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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Participation in cervical cancer screening among immigrants and Danish-born women in Denmark
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Participation in cervical cancer screening among immigrants and Danish-born women in Denmark

机译：参与丹麦移民和丹麦女性的宫颈癌筛查

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In this nationwide register-based cohort study, we examined cervical cancer screening participation among immigrants in Denmark by country and region of origin. Furthermore, we assessed whether differences in screening participation between immigrants and Danish-born women were explained by sociodemographic or health-related characteristics, and examined predictors of participation among immigrants. Using high-quality registries, we identified women invited for cervical cancer screening during 2008-2009 and retrieved individual-level data on sociodemographic-, health- and immigration-related characteristics. A total of 610,907 women were followed for up to 2.9 years after screening invitation. We estimated the probability of participation using the Aalen-Johansen estimator and the hazard ratios (HRs) of participation using Cox regression. The probability of participation within follow-up was 74.5% (95% CI, 74.4%-74.6%) in Danish-born women; 61.2% (95% CI, 60.4%-62.1%) in Western immigrants; and 61.3% (95% CI, 60.9%-61.8%) in non-Western immigrants. Participation in immigrants varied by region of origin from 44.3% (95% CI, 41.4%-47.4%) in immigrants from North America, New Zealand and Australia to 67.8% (95% CI, 65.4%-70.3%) in immigrants from South- and Central America. Substantial variation was seen between specific countries of origin. Differences in participation between immigrants and Danish-born women were not explained by sociodemographic or health-related characteristics. Predictors of low participation in immigrants included lower income, unemployment, being unmarried, having a history of schizophrenia or other psychoses, and <= 5 years' stay in Denmark. In conclusion, cervical cancer screening participation in immigrants varied by region and country of origin, but all immigrant groups had lower participation than Danish-born women.
机译：在全国范围的基于寄存器的队列研究中，我们检查了丹麦的移民通过国家和原产地区的移民筛查参与。此外，我们评估了通过社会统治或健康相关的特征解释了移民和丹麦妇女之间筛选参与的差异，并检查了移民参与的预测因素。采用高质量的注册管理机构，我们确定了2008 - 2009年期间邀请宫颈癌筛查的妇女，并检索了关于社会阶段，健康和移民相关的特征的个人级别数据。筛选邀请后，共有610,907名妇女持续高达2.9岁。我们估计使用Cox回归使用Aalen-Johansen估计和参与的危险比（HRS）的参与的可能性。随访中的参与概率为丹麦女性的74.5％（95％CI，74.4％-74.6％）;西方移民61.2％（95％CI，60.4％-62.1％）;非西方移民61.3％（95％CI，60.9％-61.8％）。参与移民在南美洲，新西兰和澳大利亚的移民中的44.3％（95％CI，41.4％-47.4％）以67.8％（95％CI，65.4％-7.4％-70.3％-70.3％），在南方的移民 - 和中美洲。特定原产国之间存在大量变化。移民与丹麦出生的妇女之间的参与的差异未被社会学或健康相关的特征解释。低收入移民的预测因素包括较低的收入，失业，未婚，具有精神分裂症或其他精神病的历史，而<= 5年的留在丹麦。总之，宫颈癌筛查参与移民因地区和原产国而变化，但所有移民群体的参与程度低于丹麦出生的妇女。

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