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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Inadequacy of cervical cancer screening among urban recent immigrants: a population-based study of physician and laboratory claims in Toronto, Canada.
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Inadequacy of cervical cancer screening among urban recent immigrants: a population-based study of physician and laboratory claims in Toronto, Canada.

机译：城市新移民中子宫颈癌筛查的不足：加拿大多伦多基于人群的医生和化验室研究。

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OBJECTIVE: In Canada, Pap smears are recommended from 18 to 69. Self-reported socioeconomic gradients in screening have been documented in North America but there have been few direct measures of Pap smear use among immigrants or socially disadvantaged groups. Our purpose was to investigate whether socioedemographic factors are related to cervical cancer screening in Toronto, Canada. METHOD: Pap smears were identified using fee and laboratory codes in Ontario physician service claims for 3 years (2000-2002 inclusive) for women aged 18-66. Area-level socioeconomic factors were derived from the 2001 census. At the individual level, recent registrants for health coverage, over 80% of whom are expected to be recent immigrants, were identified as women first registering after January 1, 1993. RESULTS: Among 724,584 women, 55.4% had Pap smears within 3 years. Recent immigration, visible minority, foreign language, low income and low education were all associated with significantly lower area rates. Recent registrants had much lower rates than non-recent registrants (36.9% versus 60.9%). CONCLUSION: Pap smear rates in Toronto fall below those dictated by evidence-based practice. Recent registrants, a largely immigrant group, have particularly low rates. Efforts to improve coverage need to emphasize women who recently immigrated and those with socioeconomic disadvantage.
机译：目的：在加拿大，建议将巴氏涂片检查的年龄范围定为18至69。北美已记录了自我报告的筛查社会经济梯度，但在移民或社会弱势群体中很少有直接测量巴氏涂片使用的方法。我们的目的是调查加拿大多伦多的社会人口学因素是否与宫颈癌筛查有关。方法：对安大略省18至66岁女性的3年（含2000-2002年）服务索赔中使用收费和实验室代码来识别巴氏涂片。区域一级的社会经济因素来自2001年的人口普查。在个人一级，1993年1月1日以后首次登记的健康登记者为初次登记的妇女，其中80％以上是预期的新移民。结果：在724,584名妇女中，有55.4％的妇女在3年内进行了子宫颈抹片检查。最近的移民，少数族裔，外语，低收入和低学历都与大大降低的地域面积率有关。最近的注册人的比率比非最近的注册人低得多（36.9％对60.9％）。结论：多伦多的子宫颈抹片检查率低于循证实践所规定的。最近的注册人（主要是移民群体）的利率特别低。扩大覆盖面的努力需要强调最近移民的妇女和那些在社会经济方面处于不利地位的妇女。

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