Division of Epidemiology and Health Services Research, Institute of Medical Biostatistics, Epidemiology and Informatics (IMBEI), University Medical Centre, Johannes Gutenberg University, Obere Zahlbacher Straße 69, 55131, Mainz, Germany.
University Cancer Centre, Mainz, Germany.
J Cancer Res Clin Oncol. 2023 May;149(5):1733-1745. doi: 10.1007/s00432-022-04091-1. Epub 2022 Jun 11.
We examined how migration background is associated with awareness and usage of psycho-oncology services.
Oncologists in community-based practices and outpatient clinics asked their patients and their relatives to complete a questionnaire. Migrants were purposely over-sampled. The questionnaire was provided in Arabic, English, Farsi, French, German, Hindi, Kurdish, Pashto, Russian, Somali, Turkish, Urdu, and Vietnamese.
From 9 collaborators, 177 participants were enrolled (130 with and 47 without migration background). The existence of outpatient cancer counselling centres was known to 38% of the participants without and 32% with migration background, self-help groups to 32 vs. 12%, and psychotherapy to 43 vs. 25%. Respondents from the Near and Middle East were less likely to know about psychotherapy (odds ratio (OR) 0.1, p = 0.01); those from the Commonwealth of the Independent States or former Yugoslavia were less often informed about self-help groups (OR 0.1, p = 0.06). Migrants retrieved information less frequently from the internet than non-migrants (10 vs. 25%). At least one service had been used by 27% of migrants and 42% of non-migrants (OR 0.5, p = 0.06). After adjusting for gender, age, education, and patient-relative status, there was no evidence for an association between migration background and service use.
Migrants should be better informed about psychotherapy and self-help groups, in particular the ones coming from the Near or Middle East and the Commonwealth of the Independent States or former Yugoslavia. The under-use of psychosocial services can largely be explained by confounding factors. Therefore, these factors must always be taken into account when analysing the use of psychosocial services in the aforementioned populations.
我们研究了移民背景如何与对心理肿瘤学服务的认知和使用相关。
社区实践和门诊诊所的肿瘤学家要求他们的患者及其亲属填写一份问卷。有意对移民进行了超额抽样。问卷提供了阿拉伯语、英语、波斯语、法语、德语、印地语、库尔德语、普什图语、俄语、索马里语、土耳其语、乌尔都语和越南语等版本。
从 9 位合作者那里，共纳入了 177 名参与者（130 名有移民背景，47 名没有）。有移民背景和没有移民背景的参与者分别有 38%和 32%知道门诊癌症咨询中心的存在，分别有 32%和 12%知道自助小组，分别有 43%和 25%知道心理治疗。来自近东和中东的受访者不太可能了解心理治疗（优势比（OR）0.1，p=0.01）；来自独立国家联合体或前南斯拉夫的受访者则较少了解自助小组（OR 0.1，p=0.06）。移民从互联网获取信息的频率低于非移民（10%对 25%）。至少有一种服务被 27%的移民和 42%的非移民使用过（OR 0.5，p=0.06）。在调整了性别、年龄、教育和患者-亲属身份后，没有证据表明移民背景与服务使用之间存在关联。
应该特别向来自近东或中东和独立国家联合体或前南斯拉夫的移民更好地宣传心理治疗和自助小组。心理社会服务的使用不足在很大程度上可以用混杂因素来解释。因此，在分析上述人群中心理社会服务的使用情况时，必须始终考虑这些因素。
