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首页> 美国卫生研究院文献>Cancer Medicine >Breast cancer screening disparities among immigrant women by world region of origin: a population‐based study in Ontario Canada
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Breast cancer screening disparities among immigrant women by world region of origin: a population‐based study in Ontario Canada

机译：按世界来源地区划分的移民妇女中的乳腺癌筛查差异：加拿大安大略省一项基于人群的研究

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Rates of mammography screening for breast cancer are disproportionately low in certain subgroups including low‐income and immigrant women. The purpose of the study was to examine differences in rates of appropriate breast cancer screening (i.e., screening mammography every 2 years) among Ontario immigrant women by world region of origin and explore the association between appropriate breast cancer screening among these women groups and individual and structural factors. A cohort of 183,332 screening‐eligible immigrant women living in Ontario between 2010 and 2012 was created from linked databases and classified into eight world regions of origin. Appropriate screening rates were calculated for each region by age group and selected sociodemographic, immigration, and healthcare‐related characteristics. The association between appropriate screening across the eight regions of origin and selected sociodemographic, immigration, and health‐related characteristics was explored using multivariate Poisson regression. Screening varied by region of origin, with South Asian women (48.5%) having the lowest and Caribbean and Latin American women (63.7%) the highest cancer screening rates. Factors significantly associated with lower screening across the world regions of origin included living in the lowest income neighborhoods, having a refugee status, being a new immigrant, not having a regular physical examination, not being enrolled in a primary care patient enrollment model, having a male physician, and having an internationally trained physician. Multiple interventions entailing cross‐sector collaboration, promotion of patient enrollment models, community engagement, comprehensive and intensive outreach to women, and knowledge translation and transfer to physicians should be considered to address screening disparities among immigrant population. Consideration should be given to design and delivery of culturally appropriate and easily accessible cancer screening programs targeted at high‐ risk immigrant subgroups, such as women of South Asian origin, refugees, and new immigrants.
机译：在包括低收入和移民妇女在内的某些亚组中，乳房X光检查对乳腺癌的筛查率极低。这项研究的目的是研究按世界原籍地区划分的安大略移民妇女的适当乳腺癌筛查率（即每2年进行一次乳房X线筛查）的差异，并探讨这些女性群体与个人和女性之间适当的乳腺癌筛查之间的关联。结构因素。通过链接的数据库创建了2010年至2012年之间居住在安大略省的183,332名符合筛查条件的移民妇女队列，并将其划分为八个世界原籍地区。根据年龄段和所选的社会人口统计学，移民和医疗保健相关特征，计算了每个地区的适当筛查率。使用多元Poisson回归探索了在八个来源地区进行适当筛查与选定的社会人口学，移民和健康相关特征之间的关联。筛查因来源地区而异，其中南亚女性（48.5％）的筛查率最低，而加勒比海和拉丁美洲女性（63.7％）的筛查率最高。与世界各地原籍地区的低筛查率显着相关的因素包括：居住在收入最低的社区，具有难民身份，是新移民，没有进行定期的身体检查，没有参加初级保健患者的招生模型，男医师，并拥有受过国际培训的医师。应考虑采取多种干预措施，包括跨部门合作，促进患者登记模式，社区参与，对妇女的全面深入培训以及知识转化和向医生的转移，以解决筛查移民人口之间的差异。应考虑设计和实施针对高风险移民亚人群（如南亚血统的妇女，难民和新移民）的文化上适当且易于获得的癌症筛查计划。

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