Division of Liver Diseases, Icahn School of Medicine at Mount Sinai, Mount Sinai Hospital- Medicine, One Gustave L. Levy Place, Box 1123, New York, NY, 10029, USA.
Department of Population Health and Policy, Icahn School of Medicine at Mount Sinai, Mount Sinai Hospital- Medicine, New York City, NY, USA.
J Community Health. 2020 Oct;45(5):1027-1029. doi: 10.1007/s10900-020-00823-x.
New York City rates for cancer screening with colonoscopy, Papanicolaou smear and mammography are higher than the rest of the nation yet immigrant populations still have barriers accessing healthcare. With 38% of the city identifying as foreign born, there is a growing need to understand immigrant health and cancer screening behaviors to better assist them in accessing care. Through the Hepatitis Outreach Network (HONE), almost 1300 consenting participants completed a questionnaire on their demographics, hepatitis risk factors, and cancer screening behaviors as well as accessed Hepatitis B Virus screening from 2013 to 2015. Using the information gathered from the completed surveys and the data analysis in 2016, age and English language proficiency had significant association to accessing cancer screening using the three noted methods. Overall, cancer screening rates were lower for the African born (54%), Asian born (23.9%) and US born (22%) participants than those of the rest of New York. English language proficiency appeared to be a barrier for some screening methods such as colorectal cancer screening with colonoscopy, and cervical cancer with Papanicolaou smear but not mammography. Immigrant health is a fundamental part of the public health field and so further investigation into disparities associated with other cancer screening methods is a necessity. An increase in culturally sensitive, language and age-specific health education programs may also improve cancer screening rates for immigrant populations in the city.
纽约市的结肠镜检查、巴氏涂片和乳房 X 光检查癌症筛查率高于全国其他地区，但移民人群仍然面临获得医疗保健的障碍。该市有 38%的人口是外国出生的，因此越来越有必要了解移民的健康和癌症筛查行为，以便更好地帮助他们获得医疗服务。通过肝炎外展网络（HONE），近 1300 名同意参与的参与者在 2013 年至 2015 年期间完成了一份关于他们的人口统计学、肝炎风险因素和癌症筛查行为的问卷，并接受了乙型肝炎病毒筛查。利用从完成的调查中收集的信息和 2016 年的数据分析，年龄和英语水平熟练程度与使用上述三种方法进行癌症筛查有显著关联。总体而言，非洲出生的（54%）、亚洲出生的（23.9%）和美国出生的（22%）参与者的癌症筛查率低于纽约其他地区。英语水平似乎是某些筛查方法的障碍，例如结肠镜检查筛查结肠癌和巴氏涂片筛查宫颈癌，但不是乳房 X 光检查。移民健康是公共卫生领域的一个基本组成部分，因此需要进一步调查与其他癌症筛查方法相关的差异。增加文化敏感、语言和年龄特定的健康教育计划也可能提高该市移民人口的癌症筛查率。
