9%为土生土长的德国人，4.1%为德国移民，2.8%为土耳其人，3.1%为其他移民。癌症筛查的参与率差异显著，土耳其移民（65.0%）、移民（67.8%）、其他移民（68.2%）和土生土长的人口（78.2%）的比例最低。乳房自我检查的表现没有差异。在调整教育因素后，结果表明不规则或完全不参与筛查的几率略有变化。结果支持现有证据，表明移民女性癌症筛查的参与率较低，但乳房自我检查没有差异。移民女性是宫颈癌或乳腺癌晚期诊断的潜在高危人群。
